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City of Prior Lake
Sump Pump and I/I Reduction
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Inspectlon Form ~- ~ ,~ -~ ,
Name: ..:~ ~ ~ v~~ ~~ ~~z u r Date: ~.<%~ • 99 Time: U ~a a.m./p.m.
f~.~,. First Inspection ~ Second ~
Address: -~ ~~-~ ~~~~ V Ca v e~?'r ~. a E Own: ~ Rent: ~ Age of Home: ~~
Residential: ~
Prior Lake, MN 55 ? 7~ Phone: ~/~/ 7- ~'~-;S-' Non-Residential: ~
V ~~T ~~ N ~!
A. BASEMENT ~es ~ No SiJMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 O
WATER IN BASKET Q Yes ~ No Si~MP PUMP L3"'0 ~ 1 ~ 2 ~ 3 17
WATER IN BASEMENT (flow over floor)J I~Yes ~ No CI5TERN ~ Yes ~
~-~'~F/ A"L~a^~~ ~:, t.lf .
( I f no pump, p lace stic ker across e dge o f sump cover an d basement floor so any remova l o f cover wi l l
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer (~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
L~ I3ome came with system ~ Response to inspection program I~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~'"Yes ~ No DISCHARGE: ~ Near @'Away
---~--------. , ~.; _~ ~~ , ,,, ,,,,~ ~
C. ARD DRAIN5 ~`~ ~~' Yes ~ No y WINDOW WELLS ~ Yes I~'~
BEAVER 5Y5TEM ~ Yes l~iGo
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D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ 5pring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTE ~~ ~; ,~„----~ •---~T I st_ ~1 -, ,.. •-•~~ 6•~•V~~ ~. --•-•-•-•---------•-----•---•---•-•-•-----•-•-•-•-•-•
~ /~H1 l ~' ~ ~-l~ l; ~~ -~. C ~ ~( v S- ~,-r
SUMP PUMP SYSTEM: ~ I~ FAIL You have 30 days to bring your system into comp[iance with current
regutations. 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? ~ Yes ~fo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ,,~~ d~--( Date: .S= Z~ - 9 9
Resident: , Date: S-1~ - q 9
Disclaimer: This visual 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