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TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
CHANGE ORDER CONTACT PERSON W tx 10 r Phone No.
Address
Site Name P&Z No.
Owner (; C I�}�� Phone No.
Contractor
Signature of Owner Date L5 h I -
Signature of Design Engr. Date:
CHANGE: .(Describe location and nature of change. Include
Four (4) copies of plan/profile of Change. )
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Reason for Change: (Why is change required)
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APPROVALS: (As Re ired)
Dir. Of Planning ,) Date:
Town Engineer = -' Date:
Dir. of Public Works Date:
Other Date:
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod —Engineering Department
INV. iN=121.65'f FIT IN `FIELD /
V11ITE INV. OUT=121.62'f FIT IN FIELD �
IAT0HING SUMP (2')=119.62'f
TRAP HOOD ON OUTLET f
B-g 124
OK
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-12 RCP
OP. H.C. Q�� Q
LIGHT
POLE \ �
RELOCATE
EXIST. VISITOR
PARKING SIGN
PROP. 2" & Y - _
RIGID METAL ` ` % c.0.
CONDUIT 24 / \
DEEP MIN.
L=65,t EA. 03,
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EX. TYPE"C-L"C.B.
T.F.=123.58'
INV. 15"RCP OUT SE=119.6'f
,� \\ INV. 15"RCP IN=121.19f
\\ INV. 12"RCP IN=120.23't
\\ SUMP=120.17t
INV_ B'VCP IN=120.27'f
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HUB 1
N 1000.00
.E 1000-0 REPLACE B.C.L.C.
LEAVE E.G. BELOW , �`� �� / RELOCATE ��
TOP-,OF CURB i / N.C. SIGN RELOCATE
- - - � - - - _ � - - - - _ _ — �( 1- - - -
5
- - - - - - - - - - -"---_.- — — — — —
3g — / g PROP. N.C. —�
SIGN
YPE "�`—L� J W / REMOVE, REGRADE
do REPLACE
= 125.39' EXIST , =;; ,1 Jl " BITUMINOUS WALK /
_ C.B. //i J �l' / MOTORCYCLE 4RKIN(
39 t AREA TO W- REMOVED
22.17't /, _ _ AREA T LOAMED &
a THROUGH
23 29't
� _ ry
6
� I
1
J
REPLACE BI.L.C. Vie_► x '
\LEAVE E.G. FLOW Ll HT
STOP OF CU B P LE
1 � I
GRANITE PAVERS TO BE
15- REMOVED BY TOWN PRIOR
EXCAVATION AND PAVING
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D.H. 2
05/05/2010 WED 11:33 FAX 8606448027 Q 002/002
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