HomeMy WebLinkAboutSump Pump Inspection(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 O Outside
at Inspection: ~ Floor drain ~ Other ''
Prior to Inspection: '~
When was system installed, or most recently modified? (Date) and why
~ Home came with system L~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: O Yes fDiNo DISCHARGE: ~ Near l~ Away
ti
' ~'
C. YARD DRAINS ~ 3
~N ''
Yes l WINDOW WELLS ~ Yes I~
iQo
BEAVER SYSTEM ~ ~
Yes lJ'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer d Spring ~ Winter
(check all that apply) How often does pump run? '"'~
V~here does pump discharge to outside? ~ Front ~ Bacl~- O Side
-•-----•-•-•-•-•-•-•-•-•-----•---•- - --•-•-•-•-•-•-•-•-•-•-•-•-•---•-•-•-•-•-•-•-•-•-•---•---•- ---._._ ._._._.
NOTES; . ~/`~ ~ ~~--L ~ -~
SUMP PUMP SYSTEM: ~~ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
reguladons. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? L7 Yes ~ No
Where is this location?
This area will need to b ix~ the cl~w~'discharges to the storm sewer system.
Inspector:
Resident:
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.
Date: iC~C~ -
Date: ~ -
White: Homeowner
Ye11ow: City
Pink: HRG
A. BA5EMENT L~ Yes ~Q"o~ ~ SUMP BASKET ~~0~.~'' 1~ 2 l7 3 C]
WATER IN BA5KET ~ Yes L 9~ V o SiTMP P M ~. I~ 0 Q 1 ~ 2_ O /3 '~
WATER IN BASEMENT (flo~v over floor) ~ Yes 'C~;PUdo CISTERN ~ Yes D-1Qo