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2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> 4iFir <br /> Date of inspection: q //6 Inspected By:J(i d n p D Ktia— <br /> Address: Q/6 Po/' ---- <br /> liti�C�`a C /4( S (� Service Request Number: <br /> Resident: Pa' Ill //'-2 1e—e - ( ,Unt / 'u Owner? ❑YES ❑NO <br /> Phone Number: Email: <br /> General Building Details: Y 0 e ,L f1 w j c e-d gr, �Act l ,07 / <br /> Is this building within the combined sewer area? ❑NO Does the building have a basement? /❑AYES ❑NO 1-e vo� IA-/ 7 <br /> Does the building have a backwater valve(BWV)? ❑YES E NO (If yes)Was BWV installed through City program ❑YES 'NO S 7 , <br /> Does the building have a sump pump? ❑YES i 0 Does the building have a grinder pump? ❑YES ErNO <br /> Storm Event Details: <br /> Where did w ter entering building come from? C)SURFACE FLOW ❑GROUNDWATER SEWER BACKUP-FIXTURES 0 UNKNOWN <br /> Details: �J U A- ( 1j c <br /> Where did water <br /> water go within the building? 0 BASEMENT/� PERIMETER ❑BASEMENT NEAR FIXTURES E 1 T1ER <br /> Details: f=n�c r� co bit # [IAA• <br /> Site Observations: <br /> Downspout/site grading issues noted: ( NIA-al-el- 'l 0 S e. L ,vt e' <br /> Building elevation relative to sewer and surrounding area issues noted: T,7" t�S G.(,/"br:Sr 0--(2-' Sb GEfl n^' S1 '�eT <br /> Site pump issues noted: f\f/_// <br /> Historical Information I Other Information: <br /> Previous"flooding"issue Service Requests at address: ti <br /> / � <br /> Previous"flooding"issues noted by homeowner: goo1 L S (A Gn a- (144.42d� vr\oo0A <br /> Recent stormwater/sewer projects completed in area: Proposed s rmwater I sewer projects in area: <br /> Property owner interested in beginning CityBackwater Valve Program at address: YES ❑NO Details: <br /> ,,,// •� J 9 / <br /> Notes: F1Pat �J 0 IA ���'3 Q Cj�,� ( `A `! , <br /> g rc rt- -S—a( (0—( 2` Gam- t 0 e- e• C 1.6luv► (- <br /> Revision:3 TRW 1 Thursday,September 05, 2013 <br />