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Case Number:
PC --____________________
Address:
________________________
________________________
Date Received:
________________________
Date of Hearing:
________________________
For questions, contact:
Ian Vanness, City Planner
ivanness@richmondindiana.gov
(765) 983-7217
City of Richmond
Advisory Plan Commission
Primary Plat Application
Application
Department of Infrastructure & Development
50 North 5th Street
Richmond, IN 47374
Primary Plat Application
Page | 2
Application Requirements
1. Pre-Application Meeting: Prior to submitting an Application for Rezoning, the applicant shall meet
with the Zoning Administrator to review the zoning classification of the site, review regulatory
ordinances and materials, review the procedures, and examine the proposed use and development of the
site. The Zoning Administrator shall then decide to:
(a) Assign the Primary Plat to the Plat Committee for review; or
(b) Assign the Primary Plat to the Plan Commission for review
2. Application must be filed and fees paid a minimum of 28 days prior to the Plat Committee meeting.
3. Submittals require the names and addresses of all known interested parties. Currently interested parties
are defined as any adjacent property regardless if a road, river, railroad, or other physical barrier exists.
This information may be obtained from the Wayne County Auditor’s Office.
4. After the submittal has been deemed complete, the Zoning Administrator shall notify all interested
parties of the public hearing by regular US mail a minimum of ten (10) days before the public hearing.
5. The City of Richmond staff shall also place a sign on the subject parcel notifying the public of a
scheduled hearing.
Site Plan Requirements
Applicable plans, drawings, and descriptions of the use and proposed site shall accompany the application.
The supporting information shall accurately and completely describe the proposed plat amendment,
including but not limited to:
1. Proposed name of the subdivision
2. Area map insert showing the general location of the site referenced to major streets.
3. Legal description of the site.
4. Boundary lines of the site including all dimensions of the site.
5. Names, centerlines and right-of-way widths of all streets, alleys and easements.
6. Layout, number, dimension, area and building setback lines on all lots.
7. Location and dimensions of any existing structures.
8. Location of all floodway and wetlands within the boundaries of the site.
9. Areas reserved for park, recreation, conservation, wetland, common area, lake, trails, etc
10. Proposed perimeter landscaping areas, entryway feature signs.
11. Stamp of Registered Professional Engineer or Registered Land Surveyor.
12. Any other information necessary to support a thorough review of the project and as requested in
writing by the Plan Commission or the Zoning Administrator.
Primary Plat Application
Page | 3
Site Information
Site Address: __________________________________________________________________
Total Acres: __________________________ Zoning District: ___________________________
Subdivision Name (if applicable): _________________________________________________
Overlay District (if applicable): ___________________________________________________
Zoning of Adjacent Parcels:
North: ________________________________ East: _________________________________
South: ________________________________ West: ________________________________
Property Owner Information
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: ________________________________________________ Zip: _____________________
CONTACT INFORMATION
Home: ____________________Work: ____________________ Mobile: ___________________
Email: ______________________________________________
Agent Information
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: ________________________________________________ Zip: _____________________
CONTACT INFORMATION
Home: ____________________Work: ____________________ Mobile: ___________________
Email: ______________________________________________
Primary Plat Application
Page | 4
Proposed Conditions
TOTAL PARENT PARCEL: _ ______
SUBDIVISION TYPE:
ENTRANCE WIDTH:
DISTANCE(S) TO NEAREST STREET INTERSECTION(S) _____________
DISTANCE TO ANOTHER DRIVEWAY:
UNIQUE ENVIRONMENTAL FEATURES:
HEIGHT OF PRIMARY STRUCTURE:
MINIMUM LOT AREA:
MINIMUM FRONT SETBACK:
MINIMUM SIDE SETBACK:
MINIMUM REAR SETBACK:
STREET WIDTHS:
RIGHT-OF-WAY WIDTHS:
PARCELS, IF ANY, FOR PLAYGROUNDS OR ANY PUBLIC USE:
MAXIMUM IMPERVIOUS SURFACE COVERAGE:
OPEN SPACE TOTAL:
SEWER PROVIDER:
WATER PROVIDER:
Primary Plat Application
Page | 5
Applicant Certification
I hereby certify that the above information and accompanying documents are true and accurate to the
best of my knowledge. I understand that any misrepresentation of submitted data may invalidate any
approval of this document. I further understand that this completed application must be filed and fees
paid at least twenty-eight (28) days prior to the next scheduled Advisory Plat Committee meeting.
APPLICANT SIGNATURE: _______________________________________ DATE: _____________
Owner Certification
This is to certify that the undersigned is/are the owner(s) of the real estate described in said application, and hereby
acknowledge(s) and agree(s) _________________________________ is duly authorized to present said application
before the City of Richmond, IN Advisory Plan Commission and Richmond Common Council.
I swear or affirm under penalties for perjury that the above representations are true and correct.
_________________________________ _________________________________
Signature Printed Name
_________________________________ _________________________________
Signature Printed Name
STATE OF INDIANA, COUNTY OF___________________________________.
Before me the undersigned, a Notary Public in and for _____________________________County, in the
State of Indiana, personally appeared ________________________________________and acknowledged
the execution of the foregoing instrument this day of , 20 .
Notary Public
My commission expires
Primary Plat Application
Page | 6
PLAT AND SUPPORTING DOCUMENTS
INITIAL N/A COMMENTS
Open Space Plan
Open Space Dedication on Plat
Covenants
Layout of proposed right-of-ways
Access plan for highway
Proposed parking lot grading
Street cross-section design
Schedule of proposed regulatory signs
Soil mapping with soil identification codes
Three (3) soil borings on proposed lots for septic
Health Department letter for septics (if applicable)
Drainage Board hearing scheduled
Lighting Plan (Including street lighting)
Landscaping Plan (Including placement of all
landscaping and required sidewalks and pedestrian
networks.)
Entryway Feature Plan (Including all signs that will
be utilized on the site, including but not limited to,
project identification, project directory, individual
occupancy [identification or advertisement
EASEMENTS
Utility easements (with dimensions and type of utility)
Existing and proposed drainage easements
Primary Plat Application
Page | 7
STORM WATER MANAGEMENT SYSTEMS DESIGN
INITIAL N/A COMMENTS
Calculation of runoff
Effective layout
Inlet capacity spacing
Pipe material
Outlet erosion control
High water level in relation to low to of casting
elevation
Storm water facilities appropriately selected
Proposed finished grade elevations/
Minimum openings in structures
Ensure proper siting
Required volume/release rate
Pre-treatment
Overflow spillway
Hydraulic calculations for transfer or outlet pipe
Geometry
Side slopes.
TOPOGRAPHICAL
Existing buildings
Existing roads (Including name, ROW width, and
type of surface)
Existing contours (no greater than a 2 ft. interval
inside the plat, no greater than a 10 ft interval
outside the plat)
Lot grading plan (Including finished grade for all
proposed lots and/or structures or top of foundation)
Available soils data, soil borings and locations
(include ground elevation and water table
information)
Primary Plat Application
Page | 8
DRAINAGE
Off site water shed areas (with boundaries)
All existing drainage courses and structures (with
proper labeling as to type, size and invert elevations)
County regulated drains (with permission to connect)
100 year floodplain contour (existing and proposed)
Wetlands (existing and proposed)
Lake, stream and wetland buffers
All environmental features (as defined in open space
ordinance)
Proposed storm water facilities
Before a subdivision plat can be recorded, the following information must be on the plat:
All owners of any and all parcels making up the subdivision plat MUST sign the plat.
There must be deed of dedication or equivalent statements on plat.
The deed of dedication must include the following information: the full name of the subdivision, and whether
any or all roads on the plat are dedicated to the public, rare to be private roads.
All signatures on the plat must also be typed or clearly printed beneath the signature.
The signatures of the owners of the land being subdivided must be notarized and presented exactly as they
took title.
All roads must have relevant information, including chord bearing and distances, the radius of the curve, and
the length of all line segments. This information may be provided in a curve and/or line table. The width of all
right-of-ways must also be included.
The dimensions, bearing, and curve data for all line segments must be included on the plat. This information
may be provided in a curve or line table.
Each lot must have a unique number or letter designation on the plat, and acreage amount of each lot must be
shown.
Any private roads will be treated as a taxable parcel and therefore the acreage of those roads must be included
on the plat. Roads that are noncontiguous must be treated as separate parcels with their individual names and
acreage amounts stated on the plat.
If a lot has more than one (1) specific description, the memoranda attached to the plat must designate how
much of the lot belongs to each of the part owners.