HomeMy WebLinkAboutSump Pump Inspection.
~ ~~~~f~~
ction Form
(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 C1 Sanitary sewer ~ Outside
at Inspection: ~ Floor drain C1 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
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes~No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS O Ye No WINDOW WELLS O Yes ~ No
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall Q Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does n'u~au dischar~e to outside? _ ~ Front 17 Back ~ Side
NOTES: ~---- `~--~(" ./~M ~ ~l~-~'' ---•---------•-------•---•-•-•-•-•-•-•-•---•-•-•-•---•---•---
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to 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 ~No
Where is this loca ' n?
This area will ee~i t be f so the clear w~er disch ges o the storm sewer system.
r
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.
Inspector: ' Date: ~ -,~f -
Resident: Date:
of Prior
Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT ~ Yes ~ No SUMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET Yes D No SiJMP PUMP 0~ 1 ~ 2 3 O
WATER IN BASEMENT (flow over floor) ~ Yes~1o CISTERN a Yes~No
~ _
~ ,
x ~
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~~ ~
n ~~
Y n
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A. BASEMENTr I~es ~ No SiTMP BASKET L~0 O 1 ~ 2 ~ 3 L7
WATER IN BASKET t7 Yes Q No SiJM~ P~JN~P I~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEM~NT~ {flb'vc~ over floor) ~ Yes ~'L-#~Na CISTERN ~ Yes t~-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: ~ 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 a Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: 13rYes ~ No DISCHARGE: ~ Near L~''?~way
C. YARD DRAINS ~ Yes L~'~No WINDOW WELLS .~ Yes A~No
BEAVER SYSTEM ~ Yes f~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L7 Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front D Back O Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters tlie sanitary sewer system? ~ Yes 13"'iQ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~-~''~ Date: ~ ~ - 9 9
Resident: ~ '~.C:~,~_ °~ Date: - 7 ~ ~'y
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