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Mailing Address is 791 Price St#123, Pismo Beach, CA 93449 <br /> 2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> Daie of inspeclion: � �� �� 3 Inspetted By: C7��1� �DE%fl_ <br /> Address: � � �J � L.D"� � �l-� ServiceRequeslNumber. ��� �a-�j U <br /> � ! � � � t � <br /> Resident:�Mll� �C�'U �e`/ l a�a��� `.J1 Owne�4 �jY[S �NO ��'�u'•^ �GYo <br /> �"'e— / <br /> PhoneNumber: gOS� 3 i5- 3.��� Email: <br /> General Building Details: L <br /> tl <br /> ? <br /> Is Ihis building within ihe combined sewer area? YES ❑NO Does Ihe building have a basemenl? YES ❑NO � <br /> ,__/ h <br /> Docs Ihe building have a backwaler valve(BWV�T ❑YES NO (If yes)Was 8WV inslalied through City program ❑YES,1�1 NO � <br /> c <br /> Does the building have a sump pump? �YES L�NO Does lhe building have a grinder pump7 ❑YES NO `Y <br /> StormEventDetails: / bOffQ 0� 1�� �V'��75� <br /> Where did water enlering building come 1rom? ❑SURFACE PLOW []GROUN�WATER �VVER BACINP f FIXTUFES �UNKNOVJN <br /> p r I I- ���,�� <br /> Details: Qo..:Y.�"� , .. ��d �.�fy �JO.... vp T � Oof �,(� ,n RIS� '� �dXK1tc"f ""'— ���y ��-r <br /> �,/ ' fs:l�-� bau,, .,t'�' <br /> N�here ditl waler go wilhin the buitIding? ❑\�ASEMENT PERIMETER �BASEh1ENT NEAR PIXTURES 0 OTHER <br /> �7etai�s:g�,t,�(Cd� v � �'`�rd� ti`1 -�,�C�J �¢ f � ��aCc �eJ. �� s� ��� �� �i C�� ���� �t `��'!� <br /> Site 06servatians: i <br /> Downspout I sile grading issues noted: <br /> Building elevalion relafive lo sewcr and surmunding area issucs noled: ��+1e'�^�� �� �� WP C , <br /> Sile pump issues noled:,�� <br /> Hislorical Informalion I Other Informalion: <br /> Previous`Itooding"issue Service Requesls al address: <br /> �1 �` na�-i � <br /> Previous'flooding'issues noled 6y homcowner: i1Q4 3-�1 k a_��v ��" (�4�� � � �hJ^11�a u �UU�+c�, t1 b{f� <br /> Recenl slormwater 1 sewer projects completed in area: �o - p Pwposed sbrmwaler I sewer projeds in area: N� �L�. f`r^� <br /> Property owner inleresled in begi�ning City Backwaler Valve Prograrn at address:�YES ❑NO Details: <br /> Notes: 1�ti�Rs .fUrc�^q�he� 1�✓�p`C' ; -. �cu ..l,��. r00^r �.ir, Si .CL' �� � f <br /> � / �Ov a.� �, hl � `�� (��w (-v`.°^'cS, SV r�.1,��ye � ^ �4 u�tl.c� �OU-- 4?P'�.� �\ <br /> � �''E'01" :�. QIeV�� \Ur� �d�..��/' l�in S.��C�GrI. C'- ;�•�� 1 <br /> Revision:3 TRW 1 Tliursday,September O5,2013 <br />