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City of Prior Lake
Sump Pump and III Reduction
Inspection FOIIII
Name:
II..( NNIN6-
Date:c1-/?'-99 Time: // ~.m.
Prior Lake, MN 55
Phone:
First I~ection i(
Own:~ _ Rent: 0
Residential :s...
Non-Residential: 0
Second 0
Age of Home:
Address:~/7 _~U:t:T~MX~A? AI'-<.J
A. BASEMENT 0 Yes ltNo SUMP BASKET bi( 0 0 1 0 2 0 3 0
WAl~K IN BASKET 0 Yes 0 No SUMP PUMP no 0 1 0 ~9. 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~~o 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
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes~ No DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes)6. No WINDOW WELLS 0 Yes 0 No
BEAVER SYSTEM 0 yes'" No
PROPERTffiS WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
-ilC;iiiiS~~~~~~~-~~~~~_Il~':.I<_._._._._~._S~c1~_._._._._._._.-.-.-.-
, ~ -
o Other
B.
C.
D.
o Winter
SUMP PUMP SYSTEM:
~i!:SS
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 loc . on?
This area wi ee<}t.e ~j so the clear wate~arges to the storm sewer system.
Inspect~ r~~_ y-. Date: <7-/ Y-? 7'
Resident: Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOllll App-f.
I I
Name: f(LAV1Y1;V1:J / ..I:hr/j J- /vtcb'Y4l-1fte
Date: 6 -1.:2. <19 Time:/;] JQ a.m./p.m.
First Inspection ~Second 0
Own: ~Rent: 0 Age of Home:jL
Residential: Id-
Non-Residential: 0
Address: ]'..:2/7 !?uff-f'1I Y1...f- (1f:!Vw
Prior Lake, MN 55)7 ~
Phone: LJIJ(J - J /16
~... rho.. T
A. BASEMENT ~es 0 No SUMP BASKET LT'O 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 131) 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes I3'1if<)
(If do 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 Outside
o Sanitary sewer
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 system failed
~es 0 No DISCHARGE: 0 Near ~ay
DYes Lf'No WINDOW WELLS 0 Yes ~o
o Yes~o
r~
B.
ROOF LEADERS:
C.
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTffiS WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
o Side
o Winter
------------------------~---------------------_._------.-----------------------------------------.---------------------------------
i___
NOTES:
SUMP PUMP SYSTEM:
Et1>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 Y es ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Iilspec~-1' U-(,J(,,....{ .. ) Date: ~-I;;2- 99
Reside. . hJ1~ ~~~ Date: ~-/;2- 99
I . I 1,
Disclaimer: This/v,isual inspection is done withtIue diligence to rmd obvious clear water cross-connections
and does not im~y the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG