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 17 Laundry tub ~ Sanitary sewer t'~' Outside
at Inspection: Ca Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
D Home came with system L~I Response to inspection program
~ Water in basement - ~ Previous system failed
and why
O Other
B. ROOF LEADERS: tD~Yes ~ No DISCHARGE: I~Near ~ Away
C. YARD DRAIN5 ~ Yes I~~,~ o WINDOW WELLS ~ Yes Q No
BEAVER SYSTEM ~ Yes l9~ No
D.
NOTES:
SUMP PUMP SYSTEM: L9'~PASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call~i1~69~l7r 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: !~
Resident: Date:
Disclaimer: This visual inspection is d ne with due ''gence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Ca Spring ~ Winter
(check all that apply) How often does pump run? N~V ~
Where does pump discharge to outside? ~ Front ~ Back Side
A. BASEMENT ~`Yes O No SIJMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) Q Yes I~ No CISTERN ~ Yes ~''1Go
t
O~
~~
(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
~ Floor drain
~ Sanitary sewer utside
~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) r ~ ~ / 9 and why
~ Home came with system ~ Response to inspection program ~ Other
17 Water in basement ~evious system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: Q Near ~ Away
~
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes Q No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring O Winter
'(check all that apply) How often does pump run? fl/~' /~i"
V~here does pump discharge to outside? ~ Front ~ Back O~-~ride
NOTES: ~---• ~j-j~.C ~ ~~~.,~- ~ r .r -f R /l,• ~I -~-, .-~ ----~V C..-•-• fi-D -- a.r f ~; ~f P -----•-•-•-•-•-------•-•-•-•- - -•-
K
-- ___ _ _,..~.~--
5UMP PUMP SYSTEM: ~" YASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? C~ Yes C~-'i'do
Where is this location?
This area will need to be fixed so the clear water discharges to the storxn sewer system.
Inspector: Date: 7- „~ ~ - ~
Resident: -- Date: '] - ,~~.2 - 9 9
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 Yellowt City Pink: HRG
A. BA5EMENT ~ 13'S~es ~ No SiJMP BASKET ~ 0 C~I'1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~'l~io SiJMP PIJMP ~ 0 C~T ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C~"l~o CISTERN ~ Yes ~Qo
,
ri,.-;. - . . ' ...
~s
(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 I~Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: L'] Floor drain ~ Other
Prior to Inspection: ,
When was system installec~, or most recently modi~ed? (Date) and why
Q Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: fY'S~es ~ L~To DI5CHARGE: ~ Near la" Away
C. YARD DRAINS Q Yes la,',~N~ WINDOW WELLS ~ Yes ~To
BEAVER 5YSTEM ~ Yes ~J No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~~ n s~~~~. ~ f,- ns
V~here does pump discharge to outside? ~ Front ~ Back Side
NOTES: ~1-~~ ~osr ~'o /ac.,r,.~~~y ~~~. /~s ~/c~.a-~~,O,- /i%?~d ~p,-•-•-----------•-•-•
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 6511644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? L~ Yes L~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspecto : ` Date: ?~ ~`~-
Resident: .._:, . s,.. ~, , __~.. , ~ ; s~
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 C~'Yes O No 5iJMP BASKET Q 0 t~'"1 ~ 2 ~ 3 ~
WATER IN BASKET ~3'1'es ~ No SUMP PUMP O 0 ~ 1 I~l Q/ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes t~I~1o CISTERN ~ Yes L~'No