HomeMy WebLinkAboutSump Pump Inspection''"_'!'~`f~'~y'/
(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
at Inspection:
~ Laundry tub ~ Sanitary sewer ~ Outside
Q Floor drain ~ Other
Prior to Inspection:
~ When was system installed, or most recently modified? (Date) and why
' ~I Honne came with system ~ Response to inspection program ~, Other
D Water in basement D Previous system failed
B. ROOF LEADERS: La'''~es ~ No DISCHARGE: O Near LzYAway
C. YARD DRAINS ~ Yes~ o WINDOW WELLS ~ Yes S''~To
BEAVER SYSTEM ~ Yes L~l No
D.
NOTES:
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[1657/644-1469 for an pointmera.
Is there another place where clear water enters the sanitary sewer system? Q Yes Q~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ , - ~, / Date: 2- / ~'- ~`3
Resident: ---,r~,~; ,,~ ~' ~ t,. ~.~--~ Date:
Disclaimer: This visual inspectio~( is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Ca Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front a Back ~ Side
,.o
~~ White: Homeowner Yellow: City Pink: HRG
A. BASEMENT I~''Yes Q No SUMF BA5KET ~~ 1 la 2 Q 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~"'b ~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes t~1o CISTERN ~ Yes C~'iV~o