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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: N 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.Ig)
❑ 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-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 impaetplan.
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.albeinarle.org/tipload/iinages/Fornis Center/Departments/County Attorney/Forms/Albemarle County Code
Ch18 Zoning30 OverlaysDistricts.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 http•//www.albeniarle ora/depaitment.asp?departinent=cdd&relpage=4447.
Woolen Mills, LLC - Attn Brian Roy 434-996-3904
Owner Name (Print) Home Phone Office / Other Phone
1875 Graham Court
Address
Keswick VA 22947
City State Zip Code
Tax Map & Parcel Number 07700-00-00-038BO & 00780-00-00-022A0
Project Name (if applicable) WPO202000029 Woolen Mills Pedestrian Bridge Temporary Bridge Access Road
Building Permit or Project Number (if applicable)
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 construction of a temporary access road that follows the Rivanna Trail that will allow equipment access to install the
previously approved pedestrian bridge abutment associated with the Woolen Mills Site Plan. The proposed access road
will does not proposed any additional fill within the floodplain.
(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 ✓❑ 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
Owner / Agent Signature Date
(FOR OFFICE USE ONLY)
Checked By Date
(for resubmittals) Fee Amount $ Date Paid By Who? _
Receipt # Check #
tl/l/2015