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"111:-A <br /> 2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST <br /> vdgi <br /> Date of inspection: '- a— I Inspected By: AA S A:Oct 2)1+,A AK, Pc c of't ? C 044 y <br /> Address: Lac 5 v.. e* Service Request Number: D,+�t. <br /> Resident: 1-1061 4 Av 0 Et Owner? N' ES ❑NO <br /> Phone Number: Ws - )5ct_ )7 'S' Email: <br /> General Building Details: —/ <br /> Is this building within the combined sewer area? YES Elo.NO Does the building have a basement? 'ES ❑ NO <br /> Does the building have a backwater valve(BWV)? EKES ❑NO (If yes)Was BWV installed through City program ❑YES 410 <br /> Does the building have a sump pump? D4.S ❑NO Does the building have a grinder pump? [EKES ❑NO <br /> Storm Event Details: ? <br /> Where did water entering building come from? ❑SURFACE FLOW [GROUNDWATER EWER BACKUP-FIXTURES ❑UNKNOWN <br /> Details: i„el-10. GMte; s�a,)o P CS.)s\ clnrc1C ,vo'i Lvo'ek.K.i • ) /1-4 'G2 r <br /> Where did water go within the building? aBASEMENT PERIMETER aEKSEMENT NEAR FIXTURES ❑OTHER <br /> Details: t..LVt'v SC l3 b'^0/ 50Ak Aft-ip :T ITpLc0 tf..0 /t L t 'v S"VIP Ccc. , <br /> CA"M a� Zo�4r t C.(nM i - 5L1 6A,,,,r✓Jvf • ¶Mt s 4.0011-(s- AC;i-r.tvy l 'A✓J A su•e:sey .rtl ?,:),In <br /> Site Observations: <br /> Downspout I site grading issues noted: +0 fS Lu 0 S <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: UO o S'V. �) (°l I t ) o t o (Do 10 3 60 7 -C 1/d 3//, <br /> Previous"flooding"issues noted by homeowner: <br /> Recent stormwater 1 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: <br /> Revision: 3 TRW 1 Thursday,September 05,2013 <br />