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City of Prior Lake
Sump Pump and III Reduction
Inspection FOll11 /Ja;~
Name:~.t'AlJ9~ J(;}./;.} Date:J,,2-99Timc;!@Sm.lp.m
~ "'~.l... J. ~ 0 First Inspe~n ~nd 0
Address:Y~0 HO'p,6 01 vE Own:~Rent:CJ/AgeofHome:/~~fS
'2 1/; ;; , r"'I Residential: ~ J
Prior Lake, MN 55vZ</ Phone:7~~I.:?/O.b Non-Residential: 0
/ I /, ./
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A. BASEMENT ~es ONo SUMP~AS ~cv1J 1 0 2 0 3 0
WATER IN BASKET (] Yes 0 SUMP P cYO (] 1 (] 2 0 21' (]
WATER IN BASEMENT (flow over floor) 0 Yes 0 CISTERN 0 Yes ~.
(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
(] Floor drain
(] Sanitary sewer
(] Other -
(] Outside
-
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
(] Water in basement
(] Respo to inspection program 0 Other
(] Pre . us system failed /
es (] NY DISCHARGE: 0 Near ~way /
o Yes ~~ WINDOW WELLS (] Yes ~
(] Yes ~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 ~ing
(check all that apply) How often does pump run?
Where does pump discharge to outside? (] Front (] lfack
(] Side
o Winter
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NOTES:
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SUMP PUMP SYSTEM: o1"ASS (] 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 ~ntment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o
Where is this location? .n
This area will need to b;;tie~e clear ~e~harges to the storm sewer system.
Inspector: ~ . '-:::?/~~ ,,/ Date: 3-..2- ':/'7'
Resident:':- ~~~Jfl1A~{';._ Date: ~-....z- 99
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.
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White: Homeowner
Yellow: City
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