HomeMy WebLinkAboutFDP201900011 Floodplain Development Permit 2019-07-24COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434 1296-5832 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: M 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 all
material to be submitted to FEMA. Include any computer models (HEC-R,4S files) 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
http://www.albemarle.orL,,Iupload/imap,es/Fonns Center/Departments/County Attome /Forms/Albemarle County Code
Chl8 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 htti)://www.albemarl� et)arhnent.asp?department=cdd&relpage=4447.
Rivanna Water and Sewer Authority (Scott Schiller) (434) 977-2970, Ext. 206
Owner Name (Print) Home Phone Office / Other Phone
695 Moores Creek Lane
Address
Charlottesville VA 22902
City State Zip Code
Tax Map & Parcel Number 05700-00-00-035AO
Project Name (if applicable) Crozet Flow Equalization Tank and Pumping Station Upgrade
Building Permit or Project Number (if applicable)
t tnrzoi5
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.):
Installation of a circular ahnvP grardP 1 Q millinn gallnn PnnlnsPrt flnw agiia1i7at0nn tank (68 ft in Hb;;mPtPr and 40 ft in
height) located west of the Crozet PS#4 for sanitary sewer storage. The project also includes installations of subsurface
utilities such as sewer interceptors and force mains. The proposed tank facility is located partially within the Flood Zone
AE but outside 51 Me designated regulatory floodway no encroachment).
(Please attach any plans or photos to this application) See attached Site Plan (Sheet C2) and Yard Piping Plan (Sheet CQ
1. If a structure is proposed, is the structure accessory to a recreational or agricultural use? Yes ❑ No ❑✓ N/A
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway
serving a single family dwelling? Yes ❑ No ❑✓ N/A
3. Does any proposed fencing cross a stream channel? Yes ❑ No ❑✓ N/A
4. If any fill is proposed, please approximate the proposed amount of fill in the floodplain No fill is proposed
Owner / Agent Signature Date
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals) Fee Amount $ Date Paid
Receipt #
By Who?
Check #
Date
t l/1/2015