Laserfiche WebLink
2013 LARGE STORPA RESPONSE PAPER FOR(lil �HECKLIST <br /> � <br /> Oale ol inspedion:��� Inspecled By. -_- --- <br /> / r � � / '}� <br /> Address:���/ ,�.���G�// ServiceRequesWumber: __ { <br /> i <br /> Resident Owner? ❑YES ❑NO <br /> Phone Number. EmaiC __ � <br /> General 6uilding Details: � <br /> Is this building wilhin Ihe combineA sewer area7 �'YES �NO Does the bui!ding have a basemenl7 YES ❑tJ0 <br /> Does the�uilding have a backwater valve(BWV�? ❑YES NO (II yzs)lNas Blh'V insta!I>d through Gity program ❑YES �'NO <br /> Does Ihe building have a sump pumpT ❑YES ��IO Does Ihe bui!ding have a gnnd=_r.pump7 �]YES NO , <br /> Slorm Event Details: � <br /> VJhere did water entenng building come frum? �SURFACE FLO'!J ❑GROUNDWATFR �SEWER BACKUP-FIXTURES ❑UNKNON'N � <br /> Oelails�. I LFJd� �Jl � `i l� �� • <br /> �::here did water go within!he building7 �y ttASEtJE�Ji PERIMETER �"6ASEtAENT IdEAR FIXTURES ❑OTHtR <br /> 7 (� G � '�� ���R� 1��+1 <br /> Details: ) — �> 1 I�� / � n — <br /> Sile Obscrvalions: <br /> / 99 r. . <br /> Do�.vnspout I silc grading issues noted:f��1111 o/�-SU�- � j�1��1/�`�- �� ����1 ��lm � <br /> Bulding elevation relalive lo sewer and surrounding area issues noted: <br /> � Sne pump issues noled: ' <br /> Hislorical Infonnalion 1 Olhcr Information: n <br /> /Jl� i <br /> Previous'foodmg"issueServiceRequeslsataddress: SJ�'1�t�f� �i'/�'�0/on � - i <br /> Previous'ilooding"issuesnotedbyhomeovmec ��'� �' mS �I <br /> Recrnt skrmwater!sew'er projecls compleled in area:�9"�� Proposed slormwater I sener pwjecls in�aroal _ ' <br /> . Propedy o�.vner inlerested in beginning Cily Backwater Vatve P�oyram at a ress�.�"YES ❑NO �etails:__ � <br /> � No��e, r I G''V� ��J�*, � � � ���- U n �r�( r . <br /> I Revision:3 TRW 1 Thursday,Septemher O5, 2013 <br /> i <br /> I <br />