HomeMy WebLinkAboutSump Pump Inspectionn~~o
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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 ~ Laundry tub I~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain t] Other
Prior to Inspection:
When was system'';installed, or most recently modified? (Date) and why
~ I~ome came with system Q Response to inspection program ~ Other
Q Water in basemenf ~ Previous systern failed
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B. ROOF LEADERS: L7'"i~es ~ No DISCHARGEc 17 Near L~'"Away
C. YARD DRAINS ~ Yes t9'~No WINDOW WELLS ~ Yes ~-No
BEAVER SYSTEM C7 Yes L~No
D. PROPERTIES WITH SUMP PUMP5
When does pump.run? ~ Fall O Summer ~ Spring C] Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ASS C] FAIL You have 30 days to bring your system into compliance wuh current
regutations. When you are ready jor reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~''No
~A Where is this location?
This area will need to 6e fixed so the clear water discharges to the storm sewer system.
I Inspector:
` R~sident:
,~
Disclaimer: '
and does not
Date: 2- ~ ~/~ ~'Ig
Date: - ~-L--~ - ~~
-ual inspection is done with due diligence to find obvious clear water cross-connections
the structure meets a11 City Codes.
White: Homeowner Yellow: ?;~ity Pink: HRG
A. BASEMENT [t~es ~ No SUMP BASKET ~~ 1 ~ 2 O 3 ~
WATER IN BASKET Q Yes 1~1o SLJMP~PUI~R ~ Q 1 O 2 dj3 ~
WATER IN BASEMENT (flow over floor) (7 Yes I~Ido CISTERN a Yes ~To