HomeMy WebLinkAboutSump Pump Inspection~ ~ .;
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A. BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0 Q 1 ~ 2 ~ 3 I~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flaw, o~er floor) ~ Yes Q 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 ~ Sanitary sewer D Outside
af 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 LEADER5: Q Yes ~ No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS Q Yes 17 No
BEAVER 5Y5TEM ~ Yes ~ No
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D. PROPERTIES WIT~I,SUMP PUIVIP~
When does pumg rtin? ~` Fall O Summer ~ Spring ~ Winter
(check all that apply} How often does pump run?
, V~here c~oes pump discharge to outside? ~ Front O Back ~ Side
-•-• =•-•- -•-•-•-•-•-•-•- •-•--------- •-• •-•-•-• --•-•-•-•-•-• -•-•- -•---------•-----•-•-•---•-•-•---•-•-----------•-
NOTES: ` ,~.~/1~'L:. ~ ~' ~~ ~`,~ ,~`j ~ l`~tc'~",.~ > ~:r~ j~.,~~a ,t) r ~{~F~'~"~v ~T" !' /Q ~ s .
,.
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Q No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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Inspector: ~; ~~ -., '~~r.~: ~° ~ ~ Date: ~
Resident: 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
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A. BASEMENT ~s ~ No~~ SiJMP BASKET ~ 0 l3" 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C~'No S~JMP P~JMP I~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor} L~ Y~s ~'o CISTERN ~ Yes D-P~i'6
~If no pump, pJace stickei across edge of sump cover a-nd basement floor so any removal of cover will
break seal. Skip to Part B of tfiis form:)
Discharge Point O Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: 17 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
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: C-#~''lses 17 No DISCHARGE: Q" Near ~ Away
C. YARD DRAINS Q Yes ~'No WINDOW WELLS Q Yes L~l~io
BEAVER SYSTEM ~ Yes ~10
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days ta bring your system into compliance with current
regulations. When you are ready jor reinspection, call 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~I~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
~
Date: ~ - /~
Date: 1 - / ~ -
Disclaimer: ~'his visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner, . Yellow: City Pink: HRG