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. . . ----- -------- -- — ----- -- — - <br />2013 LARGE STORM RESPONSE PAPER FORM CFic�:KLIST <br />Daieofinspeclion:! /`� / Z G� � _ _ Inspecled8y:�`�-f� ^� I ' �� / � � I� ��/ �. <br />Address: �" �O �U��� ' `�� ServiceRequeslNumber. <br />Ii <br />Residenl:,,},�����` �� 5 �� (?+.ner7 �YES ❑NO <br />PhoneNumhe�i4ZS� 3►7 — K�� I [mai�: hFn� M�A qV\" ti-�h ��� �^ <br />General Building Details: <br />Is this building eiilhin Ihe comhined se�ver arca? �YCS ❑ NO <br />Does the bwlding have a backwaler valve (BW1�?�,YES �y NO <br />Does lhe building have a su�p pamp? ❑ YES NO <br />Storm Event Oetails: <br />Where did watcr enl <br />Delails ���� <br />Does the building have a bae�ment7 YES ❑ NO <br />(If ycs) Was BWJ installetl ltrough City program � YES �10 <br />Does the buiiding have a grinAer pump? ❑ YES u NO <br />came Iwm7 ❑ SURFACE FLOW � GROUNDWATER �ELNER BACKUP • FIXTURES ❑ UNKNOVJN <br />S�J✓+'J- I� ���o•,e„'�i <br />R'herQ did watar go w�lhin (he building? � BASEtdENT PERIt.1EiER u BASEMENT NEAR FIXTURES L OTHER <br />o�����s: � I,r� ���-. �-.�.o�� o f 4�e S�rc���� � <br />—� <br />Site Ohservations: <br />Dovmspoullsileg�adingissuesnoted-.�J4•���P���y ����PC��� �0 S�l%�, �4��� ��"1��� <br />Buitding elevaUon rela6ve lo sewer and sunounding area issues noled: �(' ^�^k �+� 1u� �"^ � ���_ ___ <br />Sile pump issues noted: � � <br />Historical Iniormation I Olhcr In(orrnalion: <br />Previeus "Ooodin� issue Service Requcsls al address�. <br />Previn�is'lloodiny" issucs noled by homeowner '°0^�% <br />Recr,nl s�ormwaler I sewer projecls compleleA in area: 'vJ �^ L <br />storm�vaterlsewer projeds in area� <br />Property owner inleresled in beghninIg City �ackwater Valvc Program at eddross: �YES ❑ NO <br />Notes. C�,ei�S h�i\l0(S :.�� $J^fl ;���e! 0.I SG, S�.J <br />6JL ��� S�o,��'f � Sn,-v�(.e ^"'S�j c��� f��^� c <br />Detai(s: U2 � � ^�t�t ri[ �,. <br />N,apr �o.� i _� ov <br />J <br />�e•� vi'. ^..i� �uoY_]<;.�.c,. <br />CM����. ' <br />Revision: 3 TR\N <br />1 <br />Thw�sday, Seplember O5, 2013 <br />