HomeMy WebLinkAboutSump Pump Inspection2y,r'~~G";~U
A. BASEMENT la'Yes ~ No SUMP BASKET ~Q ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C3"No SUMP PUMP ~3''~0 Q 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes la-IQo CISTERN ~ Yes I~'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 Foint ~ Laundry tub O Sanitary. sewer Q Outside
at Inspection: a Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
I~ Home came with system Q Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~es ~ No DISCHARGE: O Near t~''Away
G YARD DRAINS ~ Yes ~ No WINDOW WELLS 17 Yes ~ No
BEAVER SYSTEM ~ Yes Q No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? I~ Front 17 Back O Side
NOTES:
SUMP PUMP SYSTEM: ~PASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes L'~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: ,2- /,7- 9'~3
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: Homeowner Yellow: City Pink: HRG