HomeMy WebLinkAboutSump Pump Inspection~ l'I~o ~ ~ ~. ~ut~ ~aS~
(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:
Q Laundry tub a Sanitary sewer ~ Outside
I~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
a Water in basement ~ Previous system failed
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
<A~ ~ V ~ ~~
~~ ~Yes ~ No DISCHARGE: C~' Near ~ Away
~ Yes ~ No WINDOW WELLS Q Yes l~~fo
D Yes L~No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run? _
Where does pump discharge to outside? ~ Front
NOTES:
Q Spring ~ Winter
~ Back O Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system inxo comp[iance with current
regu[ations. When you are ready for reinspection, ca[! 657/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: (/,~,1~ G+-~1 r.~ F~ Date: `/ -,,2 Y- 9 9 I
Resident: ~~,~ ~,~~ Date: y_~ q- q y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imuly the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG
A. BA5EMENT ~ Yes C~"No SiTMP BA5KET L'~ 0~ 1 l~ 2~ 3 I~
WATER IN BASKET ~ Yes ~ No SLJMP PUMP I~0 Q 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes C~No