HomeMy WebLinkAboutSump Pump Inspection,~~~
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City of Prior Lake
Sump Pump and I/I Reduction
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Inspection Form ~Pp'T
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C~.u~ ~' ~ Date: J'~'~ y~ Tim~~'p~a.m./p.m.
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S ` _ /~~ ~,D~ ~~/~ First In_spe~ct° D~ Second ~ ~
A~dress: ~J'~ !if// ~ Own: C9-°'Rent: ^ Age ~f H~me._
, / /' /~~ , /~ / Residential: ~~
Prior Lake, MN 55 ~~i~/ Phone y'y ~y ~5`,~ Non-Residential: ~
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A. BASEMENT es ~~DF~ SiJMP BASKET ~ 0 ~ 2 ~ 3 O
WATER IN BASKET lD~~es ~ No SLTMP~~ !~ 0~ l ~ 2~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes o
(If no pump, place sticker across edge of sump cover and basement floor so anq removal of cover will
break seal. 5kip to Part`B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer ~---~ Q Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Inspection:
When w systern installed, or most recently modified? (Date) and why
Q' Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Prev' s system failed
B. ROOF LEADER • 'E1'Yes No DISCHARGE: ~ Near ~wa
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~ L e~ WINDOW WELLS ~ Yes ~-~d~"''~
C. YARD DRAINS ''rl s No
BEAVER 5Y3~TEML ~ ~N -.~ ~ Yes ~,P~6`~
D. PROPERTIE~S ~H SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring C~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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SUMP PUMP SYSTEM: C~'I'ASS I~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651/644-1469,r'or an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~1'"No
Where is this location?
This area will need to b ed s clear w~r d~arges to the storm sewer system.
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Inspector: ~` ~ ~---~'" Date: '~' - / ''~' " 7 7
Resident: ( ~, Date: "~'~ -
Disclaimer: This visu`~ 1 inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG