HomeMy WebLinkAboutSump Pump Inspection Program,.,,,~
Z_.5 ~ ~~C
(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: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: Q Near ~ Away
~i G YARD DRAINS ~ Yes ~ No WINDOW WELLS a Yes ~ No
~ BEAVER SY5TEM ~ Yes D No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? ,
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES: ,~'
~~
SUMP PUMP SYSTEM: ~ PASS O FAIL You have 30 days io bring your system into compliance with currertt
regulations. When you are ready for reinspection, ca[1657/644-1469 for an appoint»tent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~I No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: p~ ~,~-( Date: 6- Z- 9q
Resident: , „~;,..~-- Date: /',,._.~ 7 -~ q
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecHons
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT Yes ~ No SiJMP BASKET 1~ 0~ 1 ~ 2 ~ 3 Ca
WATER IN BA~KET ~ Yes Q No SiJMP PUMP !¢ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes L~ No