HomeMy WebLinkAboutSump Pump Inspection\
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(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 ~ La.undry tub Q Sanitary sewer 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: l~Yes ~ No DISCHARGE: I~ Near P~'~Away
C. YARD DRAINS O Yes l3'N~o WINDOW WELLS ~ L~!'Yes ~To
BEAVER SYSTEM 17 Yes L3''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring a Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front O Back a Side
NOTES:
SUMP PUMP SYSTEM: I~PASS Q FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, cal1651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: - 7- 1~ f
Date: ti- 7• 9 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner
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Y w: Ciry
Pink: HRG
A. BASEMENT ~es ~ No SIJMP BASKET ~0 ~ 1 ~ 2 ~ 3 d
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~'" 0~ 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C~1~1o CISTERN f~'es ~ No