HomeMy WebLinkAboutSump Pump Inspectionr~1
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(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 ~ Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other "`
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes I~'~ DISCHARGE: O Near ~ Away
N.~-' WINDOW WELLS ~
C. YARD DRAINS ~ Yes Cg
' Yes ~
~
~
BEAVER SYSTEM ~ Yes L9'"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer 17 Spring ~ Winter
(check all that apply) How often does pump run? ""~
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
~~P ~ o
SUMP PUMP SYSTEM: [9~'ASS ~ FAIL You have 30 days to bring your system into complinnce with current
regulations. When you are ready for reinspection, ca[1651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area will need to b~ o the clea at , scharges to the storm sewer system.
Inspector:
Resident:
Date: ~ %~ '
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
A. BASEMENT Q Yes ~o / SiJMP BA5KET ~~ ~1~ 2 Q 3 ~
WATER IN BASKET ~ Yes t3~o SiJMP PU~M @''D Q 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~IQo CISTERN ~ Yes ~~