HomeMy WebLinkAboutSump Pump Inspection~:n ::% ~~ ;~~.~,~ t~'C~~~`~ j C`~
A. BASEMENT i~Yes ~ No 5UMP BASKET 0' ~ 1 ~ 2 ~ 3 ~
WATER IN BA T~ Yes O No SLJMP PiJMP 0~ 1 ~ 2 ~ 3 7
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 L~ Sanita.ry sewer 17 Outside.
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: D Yes ~ No DISCHARGE: Q Near ~ Away -
C. YARD DRAINS ~ Yes~No WINDOW WELLS L~ Yes~No
BEAVER SYSTEM ~ Yes`~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? l7 Fall D Summer ~ Spring Q Winter
(check all that apply) ; How often does pump run? --
Vt~here does pump discliarge to outside? ~ Front ~ Back Q Side
NOTES: ~~0...,~ ~h ~----~ --•-~5 C c> > n c To-•-•~GSc~' •--c i~`~r^S--•-•-•-•-
1^~-
SUMP PUMP SYSTEM: "`~.~ PASS O FAIL You have 30 days to bring your system inxo compliance with current
~~~ regulations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area ' ed t fixed so the clear r discharges to the storm sewer system.
i~~ ~ _- ~ _~ _
Date:
Date:
Disclaimer: This ~'isual inspectibnlis done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Citv Codes.
White: Homeowner Yellow: Ciry Pink: HRG