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- ----- --- --- ---- -- - -- - -- ---- ---- --_._...-- <br /> i. _ ..--- - --- -._ <br /> ; 2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> Dale of inspec6on:�� I 3 Inspecled By:_ �.°tv� VO/c;-�,t � <br /> Address: l•J� d I rQ-UC_EG.�/L. {^rW,, Service Requesl Number: U 6 � 2� 3 O� D <br /> Resident: �N� `'��f2 Owner? [�'fES 0 NO <br /> Phone Num6er. Email: ' <br /> General8uilding Details: • <br /> Is Ihis building wilhin Ihe combined sewer area? (�'ES �NO Dces lhe building have a basemenl? �YES �NO ' <br /> �oes the building have a backwater valve(fiWV)? ❑YES ❑NO (I(yes)1Nas BVJV inslalled Ihrough City program ❑YES �t�0 , <br /> ' Does the building have a sump pumpT �YES �NO Does ihe 6uitding have a grinder pump7 ❑YES ❑NO � <br /> Storm Event De�ails: <br /> � Where did waler entering bu!Iding come fmm7 0 SURFACE FLOW ❑GROUNDWATER �SEWER BACKUP•FIXTURES ❑UNKNOWN <br /> �etails: <br /> Where did waler go wilhin the building? �BASEMENT PERIMETER �BASEMENT NEAR FIXTURES �OTHER <br /> Details: l�ta �r-.�f �f ��'LA�•J `21J� fLtV ?� <br /> Sile Observaiions: <br /> Dou�nspout I ile grading issues noled' ���"� �NNF�-7�.,� ' �!oUS� IJ 0 T <br /> Building elevaUon relalive lo sewer and su«ounding area issues noted: � <br /> I <br /> i , <br /> ! Site_pumpissuesnoled: 5.��.nP P✓�K!' Ia�T �1��� <br /> i <br /> � HiStoricailnformationl0iherinformation: <br /> i Pravious'Oooding°issue Service Requests al address� <br /> � Previous'flooding'issues noted by honiwwncr._�j�o - 5'�+.n� A���� Fl✓l�.+ND q+"ti+1 vJ -rb �Rr�y � <br /> I <br /> i Recent slormwater!sewer pwjeds compleled in area N� Proposed stormwater I sewer projecls in area: < <l� <br /> , Properry owner inleresled in beginning Cily Backwaler Valvc Program al address:(�YES 0 NO Delails: ��:lL �'1 - <br /> Noles <br /> � <br /> I <br /> �, <br /> i � <br /> . Revision:3 7RW 1 Thursday,5eptember 05,2013 <br /> � <br />