Overflow Control Program: Basement Survey

Your input is appreciated!

Thank you for taking a moment to complete this survey. Your time in completing a few brief questions about the history of any sewage backups at your property is invaluable as we pinpoint specific problems, develop solutions, and construct reasonable fixes. There are 7 short questions that should take only a few minutes to complete. If you have any questions, please contact Kurt Mitscher, Taliaferro & Browne, Inc. at (816) 283-3456.

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1. Does your building with the address noted above have a basement? (Required.)

Yes

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2. If "Yes", how much lower is the basement than the street outside?

Less than 5 feet

5 feet to 10 feet

More than 10 feet

I don't have a basement

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3. Have you ever experienced sewage backing up in your basement (in the past 10 years)?

Yes

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4. If "Yes", how often do you have basement backups?

More than once per year

Once per year

Less than once per year

I don't have basement backups

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5. Is there a floor drain in your basement?

Yes

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6. Does your building have external roof drains?

Yes

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7. Are you okay with a survey crew coming in to take a look at your building to obtain an accurate basement elevation?

Yes

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* 1. Does your building with the address noted above have a basement? (Required.)

Question Title

* 2. If "Yes", how much lower is the basement than the street outside?

Question Title

* 3. Have you ever experienced sewage backing up in your basement (in the past 10 years)?

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* 4. If "Yes", how often do you have basement backups?

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* 5. Is there a floor drain in your basement?

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* 6. Does your building have external roof drains?

Question Title

* 7. Are you okay with a survey crew coming in to take a look at your building to obtain an accurate basement elevation?

1. Does your building with the address noted above have a basement? (Required.)

2. If "Yes", how much lower is the basement than the street outside?

3. Have you ever experienced sewage backing up in your basement (in the past 10 years)?

4. If "Yes", how often do you have basement backups?

5. Is there a floor drain in your basement?

6. Does your building have external roof drains?

7. Are you okay with a survey crew coming in to take a look at your building to obtain an accurate basement elevation?