Name of subdivision:                                                                                                      
Date of submission:                                                                                                       
Due date of recommendation (45 days):                                                                              
1. Insert the required information.
2. Denote compliance with applicable ordinances by placing his or her initials in all spaces where applicable.
3. Denote those items which the subdivider considers "not applicable" to this particular subdivision with the abbreviation "N.A."
             1. Five copies of primary plat submitted.
             2. Plans are on 24 inch by 36 inch sheets.
             3. Plan scale is to be less than one inch to 100 feet.
             4. Minimum profile scale is one inch to 100 feet horizontal and one inch to ten feet vertical.
             5. A title sheet is included with each set of primary plats.
             6. Name of proposed subdivision shown.
             7. Location given by town, range, section, or other legal description.
             8. Name and address of owner, trust, corporation of subdivider having control project is shown.
             9. Name and seal of engineer or surveyor registered in Indiana who prepared topographic survey is shown.
             10.   Name and address of the designer of the plan is shown.
             11. North direction is shown.
             12. Date of preparation and date of revision, if any, is shown.
             13. A vicinity map is included indicating:
                A. A scale of not less than one to 1,000 feet.
                B. Boundary lines of adjoining land within an area bounded by the nearest arterial streets or other natural boundaries.
                C. Use of surrounding land.
                D. Ownership of the surrounding land.
                E. Alignment of existing streets.
                F. Section and corporate lines.
             14. Boundary line of proposed subdivision is clearly shown.
             15. Total approximate acreage is shown.
             16. Existing zoning classification is indicated.
             17. The following existing items, if within the boundaries of the subdivision, or located 100 feet or less outside the boundaries are shown:
                A. Previously platted streets and other rights-of-way, with improvements, if any, indicating:
                   1. Location;
                   2. Widths;
                   3. Names.
                B. Railroad rights-of-way, indicating:
                   1. Location;
                   2. Dimensions.
                C. Utility rights-of-way, indicating:
                   1. Location;
                   2. Width;
                   3. Type:
                         a. Sanitary sewer;
                         b. Water;
                         c. Electric;
                         d. Storm sewer;
                         e. Gas;
                         f. Telephone;
                         g. Cable.
                D. Parks and other open spaces indicating:
                   1. Location;
                   2. Area.
                E. Easements, indicating:
                   1. Location;
                   2. Width;
                   3. Purpose.
                F. Permanent buildings and structures, indicating:
                   1. Location;
                   2. Setback lines;
                   3. Names of owners.
                G. Section and corporate lines.
                H. Sanitary sewers, indicating:
                   1. Location;
                   2. Size;
                   3. Manholes;
                   4. Invert elevations at manholes;
                   5. Slope;
                   6. Material.
                I. Water mains, indicating:
                   1. Location;
                   2. Size;
                   3. Material;
                   4. Valves, indicating:
                         a. Valve manhole; or
                         b. Valve box;
                   5. Fire hydrants and auxiliary valves.
                J. Culverts, indicating:
                   1. Type;
                   2. Location;
                   3. Size;
                   4. Invert elevations.
                K. Storm sewers, indicating:
                   1. Location;
                   2. Size;
                   3. Catch basins;
                   4. Invert elevations;
                   5. Slope;
                   6. Material.
                L. Watercourses, indicating:
                   1. Type;
                   2. High water width and elevation;
                   3. Width of easement;
                   4. Location of easement.
                M. Marshes, indicating:
                   1. Location;
                   2. Dimensions;
                   3. Soil-bearing capacity.
                N. Rock outcrops, indicating:
                   1. Location;
                   2. Dimensions.
                O. Monuments and survey markers, indicating:
                   1. Location;
                   2. Type.
                P. Flood plan information.  Tract of land not in Special Flood Zone A.
             18.   Topographic data is given in feet above mean sea level within the tract and to a distance of 100 feet beyond, indicating:
                A. Existing contours at vertical intervals of not more than two feet.
                B. Proposed contours at vertical intervals of not more than two feet.
                C. Bench mark, indicating:
                   1. Location;
                   2. Description;
                   3. Elevation.
             19. Soil-bearing data is given, if required by the City Engineer, indicating:
                A. Location of tests.
                B. Depth of tests.
                C. Soil-bearing capacity.
                D. Moisture content.
           20. The following proposed items, if within the boundaries of the subdivision or located 100 feet or less outside of the boundaries, are shown:
                A. Layout of streets, indicating:
                   1. Collector streets, indicating:
                      a. 60 foot right-of-way width;
                      b. 38 foot roadway width, face to face of gutter;
                   2. Minor streets, indicating:
                      a. 50 foot right-of-way width;
                      b. 28 foot roadway width, back to back of curbs;
                   3. Cul-de-sac streets, indicating:
                      a. 50 foot right-of-way width;
                      b. 28 foot roadway width, back to back of curbs;
                      c. The length does not exceed 500 unless there are less than 16 lots abutting the cul-de-sac street;
                      d. Terminus is circular, or nearly so, and right-of-way is at least 100 feet in diameter;
                      e. Terminus roadway distance is 80 feet in diameter, back to back of curbs;
                   4. Marginal access street, indicating:
                      a. 40 foot right-of-way width;
                      b. 24 foot roadway width, back-to-back curbs;
                   5. Through-street shown extended to boundaries of subdivision;
                   6. Storm water runoff pattern on paving.
                B. Names of streets: Not duplicating the name of any street heretofore used in the city or its environs, unless the street is an extension of an already existing street, in which case the name shall be used.
                C. Street improvement plan showing location of all new street improvements, including those to the centerline of previously dedicated rights-of-way abutting the subdivision, in accordance with present city standards.
                D. Utility easements:
                   1. Located at the front or rear of each lot and other necessary locations;
                   2. Not less than ten feet in width on each lot;
                   3. Purpose is indicated;
                   4. Storm water runoff is indicated.
                E. Centerline profiles of all streets showing gradients not less than 1.0% not more than:
                   1. 5%, on collector streets;
                   2. 12% on minor streets.
                F. Sidewalks:
                   1. Location;
                   2. Width.
                G. Block layout, indicating:
                   1. Blocks do not exceed 1200 feet in length;
                   2. Additional access ways to parks, schools, etc., are shown in accordance with the Plan Commission's requirements;
                   3. Blocks fit readily into the overall plan of the subdivision, with due consideration given to:
                      a. Topographical conditions;
                      b. Lot planning;
                   4. Block numbers;
                   5. Blocks intended for commercial, industrial, or institutional uses are so designated.
                H. Lot layout, indicating:
                   1. Lot dimensions;
                   2. Lot areas, not less than those stipulated in the appropriate district regulations of the zoning ordinance. (Areas may be listed by schedule);
                   3. Building setback lines shown and properly dimensioned;
                   4. Proposed land use;
                   5. Lot numbers;
                   6. Corner lots are sufficiently larger than interior lots to al0low maintenance of building setback lines on both street frontages and still allow a buildable width equal to that of the smallest interior lot in the block, (minimum width 90 feet);
                   7. All lots abut a publicly dedicated street for a distance of not less than the minimum width of the lot;
                   8. Lots are as nearly rectangular in shape as is practicable;
                   9. Lots are not less than 75 feet in width nor 100 feet in depth;
                   10. Lot lines are substantially at right angles to the street lines and radial curved street lines;
                   11. Lots abutting or traversed by a watercourse, drainage way, channel, or stream, indicate:
                      a. Additional width and depth to provide an acceptable building site;
                      b. Width of easement is at least ten feet wider on each side of water at high water level;
                   12. Due regard for natural features, such as:
                      a. Trees;
                      b. Watercourses;
                      c. Historic items;
                      d. Other similar conditions.
                I. Areas intended to be dedicated for public use, indicating:
                   1. Plan conforms to general development plan of the city;
                   2. Purpose;
                   3. Acreage.
                J. Source of domestic water supply, indicating:
                   1. Connection to existing water mains;
                   2. Size and capacity of connection point.
                K. Provision for sewage disposal, indicating:
                   1. Connection to existing sanitary sewer mains;
                   2. Size and capacity of connection point.
                L. School sites, indicating:
                   1. Location;
                   2. Dimensions;
                   3. Acreage.
                M. Topographic information, indicating:
                   1. Proposed changes in elevation of land show that any flooding would be relieved;
                   2. Adequate installation of storm sewers would remove the possibility of flooding.
                N. Sanitary sewer layout, indicating:
                   1. Location;
                   2. Size;
                   3. Invert elevations at manholes;
                   4. Manhole locations;
                   5. Slopes;
                   6. Materials;
                   7. Lengths.
                O. Water main layout, indicating;
                   1. Location;
                   2. Size;
                   3. Looped pattern, where practicable;
                   4. Fire hydrants, spaced apart not more than 600 feet.
                P. Storm sewer layout, indicating:
                   1. Location;
                   2. Catch basins at not more than 400 foot intervals;
                   3. Storm water is not carried across or around any intersection;
                   4. Surface water drainage pattern for each individual lot and block.
                Q. Street light layout, indicating:
                   1. Location and typical street light detail; or
                   2. Statement by subdivider that street lights will be installed in accordance with city standards.
                R. Electric distribution layout including:
                   1. Distribution lines;
                   2. Transformers;
                   3. Statement by subdivider that electric system will be installed in accordance with city standards.
                S. Gas:
                   1. Location;
                   2. Size.
                T. Telephone: Location.
                U. Cable: Location.
             21. An outline of proposed covenants accompanies the plans, indicating the intention of the subdivider to have the covenants recorded with the final plat.
                A. Protective covenant against obstruction of drainage easements.
             22. Typical street cross-section, showing base construction, surfacing, concrete curb and sidewalk in accordance with the land improvements ordinance.
             23. Indication that sidewalks will be installed along all lot lines coincidental with street rights-of-way.
             24. Indication on drawing or by certificate that subdivider is aware of his or her responsibility for installation of street sign and for seeding and tree planting in all parkways.
             25. Names and legal addresses of adjacent property owners.
Completed by:                                                                                                        
Reviewed by:                                                                         , City Engineer
Reviewed by:                                                                       , Utility Director
(Ord, - -, passed - -)