HomeMy WebLinkAboutSump Pump Inspection~~
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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
at Inspection:
a Laundry tub O Sanitary sewer ~ Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: C3'Yes 17 No DI5CHARGE: .C~7" Near a Away
G YARD DRAINS O Yes ~~ ~N WINDOW WELLS ~ Yes D No
BEAVER SY5TEM ~ Yes D'"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall 17 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
[7 Spring ~ Winter
O Back ~ Side
SUMP PUMP SYSTEM: PASS ~ FAIL Yau have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, ca116511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 1~'1~0
Where is this location?
This area will n~be ~xed so the clear water discharges to the storm sewer system.
Inspector: ~.k ~'~'''t~l.~- Date: 7 - ~ `I- I %
Resident: --~"`/ ~~, 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. BA5EMENT ~3'Yes ~ No SUMP BASKET ~~ 1 ~ 2 O 3 ~
WATER IN BA5KET ~ Yes L~'~1o SLJMP PUMP ~b Q 1 ~ 2 O 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes ~Go CISTERN ~ Yes ~~i