HomeMy WebLinkAboutSump Pump Inspection. ?
~
(If no pump, place sticker across edge of sump cover and basement floar so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
Q Laundry tub ~ Sanitary sewer ~ Outside
Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Hozne came with system ~ Response to inspection program Q Other
L~ Water in basement I~ Previous system failed
B. ROOF LEADERS: 17 Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer ~ S ring 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, ca1b664~A4~~ for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q 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: ~ 0
. - ;: ~
Resident: ,.-~- . -~ f_~ .r _ .._ _ 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
A. BASEMENT ~ Yes O No 5UMP BASKET ~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SIJMP PUMP Q 0 ~SI 1~ 2 Q 3 a
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN O Yes ,~ No
k~ . ~,
.
~ (~
r ~~ .,
~~
(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:
L~ Laundry tub ~ Sanitary sewer ~'Outside
~ Floor drain d Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~ r„~~ ~T and why
17 Home came with system ~~s nse to inspection program ~ Other
~ Water in basement l~~revious system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near ~ Away
G YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM L7 Yes ~ No
D. PROPERTIES WITfI SUMP PUMPS
When does pump run? ~ Fall d Summer ~ Spring C~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:. S . ~ /~ c~ 1 ~2 ~i ~-p•/•--1--•-•-'---a --•-------• ~-•-•-•--~ `r--~~ • • ~ J----~Q--P •c ~• ~•S•-
~` ., ~~ r~~,i il~~~ ~~. ~ 5
~ ,~ f -E~ (li ~ ~__3~~~/ /t w+ a J ~ ~ a't' `i7c. vY~
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, call 651/644-1469 for an appoirument.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~"l~o ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: L,.~,~-~ Date: G-/~ ~ 9 9
Resident: Date: ~ - /-7 - y q
Disclaimer: T is visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink: HRG .
A. BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BA5KET 17 Yes ~ No SUMP PLTMP ~ 0 l~'T ~ 2 ~ 3 a
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN ~ Yes ~ No
A. BASEMENT ~I Yes ~ No~ SUMP BASKET ~ 0 ~J 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes P~ No SiJMP PUMP ~ 0 L°~ 1 Q 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes L'1'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 O Laundry tub L'l Sanitary sewer O Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
D' Home came with system ~ Response to inspection program ~ Other
I~ Water in basement ~ Previous system failed
B. ROOF LEADER5: ~ Yes ~No DISCHARGE: ~ Near a Away
C. YARD DRAINS ~ Yes l3~No WINDOW WELLS C~3" Yes ~ No
BEAVER 5YSTEM ~ Yes C-~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall ~ Summer ~ Spring a Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front ~ Back ~ Side
NOTES:• l~<S . .~or.~g6,~ ~b~e. -~'voN.~. Gr~,.~~s 3 ~~~(<„S'---a~to .-- ~~X --~c~C •-•-•-•---•-•-
w S/ b f C~ i'~'~"t'Vc~w
SUMP PUMP SYSTEM: ~ PASS ~' FAIL You havea0'days to bring your system into comp[iance wuh current
regulations. 4Vhen you are ready for reinspection, ca11651 /644-1469 jor an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes l~ No
Where is this location?
This area will need to be ~xed so the clear water discharges to the storm sewer system.
Inspector: Date: ~ /6 - 9 9
Resident: - ~ ~ ' ~ .l ~ ~' Date: - G - 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink: HRG
,
Nof~ ,s