Laserfiche WebLink
. � ; � . <br /> Backwater Prevention Device <br /> Pro�erty Owner Rebate Form <br /> : <br /> ! i <br /> r•Please.de�ify_the.following i�ems <br /> .��:=:._.- _._ . <br /> �I am the owner of the prop�rty served by the side sewer where the Backwater <br /> Pr vention Device was install�d. <br /> QI worked with my contractdr to determine the installation location for the Backwater <br /> Pi�vention Device, I understa�hd that the final decision regarding installation location <br /> was mine. � <br /> �f If the Backwater Preventiop Device was installed on my property: <br /> � • I have been shown how ta access, inspect, and maintain my device by my <br /> contracror <br /> • I understand the�City will not mafntain the Backwater Prevention Device. I <br /> am exclusively r�sponsible to mafntain it and to keep it in good working <br /> order. � <br /> • If I sell my prope�ty, I will make the buyer aware of the Backwater <br /> Prevention Deviqe and the need to maintain it. <br /> Choose one oi the following; <br /> �AS of now, my property has no downspouts or other onsite drainage that connects to <br /> thdside sewer upstream of the inst911ed Backwater Prevention Device. <br /> or � <br /> ❑ I still have do�vnspouts or o�her onsite drainage that connects to the side sewer <br /> upstraam of the installed Back ater Prevention Device. I understand that ieaving these <br /> connections means that the ris�C of flooding from downspout or onsite drainage remains. <br /> I accept lhat risk. ; <br /> Sfgnature— Date �� S� �/ <br /> I <br /> Page 2 of 2 <br /> Revised 09109/2014 <br /> �v <br />