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HomeMy WebLinkAboutSump Pump Inspection A. City of Prior Lake Sump Pump and III Reduction Inspection FOlll1 Ji}fJpJj Name: j,EN/S, ;[jfi)V/O Date,y(/-9.9 Time)7rom.lp.m. j/t,J . ~ / ~ ~ ~ 1- J /) First Insp~n ~ Second 0 'J / 5 Address:./J /03 /--Ilc;/lL,.QA./fJ ~v Own: IJi" Rent~Age of Home:;v 'lfI1:.' 3ij"J L / h 7 Residential:~' J" Prior~e, ,MN 55 / A/ Phone:/40~ lOB Non-Residential: 0 /'1,1/ 1" /? / . ./ / v......uv.C.. /' BASEMENT ~es 0 No /' SUMP BASKET Wo 1 0 2 0 3 0 WATER IN BASKET 0 Y es ~o SUMP Pl.IM'P e' 0 0 1 0 2 0...,.3-' 0 WATER IN BASEMENT (flow over floor) 0 Yes g-No CISTERN 0 Yes 43"'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 at Inspection: o Laundry tub o Floor drain o Sanitary sew~ 0 Outside o Other Prior to Inspection: When was system installed, or most recently modified? (Date) ---' and why o Home came with system o Water in basement o Response to inspection program 0 Other o Previous ~m failed o Yes~,' DISCHARGE: 0 Near 0 Away o Yes t(~ WINDOW WELLS 0 Yes ~ o Yes f:f No B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM D. PROPERTIES WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front o Spring ,...-- o Winter o Back " o Side -------.-.-------.-.-----------.---------------------.-.-----------------.-----.-----.---------------.-------.-.-----.-.---.-.-.--- NOTES: // SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection. call 651/644-1469 for ~mment. Is there another place where clear water enters the sanitary sewer system? 0 Yes 19""No Where is this location? /J This area will need to b' xe~~ clear w)Jltf d~rges to the storm sewer systeI?' ' Inspector: '. c::;:://'~/1-7/------ Date: -)1'-/- Y7 Resident: . (I') . / .I ~ ~A . ,.....-1 Date: -</-1- 7'/ ~ ~r . !7"'-....t ~ f/~-__ Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG