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2013 LARGE STORM RESPOIJSE PAPER FG�RM CHECKLIST <br />� <br />, /, <br />�a�n ol;nspec���on�� � ��- -. -- — 'iupected "oy �%!� /I I '0 �G, i-� — <br />AdCress ,� -Y(J V �"�U}'r �L� ServiceRequest�Jum6er. <br />ResidenC �[i� � � O�vner7 ❑ YES � tJ0 <br />Phore Nurh�r. <br />Gerxal8uiiding Details: <br />/ <br />Is �tas building v;ilhin Ihe combined setr?r area7 �1'ES (] V10 <br />Ones Ihe 6u�lding have a bacY.�:�a:er valve (9VvU}7 [—� YES �0 <br />Jces Ire hd�!ding have a sump pump� ❑ YES [�4"fd0 <br />FinaP. <br />Does Ihe bullding hajv= a 6asemenl9� YES [l'!C <br />(II yes) l?'as Bl '4ns��i!led �nrougn Ci;y pregra� � j YfS �� t:C <br />�. . <br />Cocs iFa �:Jld��nq hzre a gri^der pump? [ YF:: ri��0 <br />Storm Evenl Details: <br />lti'here d�d �'+a'cr enlering 6ud.d:ng come fro�i7 � SURFACE FLO'N 0 GROI}��G'�JATER �"SE::`cR 5ACKUP - FIXTI.�RES � U',KMOI�'; <br />❑elail5 �/i ��e l,(Z l�)( � � �,✓ � ll��l 0„� (/ 1 �,)1.-��', P/Vt I -- <br />lNnere did waler go t�r:lh�n Ihe buiitllnp? ❑ �aSE1�1ENT PERItd'eTER L� �FSEh1ENT NEAR FIXiURES ❑ OTNER <br />['etals. <br />Sitc Ohservalions: <br />r� • <br />Co;ms{bullsi�egra�ngi�suesne:ed l�/CiL-��`��:���S��r�/'•��:�i r,✓_.-- <br />Eui!d�ng elevatian relalire to seH�e: and surrounding area issues noted: <br />;:ite pump issues noled: <br />Histodcal Information I Othcr Inlormation: <br />Previaus'flooding"issuc;en•ireReqres�.,-,�;,^ir,�.�..; __ <br />Freviaw `Ilood�ng" issues noled by humea�vm ��. <br />Fecent slormwa!er / se:ver projecis romple�ed in aiea � Propose alormviater 1 sewer projects in area�. ___ _ <br />Frepedyo�,uner inler�,sled in 6ec,�'nning City Backw.aler Valee Progr� at addres`s Y[S ❑ NO Delaiis� n ._ ___ <br />�'otes: � � 0 I r r'.��el'rr�T - I� i I`s !'�r �(�.�/��"�Clircc ��'�l'�fi ��!-�_ <br />, <br />_�''��., V e�� • ' l � r% ��(�_L� ;'��s, _ Cf�� a,:L v, i'r L('���� l e --- <br />pevlsion: 3 �RIV 1 'nur.day, September �5, ?013 <br />