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2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> 477 <br /> Date of inspection: /l / / . Inspected By:al--1 /1 bild(4vA 7 l,P/i <br /> Address: d-' O Ii7i/14/bfirt 4(0e-• Service Request Number: <br /> Resident: C/►' /140 Tr(`E-Dn Owner? ❑YES ❑NO /1etn Q <br /> Phone Number: Email: <br /> General Building Details: <br /> Is this building within the combined sewer area? YES El NO Does the building have a basement? YES ❑NO <br /> Does the building have a backwater valve(BWV)? 0 YES Ek�v0 (If yes)Was BWV installed through City program CIYES ateDoes the building have a sump pump? ❑YES El NO Does the building have a grinder pump? 0 YES 1216 <br /> Storm Event Details: <br /> Where did <br /> water entering building come from? I:]SURFACE FLOW 0 GROUNDWATER Z1EWER BACKUP-FIXTURES 0 UNKNOWN <br /> Details: cl/'1/ `3 O T 0 r ( 111, t-'f^ /7 S' r 3 / 14,51 • / l 76Dr ��li�/7l <br /> X Where did water go within the building? BASEMENT PERIMETER [g-BASEMENT NEAR FIX <br /> TURES ❑OTHER <br /> Details: 6-• 1 FYI"`I"e- 134 i -7 f - <br /> Site Observations: / f /� <br /> Downspout/site grading issues noted: / ��4i 1/1i S `D 1 rob,A, 1 7O (.�'►hh�.�'""Z l Z (`w �h(data 1,-- <br /> Building elevation relative to sewer and surrounding area issues noted: <br /> Site pump issues noted: <br /> Historical Information I Other Information: �j ��77�- <br /> Previous"flooding"issue Service Requests at address: oil el <br /> tyel,)_ / S (G C r <br /> Previous"flooding"issues noted by homeowner: A(011 (2- <br /> Recent stormwater/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: ( € i J& I1n /, 4.c am 4ht, t-- F-Z0/— <br /> Revision:3 TRW 1 Thursday,September 05,2013 <br />