HomeMy WebLinkAboutSump Pump Inspection~';? ~F PRIp~
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Name: ~L~~~/U~ ,~~~%~~~ ~ Date~ ~~~~~Time~~OOa.mJp.m.
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` First Insp~e ion ~cond ~
Address:~~~~ C~~'~'~OLJ ~~~'~ Own: 19' Rent: ~ Age of Home:~Q
r7~ ,/ Residential: L~3'~~ ~
Prior Lake, MN 55 ~..~/~ Phone: Y'`~0 y~~~/ Non-Residential: ~
A. BASEMENT C3'Yes~_~ ~~ o SiJMP BA5KET L~ 0 L'~~' /1 ~" 2 ~ 3 ~
WATER IN BASKET L~''Yes O No 5UMP~ PUM~'~~ ~ 0 f~ 1 Q 2 ~ 3_~
WATER IN BASEMENT (flow over floor) ~ Yes D-I~o CISTERN ~ 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 Q Laundry tub ~ Sanitary sewer Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: I~9
When was system installed, or most recently modified? (Date) / 7~~ and why
~~efiie came with system ~ Response to inspection program ~ Other
~~Water in basement ~ Prev' s system failed
B. ROOF LEADERS: e 4 No DISCHARGE: ~ Near Away
i'~ ~ r~ _~ /
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C. YARD DRAINS ~~~'i~D -(o Yes ~~ N~ WINDOW WELLS I~Yes Q No
~ L4 N
BEAVER SY5TEM P~~~a'( ~ Yes L4~No
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D. PROPERTIES WITH SUMP PUMPS ~ / ~~~~
When does pump run? I~ Fall C~Summer SQ" prin ~ Winter ,~ CQ
(check all that apply) How often does pump run? ~~~E~ ~A ~~ E~J EN % C3 M b~2t
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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City of Prior Lake
Sump Pump and I/I Reduction
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Inspection Form ,,~,~~~
SUIVIP PUMP SYSTEM: C9~'ASS 17 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? O Yes E3''No
Where is this location?
This area will need to be xec~,se~the clearlo6ate,r c~ charges to the storm sewer system.
Inspector: ~
Resident. ~ ~~.~>
6a... ..._
Date: ..~ ~ / ~a -
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 Cit_y Codes.
White: Homeowner
Yellow: ~ii~+
Pink: HRG