HomeMy WebLinkAboutSump Pump Inspection,~. ~~ R, ~ ~ ~
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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 ~ Laundry tub C] Sanitary sewer la Outside
at Inspection: t7 Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
D Water in basement t7 Previous system failed
B. ROOF LEADERS: ~ Yes l~ No DI5CHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes O No
D. PROPERTIES WITH SUMP 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? ~ Front 17 Back Q Side
NOTES: lVG~'T ~/~~ ~.~„~/, ~.~L~J~~~~---~~ •~ ~~„ - -•- ~~•~l~~
D/~/ _~s ~.~4,,~/~ -' ~
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready jor reinspection, call 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 wj~l~-r~d to b~ced so the clear water dis ar es to the storm sewer system.
I Inspector:"'~) S ,~,G~r'~-~-~ `~` Date: Zf ~/-`j ~ I
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 Ca Yes ~ No SIJMP BASKET Q 0 ~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes I~ No SiJMP PUMP I~ 0 O 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ 1~10 ~ISTERN a Yes ~ No
~ t ~')
„~~~7
i~'
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover v~rill
break seal. Skip to Part B of this form. )
Discharge Point 17 Laundry tub ~ Sanitary sewer (~ Outside
at Inspection: ~ Floor drain 17 Other
Prior to Inspection:
When was system installed, or mosf recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement I~ Previous system failed
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
a Yes ~ No DISCHARGE: ~ Near ~ Away
~ Yes ~ No WINDOW WELLS ~ Yes ~ No
Q Yes t~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front
NOTES: -•-- ~o - ~'i ~~ ~~'k./~r S ~/f~~~' `'" -•-•---------..
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. 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 fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 2 /6- `~`~
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.
Q Spring ~ Winter
~ Back O Side
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET a Yes ~ No SiJMP PUMP O 0 ~ 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) d Yes ~ No CISTERN ~ Yes ~ No