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BACKWATER PREVENTION QEVICE FINAL <br />INSTALLATION �HECKLIST <br />Inslailation Compeny Neme and CoMad Into: � <br />Date Badcwater P�evenban device (B1ND) was insle <br />Installation Propedy OwnerName and Canhacl Inio: <br />piopeAy Address: <br />fam was comPleted. — � '" I <br />P�ednstalletlon In�par•tion CMcidist <br />AA i7ems must De checked'Ves' in arder lor a BWD b De uonside►ed fbr instelleElorr <br />Is there a DasemeM or level of 1he house lhat Is at ar near assumed sewer main elevation? ❑ No <br />q�e y�e {nA�res �n 1he house bcaled betow the ups6eam sewer menhole dm elevetior►? [��,�,�� <br />!s the s(de sewer amently UI�ROTECTED from sewer badatps (does not �ave a BYYD inslalled)9 l.►1 res ❑ No <br />Sib Insp�ctlon CAeddisE <br />All ite►ns rtwst 6e checked'Ves' Defae i►specGor► is oonsidered� <br />Was side sewer N fispeded 6om Mulding ao sewer main? es ❑ No Conditlon: ���n f��i=fl — <br />Does side sewer have at Eeast 1% slope (rom the b�ldio9 to sev�er main7 � � No D�n�be: <br />Have ali buBding ser�sr d�ain connections lo the sK1e sewer been identifled and Iocatedl (�fe�s � No <br />Have aU propedy sio�m drafiage oonnections to the si�le sewer been identified and located? � �� <br />�s ProPedY been evaluated for d�ainaqe defidencfes wilh findings oommunicaled to propeAy owne(t L�.S (] No <br />M�Ihtlon Ddtlk: <br />What type and brend of BWD was insh�lled at this ske (Clean Check BVW, Grinder pump, etc.): ��`'—C�`Q-�-�- <br />Wheie vras the devioe insFalled (general �esFriPUon, attach map)7 � D V h � V ��G �14'✓��3.Q- ' <br />i <br />Was there any othe� sewer or stortn drain�qe work comple�ed i�jundion wilh the BWD worlCt Is so pl�se desaibe: ^ <br />� <br />o�t3 <br />InstaRaUon Checldis� �,,� �0 1 � fl <br />Are etl downspouis and s'iEe d�ahiege dis�nnected trom upstream ot the BWD7 1.�� �� Comments: ��� <br />Does BWD positloning meets minimum slope requirement of >t%7 �[� No ,.C._o,�m�meMs. <br />Can BWD be pulled aut (or inspection and ma�otenan�e aRer bosenin�g t,h�u/mb saew? �es � No <br />Is BWD lodced into the proper posidon and Ihumb saew tighEened9 �y'Tes�[W�°1y' <br />Cirde the BWD oover. ii►igeGan oover (landscape a�ea)1 tralfic load bearing aooess hateh (hu�ldin9) <br />Was propedy owner sAown tbe lontion ot 1he installed BWD? es ❑ No Comments: ,����—�j'� • <br />P�oPertY <br />InslaAer: <br />oate: �_ .�– � � <br />oa�: �L— y- Zu� S— <br />Revision: 2 1 Friday, September 12, 2014 <br />