HomeMy WebLinkAboutSump Pump Inspection~
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A. BASEMENT ~Yes ~ No SUMP BASKET O 0 J~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes O No SUMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~'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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)_~ and why
L7 Home came with system ~ Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: Q Yes'1~ No DISCHARGE: ~ Near L~ Away
C. YARD DRAINS Q Yes No WINDOW WELLS ~ Yes 17 No
BEAVER SYSTEM ~ Yes'~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does p p run?
a
V~here does pump discharge to outside? Front
NOTES:
~ Spring a Winter
~ Back ~ Side
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready far reinspection, call SGl~9'for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~f ~~~ ~ 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 done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
.
F~-~
~~.-'.~~ ~`
White: Homeowner Yellow: City
~~: x e~
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A. BASEMENT ~~ No Si1MP BASKET ~ 0 a''I L7 2~ 3 ~
WATER IN BASKET ~~ No SUMP PUMP ~ 0 C3'~l ~ 2 Q 3 ~
WATER I~T BASEMENT (flow over floor) ~ Yes 13~1"o CISTERN Q Yes ~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 ~ Laundry tub ~ Sanitary sewer C~'~utside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) ~„ ~, ? 9 and why
O Home came with system I~ R~e Ponse to inspection program ~ Other
O Water in basement C~"Previous system failed
B. ROOF LEADERS: Q Yes L7"X1~o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes ~No WINDOW WELL5 C~''4es ~ No
BEAVER SYSTEM ~ Yes L~'1Go
D. PROPERTIES WITH SUMP P~5
When does pump run? ~ all L~'"~^ummer a'Spring ~ Winter
(check all that apply) How often does pump run? f(~' ~-~ /-/A-~•,~ ?t ~~~,,
V~here does pump discharge to outside? ~ront d Back ~ la Side
NOTES: ~~ . o ~ ~- S -o ~ ~ ~d ~-v. , ~ ~ .~ ,.r 74. / (~ ~ N<' w P / c----~ --o ti-/S ; ~e '-
SUMP PUMP SYSTEM: PASS I] FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready jor reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L'x'"~f o+
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: - /~?'1 Date: ~ <,? ,7 - 9 Y
Resident: ' Date: ~- ~3 - 9' 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all Cit_y Codes.
White: Homeowner Yellow: City Pink: HRG
.,~: :~. ,
., . ,
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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 ~undry tub ~ Sanitary sewer Q Outside
at Inspection: a 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 ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes L~'1~o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes La'1~1o WINDOW WELLS ~s Q No
BEAVER SYSTEM ~ Yes L~-"iQo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fxll ~ummer ~Spring Q Winter
(check all that apply) How often does pump run? ~ -L ~-~ /~ ~ ~ ,~ ~4 ~ ~ f
V~here does pump discharge to outside? L7 Front ~ Back I~ Side
NOTES: ~ta h~~v ~--I~ •-•---~ ~-~-rQ•~---~ ~~I,-,~, ~r• , T ,;,~ ..,,•~.~~---•-c...~ /~ ~•o.~ ~~~f '---•-•-•-•---•- -
- v
~'1 ~ .r. "fd 1 r~ ~. .-,-, ~v~ ~ w ,
SUMP PUMP SYSTEM: ~ PAS5 ~AIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 657 /644-1469 for 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.
Inspec,EOr: , ~'~, -~ Date: - / - j
Resident: r~,~ ;_,_; , ~~~~~' ~~'~, Date: G ~ /~ - %~
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 ~s ~ No SUMP BASKET O 0 ~ Q 2 17 3~
WATER IN BA5KET LL~'ges O No SUMP PUMP ~ 0 L'~1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes f~-IQo CISTERN ~ Yes A'?Qo