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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:0,eJ~/aS. ~)'/N'.c7AJ Date:/-30-99Time:/ /aJa.m./p.m.
./
J/ r' ~ . '/) / First Inspe~n ~econd 0 ry}
Address: /(??C) ~ 9 I,L)tlA./K./eK ,61..; SW Own: ~Rent: pAge of Home: 5
. ~ ../ Residential: iD/'
Prior Lake, MN 550 W Phone:83/- 9~.45 Non-Residential: 0
;::; fJp.Jj
A. BASEMENT ~ 0 No // SUMP BASKET ~ 1 0 2 0 3 0
WAu,I( IN BASKET 0 Yes curo SUMP Pl.l)lP ;;{" Ci 1 0 2 0..,) 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~o
(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.)
..
I 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
o Water in basement
o Response to inspection program 0 Other
o Previous s~ failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes ~/ WINDOW WELLS ~. 0 No
o Yes ~o
"
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 Side
o Spring
_.
o Winter
o Back
NOTES:
...-'
SUMP PUMP SYSTEM:
~
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.
~
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need t~_~ed~e clearr.tf tee:rges to the storm sewer system.
Inspector: ~ __~~~ Date: /-.30-99
Resident: , /{, IV! /~ Date: /-30-~~
) . ~....,. I
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