HomeMy WebLinkAboutFDP202000001 Application 2020-01-21COUNTY OF ALBFMARLE
Department of Community Development
401 Mclatire Road
Charlottcsft Vh iaia 22902-45%
Phone 434 29�6-5832 Fax 434 972-4126
FLOODPLAIN DEVELOPMENT P
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, miming, dredging, filling, Wig, paw 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 floodplam impact. Please inchide a}loodplain 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-W files) on a disc.
FEE required with submittal: $161(topographic info only), or $323 (floodpWn
modeling)
❑ New Submittal with a Zoning Special Use Permit. Please include a floodplain inwact plan.
FEE required with submittal: $323
❑ Resubmittai (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
h ://www.aibemarle.a u load/ima es/Forms Center/Departments/Cm Attorne /Forms/Albemarle Coonly Cade
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Section 4 of the Design Standards ManuaI provides a list of required items to be included in a Floodplain Impact Plan.
This can be found at httn://www.albemarlc.org/department`asp?department--c d—&relpaW=44 47.
Owner Name {Print) Home Phone Office / Other Phone
Address
City
State
7-
Zap Code
Tax Map & Pami Number (o
Project Name (if applicable) av-
Building Permit or Project Number (if applicable)
VA Iff Vr-V 3 X)1 4'P J to G
V'Q k I1/1na15
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.):
iik) AA LUITA ONWM V r
(Please attach any plans or photos to this application)
!. If a structure is proposed, is the structure accessory to a recreational or agricultural use? Yes EdNo ❑ NIA
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway ,_,(
serving a single family dwelling? Yes fi No 'N/A
3. Does any proposed fencing cross a stream channel? Yes ❑ No 2 NIA
4. If any fill is proposed, please approximate the proposed amount of fill in the floodplain p . [_,J T :ArA,p T-jj,,._
Owner / Agent Signature Date
(FOR OMCE USE ONLY)
Checloed By
(for resubmittais)
Fee Amount $ Date Paid
Receipt #
By who?
Check #
0
1111/20IS