HomeMy WebLinkAboutSump Pump Inspectionr_ i~
25~~.
A. BA5EMENT ~s I~ No SiJMP BASKET O 0 ~ d 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No 5UMP P,~IP I~0 ~ 1 O 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~No CI5TERN ~ Yes ~Qo
(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: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~] Home came with system ~ Response to inspecti on program ~ Other
Q Water in basement I~ Previous system fail ed
B. ROOF LEADERS: ~d' Yes ~ No DISCHARGE: ~ Near q~'Away
C. YARD DRAINS ~ Yes ~4'~ o WINDOW WELLS ~ Yes O No
BEAVER SY5TEM Q Yes C 9" No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back 17 Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes L~1~io
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Tnspector: Date: ,~ -_ / 9-9 -~1
Resident: ~ ~ Date:
Disclaimer: This visual inspection is done with du
and does not im I the structure meets all Cit Co
White: Homeowner Yellow: City
diligence to find obvious clear water cross-connections
Pink: HRG