HomeMy WebLinkAboutFDP201900008 Application 2019-06-10®i6&A
APPROVE6
by the �"�" Courmy
� Department
Date D6 / o f
P#e � D
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
FLOODPLAIN DEVELOPMENT PERMIT
This form is intended to aid the Department in documenting and characterizing the nature of development proposed in the
floodplain. Development includes buildings or other structures, mining, dredging, filling, grading, paving, excavation or
drilling operations or storage of equipment or materials. The form responses will be used to determine whether a
floodplain impact plan or special use permit is required.
Please check one: ® New Submittal with no anticipated floodplain impact (no floodplain impact plan)
❑ New Submittal with an anticipated floodplain impact. Please include a floodplain impact
plan. FEE required with submittal: $323 (Code 18-35.1g)
❑ FEMA Letter of Map Change (LOMA, LOMR) Please include a complete copy of add
material to be submitted to FEMA. Include any computer models (HEC RASfiles) on a disc.
FEE required with submittal: $161 (topographic info only), or $323 (floodplain
modeling)
❑ New Submittal with a Zoning Special Use Permit. Please include a floodplain impact plan.
FEE required with submittal: $323
❑ Resubmittal (Floodplain Development Permit Number ) Please include your
response form from the original submittal. FEE as above required with each resubmittal.
A Floodplain Impact Plan, Special Use Permit, or FEMA Map Change will need to follow Zoning Floodplain Overlay
District requirements (County Code 18-30.3), found at
httv://www.albemarle.org/ut)load/imaaes/ForTns Center/Departments/County Attorney/FormsWbemarle County_Code
_
Ch18 Zoning30_Overlay Districts.pdf
Section 4 of the Design Standards Manual provides a list of required items to be included in a Floodplain Impact Plan.
This can be found at httv://www.albemarle.oM department.asp?department—==;cdd&relpaae=4447.
Rivanna Water and Sewer Authority • (434) 977-2970
Owner Name (Print) Home Phone Office / Other Phone
695 Moores Creek Lane
Address
Chadottesville
City
Tax Map & Parcel Number
Project Name (if applicable)
VA
State
07700-00-00-02100
Franklin Street Wetlands Mid
Building Permit or Project Number (if applicable)
22902
Zip Code
Site L
2b
(tpo-2o19-tav-3'-�
11/1/2015
Please describe the nature of the development activity proposed within the floodplain (e.g. new structure, grading for a
playing field, driveway stream crossing, installation of a fence, etc.):
Wetland mitigation work to include minor grading, installation of temporary erosion control devices, installation of an inlet
control device, and seeding. No new material is being added to the site; no material is being removed from the site.
(Please attach any plans or photos to this application)
1. If a structure is proposed, is the structure accessory to a recreational or agricultural use? Yes ❑ No ❑ /A
Z. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway ❑
serving a single family dwelling? Yes ❑ No
3. Does any proposed fencing cross a stream channel? Yes ❑ No ❑ N/
4. If any fill is proposed, please approximate the proposed amount of fill in the floodplain
Owner / Agent Signature rid Date � - 2' 5 " / 5
Xdz'A
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals)
Fee Amount $ Date Paid
Receipt #
Fee Received
Repelveo Date
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Receiiveed�d By
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By Who?_
Check #
RECEIVED
NO 2 3 2019
COMMUNITY
DEVELOPMENT
Date
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