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20'93 LARGE STORM RESPONSE PAPER FORM CHECKI_IST <br /> G�/ ��/ <br /> Date of inspection: � � Inspeded By: iQ.�vu��7r--� <br /> Address�. � 6 �•e/1/l�ll�C.�-- Service Request Number: <br /> �J /., <br /> Resident: �`-� Ni����_. Owner� �YES ❑NO <br /> PhoneNumher Email:�C.('J�el���(Sg;.��Luv�CzRF�`�f`- <br /> General Building Detailr. <br /> Is this building wilhin the combined seHer area? 1'ES �NO Does the building have a basement7 ES ❑NO <br /> Does U�e buiiding have a backwaler val.e(BVJV)7 �YES �fJO (II yes)Was�11N inslalled Ihrou�h City program ❑Y[S ❑NO 'J� <br /> / <br /> Does Ihe building have a sump pump9 ❑YES �T10 Does the building have a grinder pump? ❑YES NO <br /> Storm Event Detailc: <br /> Where did water entering building come from? 0 SURFACE FLOVV Lf GROUNDVJATER �SE14'ER BACKUP-F�XTURES �UNKNOL"JN <br /> Delails: �0� �l9✓Q — �J� ��� 7l� � C� � -SG`Dvt/u� <br /> Where did water go within the building? �BASEMEN7 PERIMFTER BFSEAIENT NEAR FIXTURES ❑OTHFR <br /> De�ails: Lt0 �v 2„ lk�/�- �'° l�� �jo� i k g� �u�r..e-�— <br /> � i <br /> SileObservations: nt� ��,� ! <br /> Downspoul l site grading issues noted: U�,IPtn ' ('_� L16 '�/ G p , ��T >���Q 5 '�l�✓ <br /> Building elevation relalive to sewer and sunounding area issues noled No 5��' �'�v-�%1��,° i S.SI.�-�- /��Q� -! <br /> Siie pump iswes noted' <br /> Historical Inlormation I Olhcr Information: <br /> Previous'tlooding'issue Service Requests at addresr <br /> � Previous'(loodmg'issues noled by homeowner. <br /> ReceN stormwater I sewer projeds compleled in area: Pmposed slormwaler 1 sewer pwjecls in area: <br /> Piopedy owner inleresled in begimiing Cdy Backwater Valve Pmgram al address �YES ❑NO De�ails' <br /> Notes 1� r� i <br /> ' — - � GK'n �i ' w C� I �- ci�?�J <br /> Revision:3TRW 'y ' � 1 Thursday, September05, 2013 <br /> � <br /> � <br />