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� - -- - - ---- --- -- - <br /> j-- - -� - - -- - <br /> i <br /> 2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> Dale of inspection: ���U�� � Inspecled By: ���lcn �� nd���� J i C^ q�ti� • <br /> Address: � � I Service Request Number. G� 1 �-2 7 � 2 <br /> ResidenC�_�e� MSx 1.—Z�ri O�mei7 �ES �NO <br /> Phone Number. /-„��-� Y � � J d�� Email: <br /> IGeneral euilding Details: <br /> � Is this huilding within lhe combined�cwer areal �ES �NO Does the buiiding have a basemenl7 ES ❑NO <br /> Does the building have a backwater valve(BWV)7 ❑YES �/J NO (II yes)Was BWV installed lNough City program ❑YES �NO <br /> '. Does Ihe building have a sump pump? �YES��NO Does Ihe huilding have a grinder pump? �YES�'�JO <br /> ' Storm Event Details: <br /> Where did water enlering building come Iromt? 0 SURFACE FLOW ❑GROUNDWATER SEWER BACKUP•FIXTURES ❑UNKNOV�'N <br /> Delails: C�ti h / �U�� -� r I <br /> VJhere did water go wilhin the buiiding7 BASEMENT PERIh1ETER - BASEASENT NEAR FIY,TURES Q OTHER � <br /> Delails �N T �'�� /JlJ'� l�� /,�/✓Q/n �. <br /> Sile Observations: ' <br /> ? Downspout I siie g ding issues no�ed:� /o� (���/ i�...t �v�ul�.n� -�1/� �� �YI•�-� � � <br /> S Building elevation relative to sewzr and surcoundinq area issues noted: I�4R�roa. f UO WU�i [� �-t�. O�ilY/� <br /> , Site pump issires noted: , <br /> Hislo�iwl In(ormalion101hcr Inlamalion: �' <br /> Pmvious"flooding'issue Service ftcQuests al addmss <br /> . Previous'Oooding'issues noted by homeo�mer. <br /> , <br /> j Recent slortnwater I seNer projecls completed in area Pmposed slormwater I sewer projecls in area: <br /> Property oxner inleresled in beginning Cily Bazkwaler Valve Pmgram al address: YES �]NO Oelaiis: <br /> Nales: <br /> Revision:3 TRW 1 Thursday,Septemher O5, 2013 <br /> ' I <br />