HomeMy WebLinkAboutSump Pump Inspection. ~~~~ , ..' (..~^ "W.~.:
(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 Q 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 Q Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: O Near Q Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes Q No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITIi SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring L7 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
-•-._._._._._._._._._. ~---•-•-• •-•- -•-•-•-•-•-------•-•-•-----•-•-•-•-•- -•-•-•-------•-•-•-----------•-
NOTES: /l.~ C~ S~c~.~~'~ S' lJ~ ~P•'"
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready,t'or reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? O 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-/ - 9~
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 Ye~low: : City Pink: HRG
A. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0 O 1 ~ 2 ~ 3 ~
WATER IN BASKET O Yes ~ No SiJMP PUMP ~ 0 ~ 1 d 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No
-„ c~
7 ~ ~' t7 ~~:~-~ ~
(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 D Outside
at Inspection: 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 Q Previous system failed
B. ROOF LEADER5: O Yes ~ No DISCHARGE: O Near L~ Away
G YARD DRAIN5 ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROFERTIES 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? O Front O Back Q Side
NOTES: --- -•--~,- f--o-- Ci-~~ ,~- Sti'~J~°~~ •t' ~ l`'c°r------•-•-•-•---------•-•- •-•-•-• ---------•-•-•---•---•-•-•-
~
SUIVIP PUMP SYSTEM: ~PASS O FAIL You have 30 days to bring your system into compliance 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 L7 No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: Z- /~- ~g
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 Ye11ow:,-Gity Pink: HRG
A. BASEMENT ~ Yes ~ No SUMP BASKET O 0 ~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 O
WATER IN BA5EMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No