HomeMy WebLinkAboutSump Pump InspectionLJ
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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 ~1 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 inspecti on program Q Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: O Yes ~ No DISCHARGE: ~ Near a Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring D Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front ~ Back O Side
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NOTES:~---•-•-•-`~-v •-Gi~Y' • ~~..~~r S. --~~•-rt°v--•-•---•-----•-•-•-•-------•-•-•------
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SUMP PUMP SYSTEM: ~ASS O 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 appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~ 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 /E;-~ 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 Yellow: City Pink: HRG
A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0 ~ 1 d 2 O 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PiTMP O 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) d Yes d No CISTERN O Yes ~ No