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 C7 Laundry tub O Sanitary sewer LF Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: q
When was system installed, or most recently modified? (Date) ~~ 1 and why
~ Home came with system ~' Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~Yes l7 No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS a Yes ~No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ll~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Wi er
(check a11 that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front d Back Side
NOTES:
*
SUMP PUMP SYSTEM: ~ PASS I~ FAIL You have 30 days to bring your systern into compliance with current
regulations. When you are ready for reinspection, call °~ an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area wilt need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: ~' ~~ Date: (o~ I~ ~ 05 I
~Resident: '~ ~,,z.t, ~~~~ _-, ~--~, ~.,~ ~..~..- Date: ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecHons
and does not imuly the structure meets all City Codes.
White: Homeowner Yellow: City
A. BASEMENT L~I'es ~ No SiJMP BASKET ~ 0 ~~ 2 Q 3 Q
WATER IN BASKET I~ Yes ~ No 5iJMP PiTMP D 0 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C7 No CISTERN ~ Yes O No
":. , ,t,~ ~ /7
n ~~~ ~
~
(If no pump, place sticker across edge of sump cover and basement floor so any rernoval of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub I~ Sanitary sewer C7 Outside
at Inspection: ' ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) /t'~~ rc~, 9~ and why.
a Home came with system ~Response to inspection program ~ Other
Q Water in basement 17 Previous system failed
B. ROOF LEADERS: @'~Yes ~ No DISCHARGE: ~ Near Away
C. YARD DRAINS ~ Yes 19~~~~~~N WINDOW WELL5 ~~ No
BEAVER SY5TEM ~ Yes ~No
D. 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? 17 Front ~~ack Q Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where ele~r water enters the sanitary sewer system? ~ Yes ~kx' i~ o~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: 3-/ ~-
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
A. BASEMENT ~~ No SUMP BASKET Q 0 ~ 2 O 3'~
WATER IN BASKET ~ Yes ~ No SIJMP ~PU~"M~iP ~ 0 ~ 2 ~ 3 Q
WATER IN BA5EMENT (flow over floor) ~ Yes I t~ o CISTERN ~ Yes &~~
~
~'~ ,~ .~;~~~~_.;,~1
';we.._ ,~"t
n~7~~
~:-
(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 d La ry tub ~, Sanitary sewer ~ Outside
at Inspection: oor drain ~ Other
Priar to Inspection:
When was systern installed, or most recently modified? (Date)
and why
~ Home came with system Q Response to inspection program ~ Other
D Water in basement Q Previous system failed
B. ROOF LEADERS: ~ es ~ No DISCHARGE: Q Near yl~'Away
C. YARD DRAINS ~ Yes ~-'N/o ~ WINDOW WELLS ~ Yes 13 No
BEAVER SYSTEM ~ Yes ~No ~
D. PROPERTIE5 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? ~ Front ~ Back ~ Side
NOTES: /s i~; ~< s~~o c c ss o-~ r-r. - n/~..H ~ ~•-r+r
SUMP PUMP SYSTEM: ~7~C 'ASS ~AIL You have 30 days to bring your system into compliance with current
re ulations. 4Vhen you are ready,j'or reinspection, call 651/644-1469 for an intment.
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: -
Resident: ~- Date:
Disclaimerc 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
A. BASEMENT ~'Yes a No SUMP BASKET Q 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~es ~ No SiJMP PUMP O 0 ~Yf~ L7 2~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes ~e~