HomeMy WebLinkAboutOutletPermitRequest_01-16-19INSTRUCTIONS FOR OUTLET PERMIT REQUESTS
HAMILTON COUNTY SURVEYOR'S OFFICE
KENTON C. WARD, SURVEYOR
1. Request shall be made to the Hamilton County Surveyor's Office.
2. Request shall be made on standard form only, completely filled out with:
a. Name of Drain.
b. Parcel number of property involved.
c. Project name (if none then put individual's name).
d. Name & address of owner/contractor.
e. Specifications of the outlet shall include calculations; if required, size of the
drain, length of the drain, and gradient of the drain. This office may require
more details depending on the characteristics of the outlet.
f Plot plan showing regulated drain, private drain location, size and type of drain
material, point of connection, lot lines, buildings, physical features, platted
easements/rights-of-way, and any other information required by the Surveyor's
Office.
g. Copy of warranty deed (if property has transferred in last 60 days).
3. The form must be signed by the applicant or an agent of the applicant.
4. Checks or money orders are to be made payable to the Hamilton County
Treasurer. Fees are as follows:
a. Individuals S 75.00/Outlet
b. Subdivisions, Commercial projects and Utilities $150.00/Outlet
c. Indirect (subdivision & commercial projects) $150.00/0utlet
5. Permit fee is a non-refundable review fee.
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Name of Drain: Williams Creek
Parcel Number:
Revised My 2014
OUTLET REQUEST
HAMILTON COUNTY SURVEYORS OFFICE
One Hamilton county Square, Suite 188
Noblesville, Indiana 46060
317-776-8495 fax: 317-776-9628
The Hamlet at Jackson's
Grant, Section 2
Project Name:
17-09-34-00-00-018.001 Township: Clay
Applicants Name: John McKenzie Property Owner JJacksons Grant Real Estate Co., LL
Address:
4631 Lisborn Drive PropertyAddress:West side of Spring Mill Rd.
Carmel, Indiana 46033 approximately 1,400' North of 116th Street.
Phone: 3f 171574-7616 Phone:(_
E-mail: john@mckenziecollection.com E-mail:
Contractor- Installer: N/A
Address:
Purpose of Private Tile: Outlet for subdivision
Size of Tile: 18
Number of Outlets:
Location of Outlet:
Type of Tile: RCP Length of Tile:
Nnrih of site / drains to West.
Will private the cross property not owned by the applicant? No
If yes, list parcel numbers, names and addresses of those that will be crossed:
I hereby 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 theint of connection with
the regulated drain. A location map of the drain is attached showing the location of the regulated
drain, private drain, point of connection, lot lines, buildings and other physical features, and platted
easements an fight f --ways. This request is made ae
wary 16,920197
Applicant's Signature Date
Check Title: Owner:/ Contractor:_ Engineer:_. Tenant:_ Other:_
**•For Office Use Only***
Plan Project Number: Check:
Engineering Firm:
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