HomeMy WebLinkAboutSump Pump Inspection,n. J ~-`
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(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 a 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 inspection program ~ Other
~ Water in basement ~ Prev' us system failed
B. ROOF LEADERS:
C. YARD DRAINS es ~ No DI5CHARGE: ~
a~~~vo WINDOW WELLS
Q Yes d. Near
.;O way
Yes IZ3~IQo
BEAVER SYSTEM ~
~ Yes ~'No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~` "Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~~~ f~SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready}'or reinspection, ca11651/644-1469 jor an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes LD..-~
Where is this location?
This area will need to be f d o the clear water discharges to the storm sewer system.
Inspector: Date: - - ~ - ~`~
Resident: • Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecNons
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT le'Yes ~ No SIJMP BASKET ~~d 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ SUMP P~ " f~-'(f ~~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~~~QO CI5TERN ~ Yes d]-~o'