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2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> 4LT <br /> Date of inspection: V C ( 3 Inspected By:Jt /(41 11), / J 6 jovl liy <br /> Address: G S ('/�/ Service Request Number: <br /> Resident: Owner? 04'ES El NO <br /> Phone Number: Email: <br /> General Building Details: <br /> Is this building within the combined sewer area? ES ❑ NO Does the building have a basement? YES ❑NO <br /> Does the building have a backwater valve(BWV)? 124S Cl NO (If yes)Was BWV installed through City program 24S ❑NO <br /> Does the building have a sump pump? El YES Does the building have a grinder pump? ❑YES l0 <br /> Storm Event Details: <br /> Where did water entering building come from? ZJIRFACE FLOW ❑GROUNDWATER El SEWER BACKUP-FIXTURES ❑UNKNOWN <br /> Details:1p)3 D I /)- 1,.,-,1 S pth' f h1Y€4--eIl GG (l/m 61.t--rid,�4,v- CeeAt.r-S <br /> Where did water go within the building? ❑ EMENT PERIMETER ASEMENT NEAR FIXTURES El OTHER <br /> Details:}?/ z"(/ y 7- ' <br /> Site Observations: / <br /> Downspout/site grading issues noted: (i c41�1 �T `' � 4 �r� " Dr 1^4 �� Dr -J !/q <br /> - 1-1 (dh • / <br /> Building elevation relative to sewer and surrounding area issues noted: 41ni •-UP 4'1.) P,n-97 <br /> t re..— t-r / • <br /> Site pump issues noted: ,Are.,-e-J4 f - --- <br /> Historical Information I Other Information: <br /> Previous"flooding"issue Service Requests at address: <br /> Previous"flooding"issues noted by homeowner: <br /> Recent stormwater/sewer projects completed in area: Proposed stormwater/sewer projects in area: <br /> Property owner interested in beginning City Backwater Valve Program at address: ❑YES ❑NO Details: <br /> Notes:01"A_ac CQ? 6fil ittej.a. 64 Ai 6 (Juke- e- lA-441c--((yl.n a- f--'r/i.--i r /? <br /> 6 r ,c-lity$ <`f s 9rif 9331� � 4/,i4 sp,-1,A, 0 / h r= <br /> r.s t„,10 3 tit"?' 60-k? (lift"? cur Xc i7 d,ovir ow-aA <br /> Revision: 3 TRW 1 Monday,September 09, 2013 <br />