HomeMy WebLinkAboutSump Pump Inspection~ ,~) ~
25/a~r
(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:
~ Laundry tub
~ Floor drain
~ Sanitary sewer C7 Outside
Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date}
~ Home came with system L~ Response to inspection program
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No
C. YARD DRAINS Q Yes ~ No
BEAVER SYSTEM I~ Yes I~ No
DISCHARGE: ~ Near ~ Away
WINDOW WELLS ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall O Summer a Spring
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
-•-------•-•-•-•-•-- ~7 •-•-• ~ /~ 7
NOTES: ,~o Git~/ Sf'k.J~'r f /~/A~7'~'r'"---•---•-•-•-----•-----•-•-•-•-------•-•-----•-•-•--
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? L~ Yes ~ No
Where is this location?
This area will need t e fixed so the clear water discharges to the storm sewer system.
Inspector: Date: Z' ~~- `~"
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.
~ Winter
and why
~ Other
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT Q Yes a No SUMP BASKET ~ 0 O 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No 5UMP PUMP Q 0 ~ 1 L7 2~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No