HomeMy WebLinkAboutSump Pump Inspection(v`
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A. BASEMENT L~'~es O No SiJMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PiTMP ~'0 ~ 1. D 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN ~ Yes L~~Qo
(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
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes I~No DISCHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes L'~No WINDOW WELLS ~ Yes C-1'No
BEAVER SYSTEM ~ Yes C~1o
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring L7 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca[1651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspec or: Date: `/- Z~/- 99
Reside ~it• ~,, ~___ ~('~;.~"~..~..._. ~..,~? \~ Date: ~f- Z~! ~ 9y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structnre meets all City Codes.
White: Homeowner Yellow: City Pink: HRG