HomeMy WebLinkAboutSump Pump Inspection,.-
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A. BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0 O 1 ~ 2 Q 3 O
WATER IN BASKET ~ Yes ~ No SUM PUMP ~ 0 O 1 ~ 2 Q 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes No CI TERN ~ Yes ~ No
(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: Q Floor drain d Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program Q Other
~ Water in basernent ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: ~ Near a Away
C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes ~ No
BEAVER SY5TEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~Fhere does pump discharge to outside? I~ Front Q Back ~ Side
NOTES: '
SUIWIP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regu[ations. When you are ready jor reinspection, call 651 /644-14 9 f an appointment.
Is tiiere another place where clear water enters the sanitary sewer system? I~ Yes No
Where is this location?
This area will~egd~o be~d so the clear at r discharges to the storm sewer system.
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Inspecto Date:
Resident: _ 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