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3121 LOMBARD AVE 2022-05-25
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3121 LOMBARD AVE 2022-05-25
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Last modified
5/25/2022 11:51:24 AM
Creation date
5/25/2022 11:51:16 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
3121
Notes
BACKWATER VALVE
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2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> 477 <br /> Date of inspection: (1�'1a— ) S :0 Li Inspected By: �`I <br /> r ` 'l <br /> A We 6 o JG T �� t f+ �,��1ca1.�1 <br /> Address: i a i LD m cl#k,�0 Au t; C Service Request Number: 0 0 11 ).c1 to z/ <br /> Resident: 6IN,1n_LE''/ 5 D a-i roSi)A)/VAC-WV/ Owner? !AYES ❑NO iwr tee S%AL'.r'r' <br /> Phone.Number: q e•c 44 d -So D4- Email: <br /> General Building Details: <br /> Is this building within the combined sewer area? [, YES ❑NO Does the building have a basement? YES ❑NO <br /> Does the building have a backwater valve(BWV)? ❑Y S ❑NO (If yes)Was BWV installed through City program ❑YES ❑NO <br /> PvSS;13L e 4ACq'P:7 Ao n) T I4vow <br /> Does the building have a sump pump? 0 YES 0 Does the building have a grinder pump? ❑YES []' 0 <br /> Storm Event Details: <br /> Where did water entering building come from? ❑SURFACE FLOW GROUNDWATER ❑SEWER BACKUP-FIXTURES ❑UNKNOWN <br /> Details: 6drtTeX At 6a: o eo v 70 644.•.•i worfc,'74 Ai-Joy <br /> Where did water go within the building? []'gASEMENT PERIMETER ❑BASEMENT NEAR FIXTURES ❑OTHER <br /> Details: td.AT 6,- (Ion i✓ /LOv,v43 c A L(-S ii,CAA L v'tvN0rt 1 11600-t <br /> Site Observations: <br /> Downspout/site grading issues noted: <br /> Building elevation relative to sewer and surrounding area issues noted: <br /> Site pump issues noted: <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:0 YES ❑NO Details: <br /> Notes: j4 s A ho LAZ 40i,-4`'A'l/P►oi.-6 4eftnpoe :. 4.--111)0Ct5 . 1'SG✓- Po01-5 ./ztva•.,o <br /> bLomita GA-44, T -1'0 L)LA1 J" i v eao eatav aV,0 w,41kwiti , <br /> foot lc ,Overt y7ctt•,v.» wflfl!w4v Af7t;4 P)at' Q ,S`tt ►Aicfo.tC4 .• <br /> Revision:3 TRW 1 Thursday,September 05,2013 <br />
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