HomeMy WebLinkAboutOutlet RequestINSTRUCTIONS 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/Outlet
c. Indirect (subdivision & commercial projects) $150.00/Outlet
5. Permit fee is a non-refundable review fee.
Name of Drain: __________________________ Project Name:__________________________
Parcel Number: _________________________ Township: _____________________________
Applicant’s Name:________________________ Property Owner:_______________________
Address:________________________________ Property Address:______________________ ________________________________________ ______________________________________ Phone:(____)_____________________________ Phone:(____)___________________________ E-mail:__________________________________ E-mail: _______________________________
Contractor- Installer: _____________________________________________________________
Address: ________________________________________________________________________
Phone:(____)______________________ E-mail:________________________________
Purpose of Private Tile: ___________________________________________________________
Size of Tile: _____________ Type of Tile: _____________ Length of Tile: _____________
Number of Outlets: _____________
Location of Outlet: _______________________________________________________________
Will private tile cross property not owned by the applicant?_____________________________
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 easements and right-of-ways. This request is made as per I. C. 36-9-27-17.
___________________________________ _____________________________________
Applicant’s Signature Date
Check Title: Owner:______ Contractor:______ Engineer:______ Tenant:______ Other:______
***For Office Use Only***
Permit#:_________________ Plan Project Number: ________________ Check:_____________
Engineering Firm: ____________________________
OUTLET REQUEST
HAMILTON COUNTY SURVEYORS OFFICE
One Hamilton County Square, Suite 188
Noblesville, Indiana 46060
317-776-8495 fax: 317-776-9628
Revised May 2014