HomeMy WebLinkAboutSump Pump Inspection~d
~1~~ ~J
2
P.r~
(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 O Laundry tub ~ Sanitary sewer O Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, ar most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADER5: t9'~Yes U No ` DISCHARGE: ~ Near Ga' Away
~N WINDOW WELLS a
C. YARD DRAINS t7 Yes ~ Yes I~-'i~To
~_~
BEAVER ~SYSTEM Ca Yes L~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front a Back ~ Side
NOTES:
SUMP PUMP SYSTE1vI: ~,PAS5 ~ FAIL You have 30 days to bring your system into compliance with current
rtgulatioru. When you are ready for reinspecaon, ca[[ 651 /644-1469 for an appoinlment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes l'~'No
Where is this location?
This area will need to be so t e clear water discharges to the storm sewer system.
Inspector: Date: z .z -`3
Resident: Ji , ,/, , .G~.C' J 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.
White: Hom~owner Yellow: City Pink: HRG
A. BASEMENT f~7 Yes ~ No ,, SUMP BASKET ~~ 1~ 2 ~ 3 O
WATER IN BASKET ~ Yes I~-~ SiJMP ~P~ P C~'0 ~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) Q Yes ~'No CISTERN ~ Yes ~10