HomeMy WebLinkAboutSump Pump Inspection~% !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
at Inspection:
~I Laundry tub ~ Sanitary sewer 17 Outside
C7 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 DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELL5 ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? O Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? l~ Front
_ r._._._._._/._._._._._.,
NOTES: ~---•-• ~o ~ ~Ci S~av~r 5' //~ f~°'r-
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with currtnt
regulations. When you are ready for reinspection, ca11651 /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: Z- /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.
~ Spring ~ Winter
~ Back ~ Side
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT ~ Yes Q No SUMP BASKET ~ 0 ~ 1 ~ 2 17 3~
WATER IN BASKET ~ Yes O No SUMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes 17 No CISTERN ~ Yes ~ No