HomeMy WebLinkAboutSump Pump Inspection~ ~_+~_ ,~~~ ~'"•~:. L.~' F= G- r~ ;.,:~
:M:%
B.
C.
D.
(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:
~ Laundry tub ~ Sanitary sewer ~ Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date).
and why
a Home came with system ~ Response to inspection program ~ Other
~ Water in basement Q Previous system failed
ROOF LEADERS: ~ Yes ~ No DISCHARGE: O Near a AWay
YARD DRAINS ~ Yes I~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring L~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to o side? ~ Front O Back ~ Side
'~.~ ~------ -- --~ - ~==-~ ~=''~'= -~-~`~-~-~-~?3_2.p .Cr!~~r! .^_!°_. a~.~~~,~~~~-
~~N ~. ~ t~ a~D ~ I(~ t~ 1, o~ w?- r_- r~ A-T~ l4 D D R F_ -~'S ~a~o v.~'
I~~~C3 ,C,EF_Z `~ J~ti- ~~ 1~i D/~ aso 9/~.~00 -~~-~A 5~ COR~~'c~- /NSysy,~is? ,
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
reguladons. When you are ready for reinspection, ca[16511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~ No
Where is this location?
This area will n~~be fix~l so the clear water discJ~rges to the storm sewer system.
Inspector:
Resident:
Date: ~
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 ~ Yes ~No SiJMP BASKET ~@ 0~ 1 ~ 2 ~ 3 O
WATER IN BASKET ~ Yes Q No SUMP PUMP ~ 0 I~ 1 Q 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ;~[No CISTERN O Yes Q No