HomeMy WebLinkAboutSump Pump Inpsection~F PRIp
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Insuection Form
~ Name: ~..J/'~'~!N ~~L ~
Yes No
~/ n~O~~ ~ ,/~-.- First In~sp~e ion [~ Second ~
Address: ~ ~~~ ~~ N Own: IT~' Renf: . Age of Home:~
`/ -/ , Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone-?~~~ ~'`''~ ~ Non-Residential: ~
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A. ~ BASEMENT t~7'ises ~ l~s-~' SiJMP BASKET ~ 0~'1~ ~ 2 O 3 O
WATER IN BASKET ~~~s ~ No SI7MP~Y~ C~ O 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes ta.~6''~~
(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 O Laundry tub ~ Sanitary sewer ,r Q Outside
at Inspection: 17 Floor drain O Other
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Prior to I pection:
When as systern installed, or most recently modified? (Date) and why
Home came with system 17 Response to inspection program ~ Other
O Water in basement l7 Previous sys ailed
B. ROOF LEADERS: L~ DISCHARGE: ~ Near ~ Away
C. YARD DRAINS 17 Yes [~
~N WINDOW WEL~.S ~ Yes fD~No
BEAVER SYSTEM ~
L~ Yes ~''No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? O Fall ~ Summer O Spring Q Winter
(check all that apply) How often does pump run? /'~
V~here does pump discharge to outside? ~ Front la Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS O FAIL You have 30 days to bring yoursystem into compliance with crtrrent
regulations. When you are ready for reinspection, call 651 /644-1469 jor an appo ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'l~o ~
Where is this location?
This area will need to be xed e clear ate scharges to the storm sewer system.
Inspector: ~ Date: -
Resident: Date: - ~ ~-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
City of Prior Lake
Sump Pump and I/I Reduction
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Date: ~/ ~ ~ Tim~~~a.m./p.m.
White: Homeowner Yellow: City Pink: HRG