HomeMy WebLinkAboutSump Pump Inspection(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)
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
and why
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: Q Near ~ Away
C. YARD DRAINS Q Yes~ No WINDOW WELLS ~ Yes ~ No
BEAVER SY5TEM ~ Yes~ No
D. PROPERTIE5 WITH SUMP 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? ~ Front O Back Q Side
NOTES:
SUMP PUMP SYSTEM: .~ PASS O FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to be fixe~s~the clear wa~er discharges to the storm sewer system.
I Inspector: Date: ~ G ` ( "~'' `1 ~ ' I
Resident: ~` ,,,~..-~---- Date: ~ L ~~ ~1 ~~1
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
A. BA5EMENT ~Yes ~ No SUMP BA5KET 0~ 1 ~ 2 ~ 3 O
WATER IN BASKET---~-7-~es.--~-~e SUMP PUMP ~ 0 Q 1 a 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes ~No