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.)
B.
C.
D.
NOTES:
Discharge Point
at Inspection:
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
D Water in basement ~ Previous system failed
ROOF LEADERS: la'Yes ~ No DISCHARGE: ~ Near L~'~Away
YARD DRAINS ~ Yes ~No WINDOW WELLS ~ Yes ~'No
BEAVER SYSTEM ~ Yes ~IVo
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
~ Spring
~ Back
O Side
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca116511644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes LT No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~..~f.~ ~`~~ ~ Date: 5~- /.5 - 9 9
Resident: ('n " n ;.~%T~-.~,., .c.,.----- Date: '~/- /S- `i'9
~. ~ _. ,- _~,
Disclaimer: T~-is visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
Q Laundry tub ~ Sanitary sewer O Outside
~ Floor drain ~ Other
D Winter
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT L3 Yes Q No SUMP BASKET @ U ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP C~' 0~ 1 ~ 2 C7 3 O
WATER IN BASEMENT (flow over floor) ~ Yes La'No CISTERN ~ Yes L~'1~10