HomeMy WebLinkAboutSump Pump Inspection,:~. ~~ ~ ~# ~ rJ r7~`c~
A. BASEMENT ~ Yes ~No SUMP BASKET ~ 0 ~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes O No 5UMP PUMP ~ 0 ~ 1 l7 ~ 3 ~
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 C7 Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
O Home came with system ~ Response to inspection program O Other
Q Water in basement
B.
C.
D.
NOTES:
~ Spring ~ Winter
Q Back Q Side
-~-_ . _ _ _ .
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspectian, cal[ 651 /644-7 469 Jor an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area wil o be ed so the clear water ' rges to the storm sewer system.
Inspector. 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.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~ Previous system failed
~ Yes ~ No DI5CHARGE: Q Near Q Away
~ Yes No WINDOW WELLS Ca Yes ~ No
~ Yes No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here doe pump discharge to outside? ~ Front
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White: Homeowner Yellow: City Pink: HRG