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HomeMy WebLinkAboutOutlet Permit 03-18-20INSTRUCTIONS 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 $ 75.00/Outlet b. Subdivisions, Commercial projects and Utilities $150.00/0utlet c. Indirect (subdivision & commercial projects) $150.00/Outlet 5. Permit fee is a non-refundable review fee. Adobo POF F;;w Fo OUTLET REQUEST HAMILTON COUNTY SURVEYORS OFFICE One Hamilton County Square, Suite 188 Noblesville, Indiana 46060 317-776-8495 fax: 317-776-9628 Name of Drain: Elizabeth Warner Parcel Number: 17-10-23-00-00-001.003 Applicant's Name: PM Development Holdings, LLC Address: 168 West Carmel Drive Carmel, Indiana 46032 Project Name: Revised May 2014 The Grove at The Legacy Sections 4A & 4B Township: Clay Property Owner: Falcon Nest 11, LLC Property Address:1356 Beverly Road Suite 250, McLean, Virginia, 22101 Phone: 3{ 17) 379-0184 Phone:(703) 893-7233 E-mail: Todd@Pyattbuilders.com E-mail: rzumot@zumot.net Contractor- Installer: N/A Address: Phone:(___) E-mail: Purpose of Private Tile: Outlet Subdivision Size of Tile: Type of Tile: Number of Outlets: Location of Outlet: Length of Tile: 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: 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 the point 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 easeinentriftpa . This request is made as per I. C. 36-9-27-17. March 18, 2020 Applicant's SikiVture Date Check Title: Owner: Contractor: Engineer: Tenant: Other: ***For Office Use Only*** Permit#: Plan Project Number: Check: Engineering Firm: Adobe POF Fitlable Form