HomeMy WebLinkAboutSump Pump Inspection~ ~n ~ , : ~'~ ~ ~i ~er.r/~i
A. BASEMENT ~ Yes a No SiJMP BASKET ~ 0 O 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PiJMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No C STERN ~ Yes `~'No
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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 ~ 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
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER 5YSTEM
~ Response to inspection program ~ Other
~ Previous system failed
~ Yes ~ No DISCHARGE: ~ Near ~ Away
a Yes ~No WINDOW WELLS ~ Yes ~ No
~ Yes~ No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall D Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES: ~O ,,~/)/Y~~~~~Z G1/YD~.e'-•-1~ Cf1A~.DSo~/---~ l~f~/~C~,E 1Yi~/j'J~ ,_T~ -•-
~S t n~~+/ ;~~FT 7~v v Fz ~1A/Y~..~'~. ~_2~ a~' t,~'~?7`~'KS
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No
Where is this location?
This area wil ee to be fi~d so the clear water d'}sch'~rges to the storm sewer system.
Inspecto : ' -.~--y~- 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