HomeMy WebLinkAboutFDP202000009 Application 2020-07-31r)]
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: m New Submittal with no anticipated floodplain impact (no floodplain impact plan)
❑ New Submittal with an anticipated floodplain impact. Please include afloodplain 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 FEW 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 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.org/upload/images/Forms_Center/Departments/Court Attorney/Forms/Albemarle_CouM Code_
Ch18 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 http://www.albemarle.or /g_department.asp?department=cdd&relpage=4447.
Rivanna Water & Sewer
Owner Name (Print)
695 Moores Creek Lane
Address
434-977-2970
Home Phone Office / Other Phone
Charlottesville Virginia 22902
City State Zip Code
Tax Map & Parcel Number Parcel ID 02500-00-00-00700
Project Name (if applicable) Sugar Hollow Dam
Building Permit or Project Number (if applicable)
tv1n0t5
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.):
Qrading to facilitate the installation of a replacement inflatable Crest gate on the Sugar Hollpw Dam
(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 approximate the proposed amount of fill in the floodplain
Yes ❑ No ✓❑ N/A
Yes ❑ No ❑✓ N/A
Yes ❑ No ✓❑ N/A
25 C.Y.
Owner / Agent Signature Date 7/31/2020
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals)
Project Engineer
Schnabel Engineering
Fee Amount $ Date Paid
Receipt #
LIM
Check #
Date
I1/1/2015