HomeMy WebLinkAboutSump Pump InspectionA. BASEMENT ~ Yes~o 5UMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET Yes O No SLJMP PUMP ~ 0 ~ 1 ~ ~ 3 Q
WATER IN BASEMENT (flow over floor) I~ Yes ~No CISTERN O 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 ta Laundry tub 17 Sanitary sewer Q Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
17 Water in basement Q Previous system failed
B. ROOF LEADERS: a Yes,~ No DISCHARGE: l~ Near ~ Away
G YARD DRAINS ~ Yes f~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all-that apply) How often does pump run?
V~here doe pump discharge to outside? ~ Front Q Back ~ Side
NOTES:.- -•- - - - - - - - ---•-•-•-•- - ---•-•-•-•-----•~---•- ---•-~-•--- - - -•- -•.~---•-•-•-
SUMP PUMP SYSTEM:
Is there another place wher
Where is this location?
This area will to be f
Inspecto . ~
Resident:
Disclaimer: This visual inspection is done with due diligence to firtd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 651/644-4469 for an appointment.
e clear water enters the sanitary sewer system? [7 Yes ~,No
d so the clear wate ' charges to the storm sewer system.
Date: ;.~",3""-
Date:
White: Homeowner Yellow: City
Pink: HRG
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A. BASEMENT ~ s ~ No SiJMP BASKET ~. ~ 1 ~ 2 ~ 3 la
WATER IN BASKET ~ Yes t~1o 5iJMP PUMP ~~ 1 ~ 2 ~~ 3~
WATER IN BASEMENT (flow over floor) ~ Yes Q No CISTERN ~ Yes G]'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 I~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home carne with system ~ Response to inspection program t7 Other
~ Water in basement a Previous system failed
B. ` ROOF LEADERS: la'Yes ~ No DISCHARGE: Q Near ~ Away
G YARD DRAINS ~ Yes L~J'No WINDOW WELi.S a Yes D No
BEAVER 5YSTEM ~ Yes C~No
D.
NOTES:
SUMP PUMP SYSTEM: J~-~SS ~ FAIL You have 30 days to bring your system iruo comp[iance with current
regulations. 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 C~'1Vo
Where is this location?
This area will need to be ixed so the clear water discharges to the storm sewer system.
Inspector. Date: ~- / ~ ~ g
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.
PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q Back ~ Side
White: Homeowner Yellow: City Pink: HRG
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