Laserfiche WebLink
2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> Date of inspection: 2(e Srz-P-re.mrsFe. ZD . Inspected By: 1J IFz.L.s i Y 6*As 1/t300 _50(24.0 <br /> Address: 822 C.4 i d CZ-i7 Service Request Number: '3Q L9c .VS in D <br /> Resident: tJ>f--St-iE-i to Owner? cES ❑ NO <br /> Phone Number: 1425 S-S. 3(Qa S Email: <br /> General Building Details: <br /> Is this building within the combined sewer area? ❑YES ❑ NO Does the building have a basement? DYES ❑ NO <br /> Does the building have a backwater valve(BWV)? ❑YES 12 (If yes)Was BWV installed through City program ❑YES ❑ NO <br /> Does the building have a sump pump? g' ES ❑ NO Does the building have a grinder pump? ❑YES ❑NO <br /> Storm Event Details: <br /> Where did water entering building come from? ❑ SURFACE FLOW ❑ GROUNDWATER E6NER BACKUP-FIXTURES ❑ UNKNOWN <br /> Details: P V_ Gt.0v3 cn-ivin <br /> Where did water go within the building? tg'BASEMENT PERIMETER ❑ BASEMENT NEAR FIXTURES ❑ OTHER <br /> Details: SASSAVIan.A fo ofL C I Ow k zQ US St-t or JR— <br /> Site Observations: <br /> Downspout/site grading issues noted: 1100S E AN!) V1.X\\) E s AE A BO V E , O4 a 6,4CAPE, <br /> Building elevation relative to sewer and surrounding area issues noted: lhus&- otJ SI.oM' O t^t "DczAALOf'YVIi?sr4C UPH[c,l_ <br /> Site pump issues noted: <br /> Historical Information 1 Other Information: <br /> Previous"flooding"issue Service Requests at address: Ni pr`l?z_ <br /> Previous"flooding"issues noted by homeowner: NS • <br /> Recent stormwater I sewer projects completed in area: Proposed stormwater I sewer projects in area: <br /> Property owner interested in beginning City Backwater Valve Program at address: ❑YES ❑NO Details: <br /> Notes: TOILz ©UT-aa tnID FLOb( ?z-I) f;A-1 t-LRoov►& 4 Rgys` 0-f (Sits ifrk 4J <br /> U Sizi-I JPrM V/Pc i 1 `PDT i A-L WLt L. I Su_, 4, iJ fL L - (Coca UP <br /> N17- ]GD t,- Kt CSIkt_rt- Ft,avJ UPct t fi <br /> Revision: 3 TRW 1 Monday, September 09,2013 <br />