HomeMy WebLinkAboutWPO201800091 Permit 2019-03-27Phone (434) 296-5832
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
FLOODPLAIN DEVELOPMENT PERMIT
Fax (434) 972-4126
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: 0 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-RAS 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:lJwww.albemarle.or /tti)load/images/Forms CcntcrlDepaitments/C:ounty Attorticy/Forms/Aibetnari County, Code_
Chl8—Zoning30—Ovcrlg,y Districts.i1d F
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 htt ://www.albemai-le.oi-7 de artment.as `?de )artmetit=cdd rcl )a c=444 .
University of Virginia Foundation Contact: Todd Marshall
434-924-2569
Owner Name (Print) Home Phone Office / Other Phone
P.O. Box 400218 Email: tarshall@uvafoundation.com
Address
Charlottesville
VA
City State
Tax Map & Parcel Number 03200-00-00-006RO
Project Name (if applicable) UVA Research Park Sewer Extension
Building Permit or Project Number (if applicable)
22904
Zip Code
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.):
The disturbancain the flood plain is limited to utility trenching for installation of a new sewer mamn- All the di,;tiirhpd
round will be restored to existing grade when work is complete. No fill will occur withing the flood plain. We consider
these activities to have not adverse effect on the flood elevation.
(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?
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway
serving a single family dwelling?
3. Does any proposed fencing cross a stream channel?
4. If any fill is proposed, please pproximate the proposed ount of fill in the floodplain
Owner / Agent Signature Date
Agent's Contact information:
Craig Kotarski, PE
Phone Number: 4343271688
Email: craig.kotarski@timmons.com
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals)
Fee Amount $
Receipt # _
Date Paid By Who?
Check #
Date
Yes ❑ No ❑✓ N/A
Yes ❑ No Z N/A
Yes ❑ No ❑✓ N/A
N/A
Z(ZS114
l t/l/2015