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HomeMy WebLinkAboutSump Pump Inspection City of Prior Lake Sump Pump and III Reduction Inspection FOlll1 Name:J., D~ ru.s Date: 9-/:5-'79 Time: a.m./p.m. Address:~W #o/e ~ ~s. First Inspection l! Own:)1l Rent: 0 Residential: '5( Non-Residential: I::J Second 0 Age of Home: Prior Lake, MN 55 Phone: A. BASEMENT 0 Yes ~ No WATER IN BASKET 0 Yes ~ No WATER IN BASEMENT (flow over floor) SUMP BASKET )( 0 0 1 0 2 0 3 0 SUMPPUMP 'HI 0 0 1 0 2 0 3 0 DYes J(No CISTERN 0 Yes ~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 sewer o Other o Outside ~;,. Prior to Inspection: When was system installed, or most recently modified? (Date) and why o Home came with system 0 Response to inspection program 0 Other CJ Water in basement 0 Previous system failed B. ROOF LEADERS: 0 Yes ~ No DISCHARGE: 0 Near 0 Away C. YARD DRAINS 0 Yes)q No WINDOW WELLS 0 Yes 0 No BEAVER SYSTEM 0 Yes""No D. PROPERTIES WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front 0 Back CJ Side -~()iriis~---- Jl ~~--~-~-~-~-(:-~-----~~~-~-----------_._-_._--------------------.-------------.- - - SUMP PUMP SYSTEM: ~ PASS o 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 an appointment. )( No DYes Is there another place where clear water enters the sanitary sewer system? Where is this location? This area w~ t~.9f fixed so the cle~r water~harges to the storm sewer system. Inspector~:~ ~.j Date: q'-/3'" Resident: - P' - Date: 't'7' 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 ,g5().E 00050/ ~oo9(XJo9o- City of Prior Lake Sump Pump and III Reduction Inspection FOlll1' Name:~O"c7Zt~ rD,qJ Date<</-99 Timf/-!.5'..m./p.m. Address:5~o~ #oP~ gj Prior Lake, MN 55c37vZ,;Phone(/'/D-1Y6Ij First Inspection e---5econd 0 Own: ~ent: 0 . Age of Home: Residential: ~ Non-Residential: 0 ,.- /.615 A. BASEMENT ~o No ~ SUMP BASKET ~ 1 0 2 0 3 0 W Al~K IN BASKET 0 Yes ~ SUMP PU~:IP"/ IlVtf 0 1 0 2 0 J-- 0 WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes ~ (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 seweJ:--..- 0 Outside o Other Prior to Inspection: When was system installed, or most recently modified? (Date) ---- and why B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM o Response to inspection program 0 Other o P~s system failed ~es 0 No DISCHARGE: 0 Near ~y o Yes ~ WINDOW WELLS ~ No CJ Yes I1J..1<r 0 o Home came with system o Water in basement D. PROPERl1~S ~ un 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 CJ Spring --- o Winter o BaGk o Side -----.-----.---.---.-.-------.---------------.-.-.-.-----.-----------------------------------------.---------------------.--------- NOTES: SUMP PUMP SYSTEM: ~ cvt>ASs o 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 an appointment. ~- Is there another place where clear water enters the" sanitary sewer system? 0 Yes Where is this location? ,;:] This area will need to be(f~~ cle~r ~ eges to the storm sewer sy~m~ _ Inspector: .-<""1. (//~;fPr~- Date: ~ - I 72 Resident: K /) ~. ;;"'" f/. ~ Date: y- / ~ 77' - ""--"'---J"1i / ,~ ~- 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