HomeMy WebLinkAboutSump Pump Inspection~. ~ ~ ~~ c~ ~ ~ ;~ c~ ~ ~~ ~, ,~ l ~ ~ ~ ~ ~.~- ,~ o
(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 Q Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date).
~ Home came with system Q Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
and why
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS t7 Yes O No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer ~ Spring I~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES: ;/ G(J / ,r`l/ ---•-• ~-T`~t... ~ /`~~ ~ / 60~ O /1 ~i ~y
~~~r
1~--~a.~ ~,~ o r~ ~,e~----
SUMP PUMP SYSTEM: ~PASS Q FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, caU 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 wi~to~ fixed so the clear water~isc~iarges to the storm sewer system.
Inspector:
Resident:
Date: 7 c~-.3 "`
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 SiJMP BASKET O 0 ~ 1 ~ 2 ~ 3 I~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) O Yes ~ No CISTERN ~ Yes O No
r'~ ~-~a ~ rJ'.,~f ,. y~~~^~ ~,R,r
~~;.,~~'i. / ~ ~ ..~,: '~..s
. . . .,
(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 a 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 I~ Response to inspection program ~ Other
Q Water in basement Q Previous system failed
B. ROOF LEADERS: Q Yes ~ No DISCHARGE: ~ Near C7 Away
C. YARD DRAIN5 ~ Yes ~ No WINDOW WELLS ~ Yes ~7 No
BEAVER SYSTEM ~ Yes ~ 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 Q Side
NOTES: ~~~~'~ `~ ~c~. C> t2. ~ I ~-•-~-•---•-•-------._._.---•-----•-----------•-•-•---•-•-•-•-•-•-
s
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[arions. 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 w~esc~to b~'ixed so the clear w~gr discharges to the storm sewer system.
_.WY.,....,_ .
Resident:
Date:
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 Q No SiJMP BASKET Q 0 la 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP O 0 ~ 1 17 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes D No
_h
. `
C
~~
~J
~
(Tf 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 O Sanitary sewer ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~s ~ No DISCHARGE: A''~Tear ~ Away
C. YARD DRAINS Q Yes C~'1Glo WINDOW WELLS ~s ~ No
BEAVER SYSTEM d Yes f3'1Q~o
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: ~~"~ ~~r~ ~o4~hF ti~ ~ . ,~ Vru 1. •G S ~ ._._._._._....-•-•_--•-•_•-•_•-•-•-•---•-•
SUMP PUMP SYSTEM: L'rPASS ~ FAIL You have 30 ddys to bring your system into compliance with current
reguladons. 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 C~-i'd'o
Where is this location?
This area will o be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~'= ~.s'' - j %
Resident: Date: ~ ~I - y f
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 ~s ~ No SIJMP BASKET ~ 0 ~~ 2 ~ 3 l~
WATER IN BASKET ~ Yes C~-~ SiJMP PiJMP C~'D Q 1 ~ 2 ~ 3 L7
WATER IN BASEMENT (flow over floor) ~ Yes C~-id'o CISTERN O Yes C~dtf