HomeMy WebLinkAboutSump Pump Inspectionn
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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
at Inspection:
~ Laundry tub ~ Sanitary sewer O Outside
Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
~ Home came with system Q Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS D Yes I~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summex d Spring ~ Winter
(check all that apply) How often does pump ruri?
Where does pump discharge to outside? ~ Front Q Back ~ Side
NOTES: -•Z ---~/D - ~S ---~_o'" • SAl~e.' /o ~- D~ /y .1. ~o~/SC • oh ---/O ~ ------•-•-•---•-•-•-•-
~~ l.~- P~v -~ ~~„ ».~,d~~~fo~ o.-, 2- ~ 8= 4 9
SUMP PUMP SYSTEM: --~.PASS a FAIL You have 30 days to bring your system into compliance with current
~ regu[ations. 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? ~ Y~s ~ No
Where is this location?
This area will need to b~ fixed_ so the clear water discharges to the storm sewer system.
Inspector: ~,~~J,~~.~..- Date: 2 - Z3 -'~
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: Ciry Pink: HRG
A. BASEMENT ~ Yes ~ No SiTMP BASKET Q 0 ~ 1 ~ 2 Q 3 ~
WATER IN BASKET 17 Yes ~ No SUMP PUMP O 0 ~ 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN ~ Yes ~ No
a~
.~ <~~,;.~ ~~,,~,.~
(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 O Sanitary sewer ~ Outside
at Inspection: O Floor drain Q Other
Prior to Inspection:
When was system installed, or most recentlX modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: [9'Yes ~ No DISCHARGE: Q Near ~~~vay
'
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~
No
BEAVER SYSTEM ~ Yes ~'"~No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall '~ Summer '~Spring Q Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? I~ Front ~ Back Side
NOTES:
SUMP PUMP SYSTEM: /~SS ~ FAIL Yau have 30 clays to bring your system into compliance with urrent
regulations. When you are ready jor reinspection, ca[1651/644-1469 for appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 2- /~'C- r'q
,
Resident: ; ,1i~, ,, ~}""~ ~r-<T - ~~ t-~ 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 Yellaw: Ciky Pink: HRG
A. BASEMENT ~'Yes ~ No SUMP BASKET ~ 0 17~~'/~~a 2~ 3 L7
WATER IN BASKET I~'1 es ~ No SUMP PUMP ~ 0 ~' 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~-iQ'o~ CISTERN ~ Yes ~IGo