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2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> � <br /> �aieo�inspechon: ���� /�3 _ Inspededoy: !7!<✓�l l� ���'� f-,' <br /> i <br /> Address: ��3 L- � [ ���•f ��icz Request Number <br /> Res�dent_rY����_�PM Cl7H•� O�mer? �YES ❑NO <br /> Phon'Num6zc 'Lo(o •- �7 R�! — G'�l L � Ema'J�. .__ <br /> GeneralBoildingDetails: ` � r �/ S �((� <br /> J��1�i� �,�: �,n Pr C R t� <br /> Isthis builtling vnlh�n�he coT,bined sev,er area? �YES 0'JO Docs lhe bui:ding have a basemenl? j�YSS �D') <br /> Dces Ihe buildmg have a backwatrr valve(Bl'JV)� [J YES ��d0 (II yes)VJas BRN inst211ed through C�,y p;ogram ❑YES �NO <br /> Does the buitding have a sum�pump� ❑YES �NO Do�:s ib.e G�.:��c�nc ha:e a gnna�±r pump? LJ Y[S�J NO <br /> � ?/ <br /> Stortn Event Details: �ccy Zy ��c�0� � <br /> v <br /> Where did vrter entenng huilding came fiom?�,SURFACE FLOYJ ❑GROUP�DWATER �SEIVER BhCKUP-R?:TURrS �UKKtJO`:JI: <br /> Oetails l?3r�Jez✓ -L��L' Ju/ /�Cf`_'_'_h �ni/ /.���0 9'A�iwr FD :)t �SnC <br /> Whcre did xater ga vnthm Ihe bu:i��ny?,Q�BFSEIIENT PERIIdETER ❑�AS[tlEN i NF�1R FIXTURES ❑O1HER <br /> De:ails�.�rodr'� A� i1i OS� � �P�Q � —�—- -- <br /> / - <br /> Silc Obscrvations: <br /> Do�ynspoutlsilegradingissuesnoted: v�_�G��- -------- ----- <br /> Bulltling elevaficn mlalive to sewer and surraunding area issues not�cl:__�Q rcC� - <br /> T._— —__ <br /> Sde pump issues noied�. /J/� ——._ —� --- - - ---- - - <br /> Hisloriwl Inlormatian I Olhcr Inlormation: <br /> 7 <br /> Pmvious Yl�oJing'issue Service Requests al zddress'. ... .__,_ . - <br /> Previous'floodinq"issues noted by homeovmec_ 7-0IO _ - <br /> Rxeni slormwater I sev�er pmjeds wmple'ed in area: Proposed stonnwa;er I se�yrr projects in area' . . _ <br /> Property owner inleresled in beylnning Ci�y Backvrater Valvc Pm9ram at adtlress Q Y[S �NO 7clad;. <br /> NoleS:���1 CLMNP/ JZ1 7fi�l ILL{l+n� <br /> �l'S�I�r'� Ltva n?'� �v�"L'f��Q � 2tL5�1T'1—,✓L`_r , el <br /> �r�/ ' ���L��� ACl <br /> �:�(`tfj� 0 �!a �- �GUV, <br /> Revision' 3 TR�N 1 Thursday,Seplembcr O5, 2D]3 <br />