HomeMy WebLinkAboutSump Pump Inspection(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seaI. Skip to Part B of this form.)
Discharge Point O Laundry tub Q Sanitary sewer O Outside
at Inspection: Q Floor drain ~ 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
D Water in basement ~ Previous system failed
B. ROOF LEADERS: ~--~es ~ No DISCHARGE: Q Near C~Away
G YARD DRAINS ~ Yes V~vo WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall Q Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front
NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
/~ regu[ations. When you are ready for reinspection, cal[ 651 /644-14 9 for an appointment.
Is there another place where clear wat\ enters the sanitary sewer system? Q Yes No
Where is this location? /~
This area will need to~~ d e clear w i
discharges to the storm sewer
Inspector: U f ~ u Date: _ I.l~ "~ G
Resident: ` ~~ Date: jZ _ ~c~r y
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 Q Winter
~ Back ~ Side
White: Homeowner Ye11ow: City Pink: HRG
A. BASEMENT Q_ Yes ~1o SUMP BASKET ~ 0 Q 1 ~ 2 ~ 3 ~
WATER IN BASKET '~~'- r' "€e - SiJMP PUMP 0 Q 1 ~ 2 3~
WATER IN BASEMENT (flow over floo o CISTERN ~ Yes ~No
`~ . <
A. BASEMENT I~ Yes ~ No SUMP BASKET O 0 ~ 1 ~ 2 ~ 3 17
WATER IN BASKET ~ Yes ~ No 5UMP PUMP ~ 0 Q 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) d Yes ~ No CISTERN ~ Yes ~ No
(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 L7 Laundry tub a Sanitary sewer I~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other .
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH ~ PS ~'~~
When does pu n? ~ Fall ~ Summer ~ Spring Winter
(check al at How often does pump run?
V~h pump disch rge to outside? O(~Front ~ Back ~ Side
-•-•-•-•- -._. ._._._.~._._._._._..~---._._._._._._~.._._._._._~.i,._._._.:I~._._._._/:s„---r•-•---•-•-•-•-•~-r-•-•~'- -•-•-•-------•-
.l
SUMP PUM~'ST~M: ~ PASS ~ FAIL You have 3o days ?~rin~y~?~y~td>ri
regulations. When you are ready for reinspection, ca[1651
Is there another place where c ter enters the sanitary sewer system? .~1--3~
Where is this location? -----'`'~
~ance with curr~„~'
~ pointment.
~ No
This area will need to be fixed so the clear water dischar¢es to the storm sewer svstem.
Inspector: - Date:
Resident: ~ Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
\.~
White: Homeowner Yellow: City Pink: HRG