HomeMy WebLinkAboutSump Pump Inspection.c~4
2~~~
(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 17 Outside
at Inspection: I~ Floor drain ~ Other
Prior to inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: es d No DISCHARGE: ~ Near L'J~way
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~To
BEAVER SYSTEM ~ Yes a No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Ca Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS O FAIL You have 30 days to brtng your system into compliance with current
regulations. When you are ready}'or reuupection, call 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:' , ~.. Date: ,~ / ~ - 9 ~3
Resident: ~ Date: __ __
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT t~'Yes ~ No 5UMP BASKET ~ 0 ~ d 2 ~ 3 ~
WATER IN BASKET ~ Yes i o SiJMP PiJMP ~~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes Q No CI5TERN ~ Yes l7~