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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
Secondary Plat Application
Application
Department of Infrastructure & Development
50 North 5th Street
Richmond, IN 47374
Secondary 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.
Secondary 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: ______________________________________________
Secondary 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:
Secondary 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
Secondary Plat Application
Page | 6
PLAT AND SUPPORTING DOCUMENTS
Date of submission or latest version INITIAL N/A COMMENTS
Plat Drawn
Easement Certificate (indicate type[s])
Proposed street lighting plan
Proposed water supply method
Proposed parking plan
Proposed method of drainage
(including detention/retention on and off site)
Plans profiles, cross-sections and specifications
Right-of-way dimensions for layout and width
Soil borings (minimum three per lot)
Addresses
Approved street names
Legal description
Covenants or restrictions
Performance Guarantee Calculations
Open Space Dedication
Lot numbers
Building lines
Dimensions of lots with areas
Signage
Proposed method of waste water disposal
Have drainage plans been altered since
Primary Plat Approval?
Yes No
Secondary 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.
EASEMENTS
INITIAL N/A COMMENTS
Utility easements (include dimensions and type of
utility)
Existing and proposed drainage easements
Secondary Plat Application
Page | 8
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.