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C ity o f Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~aVG~-<'~Sa~ /~. 7'p~
Address: ~~ ~ .Z ~iv1'~ ~o ~ n f" ~' ,(~j S ~
, Prior Lake, MN 55 3~i „1 Phone: ~/y7: << D
Date: ~-/1- ~~ Time: 7o a.m./p.m.
First Inspection L~''Second ~I
Own: l~F~"nent: ~ Age of Home:~; ,
Residential: 1~---
Non-Residential: ~
t,,,.~~~ ~~ ~~s.,~ ~~--
A. BA5EMENT C~Yes L~ No SiJMP BASKET Q 0 1~ 2 ~ 3 ~.
WATER IN BASKET ~''Y'es ~ No SUMP PUMP ~ 0 ~~~ 2~ 3 ~
W~TER IN BASEMENT (flow over floor) d Yes ~o CISTERN O Yes ~-A~e-
(If no pump, place sticker across edge of sump co~er and basement floor so any removal of cover will
break seal. Skip to Part B of this form.) ~ P ~~-{ f~ ~
u
Discharge Point ~ Laundry tub O Sanitary sewer utside
at Inspection: ~ Floar drain Q Other
Prior to Inspection:
~ When s systern installed, or most recently modified? (Date) and why
~J Home came with system ~ Response to inspection program ~ Other
Q Water in basement ...~ Previous system failed
B. ROOF LEADERS: la''t~es ~ No DISCHARGE: ~ Near ~y
G YARD DRAINS ~s ~ No WINDOW WELLS~~ t~'' Yes O No
BEAVER SYSTEM ~ Yes A~`o"
D. PROPERTIES WITH SUMP PUMPS
When does pump run7 ~ Fall ~~ummer la''~pring ~ Winter
(check all that apply) How often does pump run? ~/ ~•- ,C ~•~- ; ~ t-, ; f~
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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..-~'ec.~N. .(/~r~. . . ~7.hwe • fNG~r~• •~~ •/f • G /eMt --~~.1 f ~eJc'
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~ n ~ ~.~ ~~ or H1 ~ tJo t/ ~~ S ~+ T~i, I~ r.( .~e a 7C
~lu~n
I~ FAIL You have 30 days to bring your system into comp[iance with current /~/~ /
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an appointment. ~~~ ~~
Is there another place where clear water enters the sanitary sewer system? Q Yes $'1Q~o
Where is this location?
This area wi~.~d to be fixed so the clear water discharges to the storm sewer system.
I Inspector: 6~-'I Date: d~=/~ - Z 9~ I
Resident: ,. ,,1, J~„~ Date: ,~- /~ - 9 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not unply the structure meets all City Codes.
White: Homeowner Yellow; City Pink: HRG
SUMP PUMP SYSTEM: 'ASS