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
at Inspection:
~ Laundry tub ~ Sanitary sewer a Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~ and why
~ Home came with system ~ Response to inspection program Q Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: O Near ~ Away
C. YAR.D DRAINS ~ Yes No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring., ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front ~ Back Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call ~~}'or an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: O
Resident: o Date: 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.
White; Homeowner Yellow: City P'
A. BASEMENT ~ Yes ~ No 5UMP BASKET O 0~$ 1~ 2 ~ 3 ~
WATER IN BASKET O Yes a No SLTMP PUMP ~ 0,~ 1~ 2 a 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~ No CISTERN Q Yes ~ No
t;Ie T-,~ . «
A. BASEMENT ~es ~ No SUMP BASKET ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET ~Yes ~ No SiJM~UMP Q 0 1~ 2 Q 3 a
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN O Yes L~1o
(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 Q Sanitary sewer ~Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection: a
t~
When was system installed, or most recently modi~ed? (Date) ~` and why
~ Home came with system ~ Response to inspection program ~ Other
17 Water in basement Q Previous system failed
B. ROOF LEADERS: 17 Yes ~ No DI5CHARGE: O Near CI Away
C. YARD DRAIN5 ~ Yes~ No WINDOW WELLS Q Yes~No
BEAVER SY5TEM ~ Yes~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer J~Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Side
NOTES: _ _~..: _. _.
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another ce where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this locatio ?
This area will ne~~~ e ed so the ear water discharges to the storm sewer system ~„ _ __
Inspector:
Resident:
Date:
Date:
I Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecNons I
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City
Pink: HRG
„.r;'._ ,~ ::
=~., ~. .
~
"J~
~
~ ~ ~ a ~ ~ ,~,, ~
(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 ~ Sanita.ry sewer L~'"Outside
at Inspection: L~ Floor drain ~ Other
B.
C. YARD DRAINS ~ Yes L'J"'~1o WINDOW WELLS ~ Yes 13~
BEAVER SYSTEM O Yes 1~-3d'~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q 5ummer ~'S~pring ~ Winter
(check all that apply) How often does pump run? ~~-~'~-~ /`~~-~~y ~Z~~;~,f
V~here does pump discharge to outside? ~ Front '~ Back ~ l~--git~e"
NOTES: ~/rX f~_.r~~---~-'-~c~~ ~'1 c~rt ~-•-------•- - -•- - ------- -•-•-•-------•---•-•-•-•---•-•-•- -
SUMP PUMP SYSTEM: Q PASS AIL You have 30 days to bring your system into compliance with current
regutations. R'hen you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~o
Where is this location?
This area will n o be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ -- Date: ,~`-.,,1 ~ - ~ ~"f
Resident: Date: ~- e..I 3-~r 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.
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~~~ D and why
~ Home came with system ~ Response to inspection program 17 Other
L~''Water in basement Q Previous system failed
ROOF LEADERS: ~ Yes No DISCHARGEs ~ Near ~ Away
White: Homeowner Yellow: City Pink: HRG
,~e -M ~.
A. BASEMENT D'Yes O No SUMP BASKET ~ 0 ~'f ~ 2 ~ 3 I~
WATER IN BASKET ~~ No SUMP PUMP ~ 0 C~'3 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) 17 Yes &~iQ"o CI5TERN ~ Yes A-i~a