Full Text
Hamilton County Highway Department 1700 S. 10th Street Noblesville, IN. 46060 Ph: (317) 773-7770 Fax: (317) 776-9814 www.hamiltoncounty.in.gov APPLICATION TO BUILD A RESIDENTIAL DRIVE OR FFE IN R/W HCHD Form 1015 Revised 04/10/23 Permit Instructions 1. A permit is not required for a residential drive being installed in a platted subdivision which has curbs and gutters in place at the location of the drive and where there is no drainage swale within the rights-of-way at the drive location. A drive either permitted or not permitted is not allowed to cross a limited access rights-of-way or a non-access easement. A drive installed across a L.A. R/W or a non-access easement will be subject to a fine of up to $2500 and will be required to be removed at the owners expensens. 2. Form must be completely filled out using a typewriter or printed in black ink. Any non-applicable blanks must be marked N/A. 3. Contact a Permit Inspector or consult the Hamilton County “Permit Manual for County Roads” for questions concerning this application. 4. A basic plan must accompany this application. The drawing must show the R/W, edge of pavement, all construction details, existing driveways, existing drainage, easements and other significant features within or immediately adjacent to the R/W (including septic system laterals and perimeter drains). The plan must show distances to the nearest intersecting roads, dimensions of all construction and have a legend for all symbols used. Failure to include all of the above will result in the denial and return of your application. 5. A permit bond is not normally required for this permit. A permit bond may be required however, upon review of the permit. The beneficiary on the permit bond shall be the “Board of Hamilton County Commissioners, Hamilton County Indiana”. 6. Permit fee shall be check or money order made payable to the “Hamilton County Treasurer”. Cash can not be accepted. When complete, mail or hand deliver this signed application, along with the permit fee, permit bond and detailed plan to the above address, Attention: “Permit Inspector”. Applicant’s Name Applicant’s Status (Must mark one) Contact Person Mailing Address City Project Owner’s Name (if different from applicant) Project Owner’s Address (if different from applicant) City Project Location (Must be described in reference to centerlines of streets in feet. Use HCHD form 1021 for additional locations in same project.) Project Purpose I hereby certify that I have the authority to bind the above named applicant and the owner of the facilities being installed under this permit to the terms, conditions and requirements of this permit. I have received a copy of the code, read and fully understand all requirements of Hamilton County Code Title 8, Article 17, Chapter 3, Section 2 concerning the permit and construction process and requirements. I also certify that I, the applicant and all persons performing the work authorized by this permit understand all requirements of the above referenced code and permit and will abide by all of their requirements and conditions. I further certify that I, the applicant and any persons performing work authorized by this permit will not make any changes in from the approved plan and permit without receiving written permission from the Hamilton County Highway Department. The applicant and owner agrees and understands that Hamilton County does not warrant the accuracy of the limits of the right-of-way shown on this permit and further that Hamilton County’s approval is limited to conveying it’s approval to install the approved facilities only within legal road right-of-ways. If the facilities as shown on this permit are not within legal road right-of-ways, it shall be the applicant’s duty to obtain the proper legal access to the property to install said facilities as shown on the plans. The applicant, owner and I agree to pay all attor- ney’s fees, court costs and other damages or costs incurred by Hamilton County in enforcing the terms of this permit, enforcing the County Code or which are a result of litigation incurred by the County as a result of this permit. The applicant, the owner of the facilities being installed under this permit and I understand that in the event Hamilton County determines that any of the facilities installed under this permit need to be repaired, relocated or removed from the right-of-way, that the owner or any subsequent owner of the facilities agrees to maintain, relocate or remove these facilities in a timely manner at no cost to Hamilton County or its successors. The applicant, owner and I agree that the commencement of work covered by this permit will serve as our acceptance of all terms, conditions and requirements of the approved permit. I hereby certify that this drive does not cross a limited access right-of-way or a non-access easement. Signature Printed Name Applicant’s Internal Control # State Zip Code E-mail Phone # Phone # Fax # State Zip Code Date Title Check or money order Individual Partnership Corporation Bond TOTAL PERMIT Bond Amount: Bond E-mail Residential (Must be less than 24 feet in width and serve no more than two dwellings.) drive(s) @ $50 / each Farm Field (Must be less than 24 feet in width and serve as access for agricultural use which is not open to the public.) drive(s) @ $50 / each Do not write in this Section - Surveyor’s Office Use Only Drain(s) Affected: Permit Needed Non-enforcement Outlet Crossing Surveyor, Hamilton This permit is approved: Subject to the changes noted on the plans. Subject to the attached conditions. As submitted. Other Do not write in this Section - Highway Department Use Only This project requires a variance. This project does not affect a regulated drain. This project affects a regulated drain(s) and an application must be made with the Hamilton County Drainage Board for construction within a drainage easement. $ 0 $ 0 $ 0 IN IN