Laserfiche WebLink
BACKWATER PREVENTION DEVICL FINAL <br /> �•F ,T INSTALLATION CHECKLIST <br /> InStallationCompanyNameandCnnicir.lhif��ie��lrc,� Co,�cs,�uc7ro�(.���rcC�s_ �1Z5=��7_7`�� � <br /> Dafe Backerater Prevention device �DNIU)w,is insLdled /�Zz�! > !�.ila Ilus lunn w,i;r.uu��,l �h�il 7/�3�/ S <br /> - . __ <br /> n -- <br /> Installation Froperty Ov;ner Name and Confacl Inlu _U���/�E? ��� <br /> - - _-- <br /> ProperyAddress J���- �9��-'� �'�` <br /> Pre•Installation Inspection Checklist: <br /> All ifem�musl be c�`�ecked'Yes'iir eider tw a Bbl9)!o be cousidered la inslril,'a?iun <br /> Is t'nere a basement or levei of Ihc hnusc lhat is �I or ncar�ssumed sewcr mam��b::v,ihm�7 � .�'s � ��'o <br /> Are ihere fixtures in ihe house located belo�v tiie upslream sewe�manlinlc nm elev�ihon?I 'YY�'� � � N�� <br /> Is the side se::er currenlly UNPROiEC1ED (rom se�.ver backups(docs unl hnvc;i GLVD insl,illedj'�� '�"Ycs [_�No <br /> Site Inspection Checkiist: <br /> AIf dems must be checked'Yes'belore inspec0on is considered comple(e <br /> N,'as side sewer 1V inspecled(rom building lo sea•er main7 L� res �_]kn Cu �d�lin;� ___ __ __ ______ <br /> Da:s side sewer have ai least 1%slope from lhe building lo sev,�r.r main? ��es � .� Wu Describc: ,___ <br /> Have ail building se���er drain connections�o ihe side serrcr I�r.en idenlificd�nd lur,nti�d? ��cs � � Nu <br /> Havc all preperiy slomi dramage conneclions l0 7he side se�ver brr.n idr.nlihed and loc:de�l? � �`�Y�r; � � �'o <br /> FI3s property been cvaluated for drainaye d^ficiencies tv�ih linduiqs cuninwni�'.ilr.d In prnpeily u�,�uci'f � ' Yia, � �Nn <br /> Installation DeGils: <br /> N'hal�ype and Urand of f3WD v+as insfalled af Ihis sife(Clean Check l3bW, Grinder pum��,cic )' CtG/�z'1 G(�Ce IL -- <br /> Where was Ihe device mslalled(general descripfion, allach map)7 _ _ _ __ <br /> INas there any other sewer or slorm drainage work completed in conjunr.lion wilh Ihe [i�Vf)�vnrh? Is ::o please describe ___ <br /> Ins43Ualion Checklisl: <br /> Are all downspnuls and sitr, dninage disconner.lr.d Irom upsfre��m oi Ihe 13WI)7 � �'Yc'; � � Nu Cunm�r.nls <br /> Does [31NU posdionmg mcels minimum slopc requirement of >i"/�? i�j�Ycs � .� R�u Cnnunr.nls <br /> C;n BVJD he pul;r.d nu�(ur utspedinn and m,imlr.nrmr.c aAcr luusening Ihunih sr.ic�v'� � `�Y�^; � � Nn <br /> I; G'N�Inr.ked inlo Ihr. proper posilion;md Ihumb screw Iighlr.ned? � Ycs � � Nn <br /> Cirdc Ihc f314'D cove�: imqation covcr (landscapc arc�i)l lrallic load bc�uinq r.ovcr�dnw� sud,i�c)/,in cs:h,dch (build�nq) <br /> 4V?s prop�rily�rnvncr shor,ai Ihe loc�i6on o llir�inslallt:d BINU? ���cs �� � tJr, t',�nninr.nL, <br /> � Qj - 23-J_i <br /> Frcperty C)v,ncr's Sii�n,dure: -- -� - - -- _ . _ i ku�r <br /> —_ . <br /> Ingi�:lrt s :�i��n.diui �l���l' - C.� `k�.,�-�4!.l�l-�--c_ _. l i.il , //Z z// 1 � <br /> (h�a.,i.,n . I f.i��ml ,��. '..•ir,.��nli..i ��,. 'fll4 <br />