HomeMy WebLinkAboutSump Pump Inspection'I~ ~- ~ v, DU
(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 ~7 Laundry tub ~ Sanitary sewer O Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system fail ed
B. ROOF LEADER5: ~ Yes a No DI5CHARGE: ~ Near O Away
C. YARD DRAINS Q Yes a No WINDOW WELi.S C'1 Yes I~No
BEAVER SYSTEM 17 Yes I~ No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Sum~ner a Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: \~` PASS d FAIL You have 30 days ta bring your system into compliance 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? ~ Yes ~o _
Where is this location?
This area will need to be~~ed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: Z - ~ %~'~
Date:
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
A. BASEMENT ~s ~ No Si7MP BASKET ~ O 1 ~ 2 ~1 3~
WATER IN BASKET ~ Yes l~No SUMP P~ [~ 0 Q 1 ~ 2 Cl 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~LNo CISTERN ~ Yes U~I4or