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- — - —------ -- - - - <br /> � <br /> � <br /> 2013 LARGE STORM RESF'ONSE PAPER FC�RM CHECI(LSST <br /> i <br /> I <br /> Da!e ot inspection: C� � ��3 Inspected By: C5� M��'1 � <br /> Address � � �� 'v ��r` � _ Service Requesl Numbec <br /> / � � (��� ��� I <br /> ResidenC��1� °`"`-�D�Li� J�Ig___ Owner7'�YES ❑NO i <br /> Phone Number.��y�•R��Q�� Email: � « 1 �'��� C ��� •�M i ! <br /> �'b}Siv,,3L <br /> General Buflding Details: <br /> Is lhis builAing wilhin the wm6ined sewer area? �YES ❑NO Does Ihe bcilding hare a basement? ❑YES �fQ NO <br /> Does the building have a back�vater valve(BVVV)? �YES �NO (II yes)b7as BWV inslalled Virough City program ❑YES �NO <br /> Docs lhe buildiny have a sump pump� �VES [�NO Does the building havz a griider pump? �YES �NO � <br /> Storm Event DMaiis: � <br /> Where did waler entenng buildm come from? 0 SURFACE FLOW ❑GROUNDWATER �SEINER BACKUP•FIXTURES ❑UNKNOWN � <br /> DetTils: I �.f0,.- � �O��el S�^�K 4ti1 \Pf a�a�'� •�. �OvJ t�60�, <br /> Where did waler go wilhin the building7 ❑BASEPdENT PERIM1IETER 0 BASEh7ENT NEAR FIXTURES e OTHER <br /> �r 1 1 I <br /> Delails: y �lCt'� ' � �O��U�-- � �OUr1���n�(ll1y nU� 4, �u1ev-/ �� 5J <br /> ��c��� b e �o.� s+ ��1 1� v� ) , <br /> � Site Observations: <br /> 1 I l/ <br /> Do�vnspoul l si�e grading issues noted: N 0 ts�f1C-'1� Qo�.- -.$�o.1rl (L�Ie �O S•Ly y4� � �J p��4� <br /> Ouilding eleva6on relative to sewer and surrounding area issues noted: �J�I ' ty O� P�f �{I� �e�Ov !�p� S�� F<<� <br /> Sile pump issues noled. 1�' � �V^^ �f <br /> Hislorical InformaUon I Other Informstion: � <br /> _I. <br /> Previous'llaodin�issuc Service Requesls al address �(' � <br /> Previous'llooding'issues noled by homeowner: I �v�� �C�� 1� r 2� .�i��f , J ����1 L�,..,Q ; � <br /> o'f ; p ���! <br /> Recent slormwaler!sex•er projecls compteted in area S ��� ��'`� Pr�posed slonnwaler I sewei piojecls in area:�u� G""� N��� <br /> Property owner inleresled in beginning City Oackwater Valve Frogram al add�s��YES ❑ NO h�„pelails: ve� `�� I <br /> �� S �t�s� � I <br /> Notes, Su � {�� e wti�Yr s��cs �-e �Uo,... JqJ�'f SR �.✓cs" Kc�,�t <br /> . �4C\f (.�C, r � �V �'� P� 1� , tl �I 1=�� �J��',S �.�1PfC' IrCY�CU`� �' ��' : <br /> -}-��� G� v �5� � �,a�t� �c� �-� a��� v����l Sh.., -��k�v,cy ���pr �uC;::� <br /> --�— <br /> I.��• I� 2`''• c�e �c2 0� Se�rr �u�� N , <br /> Revision: 3 TRW 1 Thursday,Septen :r O5,2013 <br />