HomeMy WebLinkAboutOutletRequest 01-16-19N (:
Name of Drain: Elizabeth Warner
OUTLET REQUEST
HAMILTON COUNTY SURVEYORS OFFICE
One Hamilton County Square, Suite 188
Noblesville, Indiana 46060
317-776-8495 fax: 317-776-9628
Parcel Number: 17-10-23-00-00-001.003
Platinum Properties
Applicant's Name: Management Co LLC
Address: 9757 Westpoint Drive
Indianapolis, Indiana 46256
Revised May 2014
The Amenity Area at
Project Name: The Legacy
Township: Clay
Property Owner:Falcon Nest II, LLC
Property Address: 1356 Beverly Road
Suite 250, McLean, Virginia, 22101
Phone: 3(_ 17) 216-8636 Phone:(703} 893-7233
E-mail: twalter@platinum-properties.com E-mail: rzumot@zumot.net
Contractor- Installer: N/A
Address:
Phone:{____}
E-mail:
Purpose of Private Tile: Outlet Amenity Area
Size of Tile:
Number of Outlets: 1
Type of Tile:
Length of Tile:
Location of Outlet: South to Cherry Creek Boulevard
Will private tile cross property not owned by the applicant? No
If yes, list parcel numbers, names and addresses of those that will be crossed:
Thereby request permission to outlet a private drain into the above mentioned regulated drain. The
construction shall conform to the standards of the County Surveyor at the paint of connection with
the regulated drain. A location map of the drain is attached showing the location of the regulated
drain, private drai , point of connection, lot lines, buildings and other physical features, and platted
easements and r' t-oof-w s. T :s quest is made as per Z C. 36-9-27-17.
January 16, 2019
Applicant's Signature Date
Check Title: Owner: Contractor: Engineer _ _ Tenant: Other_
Adobe POF FiliableForm
0
STOEPPELWERTH AND ASSOCIATES, INC.
PAY
DATE
INVOICE NO,
COMMENT
AMOUNT
01/14/2019
150.00
Outlet Request - Legacy Amenity Area
AMOUNT
150.00
DATE01/15/19 VENDOR Hamilton County Treasurer
TOTAL
STOEPPELWERTH AND ASSOCIATES, INC.
10. PH. 317-849-5935
' 7965 EAST 106TH STREET
111� FISHERS, INDIANA 46038-2505
One Hundred Fifty and no/100
TO THE
ORDER HAMILTON COUNTY TREASURER
OF 33 NORTH 9TH STREET
NOBLESVILLE IN 46060
30140
NETAMOUNT
150.00
150.00
30140
IN01I Huntington En P'0tWk f.8fik Fraud
EZSNe 11 to Business
20-7/740
DATE
CHECK AMOUNT
Y
U
o
01/15/19 30140 $150.00
0
STOEPPELWERTH AND ASSOCIATES, INC. n
t
AU IZED SIG ATURE
111000 30 14011' 1:074000D7131: 0 L 5 5 L6 5a0a Lo
STOEPPELWERTH AND ASSOCIATES, INC.
30140
DATE
01/14/2019
INVOICE NO.
COMMENT
Outlet Request - Legacy Amenity Area
AMOUNT
NETAMOUNT
150.00
DATE 01/15/19 VENDOR Hamilton County Treasurer
TOTAL
150.00
v
^^ 2 1734701