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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~~~~~ ,-~"~~~,rn~~' .~- h~ uvr G Date: ~~~ ~~J~1 Time:~a.m./p.m.
First Inspection lJ Second ~
Address: ~j~~~ / ~~~-~G ~ ~ /,~ ~ ~,~' ~~' Own: ~-"~tent: ~ Age of Home:~
Residential: A''~
Prior Lake, MN 55 3~~. Phone: ~/ 7~'~ ~ Non-Residential: ~
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A. BASEMENT es No SUMP BASKET ~ 0 ~''~ ~ 2 ~ 3 d
WATER IN BASKET ~s ~ No SUMP PUMP ~ D 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~-~3" CISTERN Q Yes ~~Aie-
(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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspection program ~ Other
~ Water in basement D Previous system failed
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B. ROOF LEADERS: ~13~''fes ~ No DISCHARGE: ~ Near ~ay
C. YARD DRAINS ~ Yes C~'1~o WINDOW WELi.S Q Yes L~'~Qo ~
BEAVER SYSTEM 17 Yes ~
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall L~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
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NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469,/'or an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ ~~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~l - /~ - 9 9
Resident: , Date: ~- f~2 - i'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