HomeMy WebLinkAboutSump Pump Inspection.~~ E-~~ ~ ~~~ ~~
A. BASEMENT ~ Yes ~yVo SiJMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET a Yes O No SUMP PUMP ,~' 0 ~ 1 ~ 2 Q 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 ~ Sanitary sewer ~ Outside
at Inspection: Q Floor drain D Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Honne came with system Q Response to inspection program t7 Other
O Water in basement O Previous system failed
B. ROOF LEADERS: O Yes~ No DISCHARGE: ~ Near a.Away
C. YARD DRAIN5 ~ Yes No WINDOW WELLS ~ Yes a No
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does p discharge to outside? ~ Front ~ Back a Side
NOTES~ -•-------•- - - --~-~;- ---•---•-•-•- - -•-•-'•-~-~ --•-•-•-•-----•-•-•-----•-•-•-•---•-•-•-----•---•---._._._
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SUMP PUMP SYSTEM: ~I PASS ~ FAIL You have 30 days to bring your system into compliance with current
/~ regulations. When you are ready for reinspection, ca11651/644-9469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ,~ No
Where is this location?
This area wili ng~d`~ be ~d so the clear w~ischarges to the storm sewer system.
I Inspector: Date: `7:.-/- ~~5" I
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