HomeMy WebLinkAboutFDP201900016 Application 2019-12-04COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902�965
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)
IN New Submittal with an anticipated floodplain impact. Please include a floodplain impact
plan. FEE required with submittal: $323 (Code 18-35.1 g)
❑ FEMA Letter of Map Change (LOMA, LOMR) Please include a complete copy ofall
material to be submitted to FEMA. Include any computer models (HEC-R 4Sfiles) 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 afloodplain impactplan.
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
bM://www.albemarle.ore/ulDload/imaRes/Forms Center/Dppartments/Cpgpty Attorney/Forms/Albemarle Qgunty—Code
Ch18 Zoning30—OverIgX—Districts.Ddf
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 h ://www.albemarle.gr de artment.as ?de artment==cdd&rel a e=4447,
Tina Taylor c/o Steven Lowe 540-325-6212
Owner Name (Print) Dome Phone Office / Other Phone
4051 Jacobs Creek Drive
Address
Scottsville VA 24590
City State Zip Code
Tax Map & Parcel Number 104-14B3
Project Name (if applicable) JACOBSbCREEK FLOOD STUDY
Building Permit or Project Number (if applicable) FQf CMUM - 01 �Q
ii/zrzo15
Please describe the nature of the development activity proposed within the floodplain (e.g. new structure, grading for :i
playing field, driveway stream crossing, installation of a fence, etc.):
STREAM CROSSING TO SERVE EXISTING S NGLE-FAMILY DWELLING
(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❑ NIA
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway
serving a single family dwelling? Yes ❑ No ❑ NIA
3. Does any proposed fencing cross a stream channel? Yes ❑ No NIA
4. If any fill is proposed, please approximate the proposed amount of fill in the floodplain
- Date 1 1 1
Owner / Agent Signature —
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals)
Fee Amount $
Receipt # _
RECEIVED
DEC 0 4 2019
COMMUNITY
rlt�VELOPMENT
Date Paid By who?_
Check #
Fee Received
�I
Recei D;3�
---L2kLLA__
Date
11/1/2015