HomeMy WebLinkAboutSump Pump Inspection(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 a Sanitary sewer ,_ Q Outside
at Inspection: O Floor drain a Other
Prior to Inspection:
When w system installed, or most recently modified? (Date)
Home came with system a Response to inspection program
d Water in basement O Previ system failed
NOTES: `
r
and why
Q Other
O Near Away
C. YARD DRAINS ~ Yes ~ N~' WINDOW WELLS Q~I'es ~ No
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O Sprin~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back..-~' ~ Side
B. ROOF LEADERS: ~No : DISCHARGE:
~
SUMP PUMP SYSTEM: ASS D FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, caU 651 /644-1469 for an uppointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~"1Qo~
Where is this location?
This area will need to b e~the cle~ w~ discharges to the storm sewer system. _
Inspector:
Resident:
Date: /- .~ ~ '
Date: -
I Disclaimer: Th~sual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imnlv the structure meets all Citv Codes.
White: Homeowner
Yellow: City
Pink: HRG
A. BASEMENT es~ a~ SUMP BASKET ~, ~0 1~ a 2 ~ 3 Q
TER IN BASKET ~'Yes ~ No SiJMP P C9''0 ~ 1 ~ 2 ~ 3_~
WA
WATER IN BASEMENT (flow over floor) L~ Yes o CISTERN ~ Yes ~