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 l7 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 I~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELL5 a Yes ~ No
BEAVER SYSTEM ' ~ Yes ~ No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring Q Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front 17 Back ~ Side
NOTES: /b' ~' i' ~.n.. t~"~ 5~'~ G~V 4..T~r ~~~r~.~ E' y.-- '._._._._._._
SUMP PUMP SYSTEM: ~ PASS Q FAIL You have 30 days to bring your system into compliance with current
/~``~ regulations. When you are ready for reinspection, ca11651/644-1469 for an appoiretment.
Is there another place where clear water enters the sanitary sewer system? Q Yes Cl No
Where is this loc 'on?
This area wi ee t be f so the clear water disch to the storm sewer system.
Inspector: Date: -~- `
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: City Pink: HRG
A. BASEMENT O Yes ~ No 5UMP BASKET ~ 0 O 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes Q No SUMP PiTMP O 0 ~ 1 ~ 2 ~ 3 ta
WATER IN BASEMENT (flow over floor) ~ Yes L~ No CIS1'ERN Q Yes ~ No
S ;..~~;
? /c~' .~ ~
(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 inspection program [7 Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes O No DI5CHARGE: Q Near O Away
C. YARD DRAIN5 O Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes Q No
D. PROPERTIES 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 ~ Back ~ Side
NOTES: ~ C~Ty St°~nJPr ~ G~.~T~'/"--•---•-•---•---•-•-------•---•---•---•-•---•-•-•-•-•-•---•-----•-•-
,
SUMP PUMP SYSTEM: I~ASS I~ FAIL You have 30 days to bring your system into compliance with currertt ~
regutations. When you are ready jor reinspection, ca11651/644-1469 for an 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: z - /6 - ~y`~_
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;. City Pink: HRG
A. BASEMENT I~ Yes 0 No SIJMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes ~ No SiJMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes Q No CISTERN O Yes ~ No