HomeMy WebLinkAboutSump Pump Inspection~~~~~;~~~
A. BASEMENT Q Yes ~No SiTMP BASKET 0~ 1 ~ 2 ~ 3 O
WATER IN BASKET ~ Yes ~ No SiJMP PUMP 0~ 1 ~ 3~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CIS RN a 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
L7 Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: Q Yes ~ No DI5CHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM a Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L~ Summer O Spring a Winter
(check all that apply) How often does pump run?
V~here does p discharge to outside? Q Front ~ Back 17 Side
NOTES:
SUMP PUMP SYSTEM: I~t" PASS L7 FAIL You have 30 days to 6ring your system into compliance with current
~~ regulations. When you are ready for reinspectian, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will~ec~to b~xed so the clear water~dx~' charges to the storm sewer system.
,
Inspector:
Resident:
Date: ~{'"S~~
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: Homeowr~er Yellow: City Pink: HRG