HomeMy WebLinkAboutSump Pump Inspection(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 U Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: Q Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ _
~ Home came with system L~Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: 4~ Yes G~ No DISCHARGE: ~Near ~ Away
C. YARD DRAINS ~ Yes 19'No WINDOW WELLS ~ Yes Q No
BEAVER SY5TEM ~ Yes I~''No
D.
NOTES:
SUMP PUMP SYSTEM: ~PASS ^ FAIL You have 30 days to bring your systtm into compliance with current
regulations. When you are ready for reinspection, ca[l ~9 for an appoi-ument.
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 fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 3 D
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.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~~"
Where does pump discharge to outside? ~ Front Back O Side
White: Homeowner Yellow: City
A. BASEMENT ~Yes I~ No 5UMP BASKET ~ 0 l~l ~ 2 ~ 3 O
WATER IN BASKET ~1 Yes ~ No 5tJMP P~JMP O 0 C~'"1 O 2 Q 3 a
WATER INBA5EMENT (flow over floor) ~ Yes 1~No CISTERN ~ Yes D'No
t,~,~,.~ ~.... ~ .~.,~}' ~'.
• i1
l ~
1~ i.
~~
(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 ~ Outside
~ Floor drain O Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes O No
C. YARD DRAINS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
DISCHARGE: Q Near Q Away
WINDOW WELLS ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer L7 Spring
(check all that apply) How often does pump run?
V~here d ump discharge to outside? ~ Front ~ Back
NOTES:._._._ _ ~._•-f- ,~A.~ ~i~-/.S ~A L- G ~~D ~G-CC,.J'-
~~r7
Q Side
~ ~ C./ l~[ / J ~ 7V ~ . _ ..
SUMP PUMP SYSTEM: SS ~ 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 ~J.~e~'"
Where is this location?
This area will need to f d o the cl w r ischarges to the storm sewer system.
Inspector: 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.
~ Winter
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT Q Yes d No SUMP BASKET ~ 0 ~ 1 ~ 2 Q 3 ~
WATER IN BASKET ~ Yes ~ No „ SUMP PUMP ~ 0 Q 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over flooi) ~ Yes . O No CISTERN d Yes l~ No
'.~.,~'„ , ~'' .
~
/ ~~
~~
A.
B.
{ C.
BASEMENT ~ Yes ~ No SUMP BASKET ~ 0 I~ 1~ 2 ~ 3 C7
WATER IN BASKET ~ Yes L~No SiJMP PUMP ~ 0 I~l ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes C3 No CISTERN ~ Y~s L~'~To
(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 L~Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
L~ Home came with system ~ Response to inspection program D Other
Q Water in basement ~ Previous system failed
ROOF LEADERS:
and why
[~''Yes ~ No DISCHARGE: ~ Near C~ Away
~ Yes l3'No WINDOW WELLS ~ Yes A'~No
O Yes C~`` No
D. PROPERTIES WITH SUMP PUMP5 /
When does pump run? ~ Fall ~ Summer L'l Spring ~ Winter
(check all that apply) How often does pump run? f ~,;,,: ,~~<;,a„ ~f/,~ G-{~.~ ;,~.~~ ~,r 1 f ~°~~ ~~-~%
V~here does pump discharge to outside? Q Front ~ Back Side Y~~ -~~.
NOTES:
SUMP PUMP SYSTEM: ~ PASS FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready Jor reinspection, ca11 651 /644-1 469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~1~0
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: L~'1 ~ Date: ~/ -/ H- GJ 9
Resident: Date: y-/ 6- y 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.
YARD DRATNS
BEAVER SYSTEM
White: Homeowner Yellow:- City Pink: HRG