HomeMy WebLinkAboutSump Pump Inspection1~
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Inspection Form
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Name: ,E'.(.,1,~;~.~..~.~ ~~C~~i,,~,~~ Date~ ~ '~9Time~~~~.m./p.m.
~~p~~, ,..,~ ~~ First In_spfe ~'~n '~' Second ~
Address: ~~~ ~ /~ Own: t~' Rent: . Age of Home~~t
// Residential: ~ -..J
Prior L e, MN 55 ~~~' Phone~`~~'~8.~~ Non-Residential: O
A. BASEMENT es ~ No /'' SiJMP BASKET ~~~~ 1 a 2 ~ 3 ~
WATER IN BASKET ~ Yes t~'No 5iJMP _P~ l7 0~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes l~No CISTERN O Yes C9~No
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form. )
Discharge Point ~I Laundry tub Q Sanitary sewer ~ Q Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
~ Home came with system CI Response to inspection program ~ Other
O Water in basement ~~ Pr ious system failed
B. ROOF LEADER5 I~~ [g Yes a No DISCHARGE: O Near L~i'"Away
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C. YARD DRAINS CI Yes l7,~ WINDOW WELLS O Yes Q No
BEAVER SYSTEM ~ Yes C9' No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer ~ 5pring ~ O Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front O Back ~ Side
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NOTES:
SUMP PUMP SYSTEM: L~ASS ~ FAIL You have 30 days to bring your system into comptiance with current
regulations. When you are ready for reinspection, cal! 651/644-1469 for an appo' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b~e~d,e~the clea~ater~charges to the storm sewer system.
Inspector:
Resident:
Date: ~ ~ ~S-
Date: - " S-
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not impl_y the structure meets all City Codes. ___
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG