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FDP202000037 Application 2020-09-30
of a COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road Phone (434) 296-5ti32 Charlottesville, Virginia 22902-45% Fan (434) 97Z 4726 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 drilling operations or storage of equipment or materials. The form responses will be used to mg' paving, excavation or floo lain impact plan or special use respo etermine whether a dP mp P p permit is required. Please check one: ❑ 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: S323 (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-R 4Sfiles) on a disc. FEE required with submittal: 5161(topographic info 0a1y), or $323 (floodplain modeling) ❑ New Submittal with a Zoning Special Use Permit. Please include afloodplanr impactplan FEE required with submittal: $323 ❑ Resubmittal (Floodplain Development Permit Number —J Please include your response form from the original submittal FEE as above required with each resabmittal. 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 htti,://www.albemarle.or - unload/ima es/Forms ;r/De}+artments/Coum+ Artome�/Forms/Albemarle Courjt Code t_h l8 Zonina30 Oyertat Districts +df Section 4 ofthe Design Standards Manual provides a list of required items to he included in a Floodplain Impact Plan. This can be found at http://www.aibemarle.or_ del+artment as1 ?dqi ment=cdd&rglpake 4449. Great Eastern Management Company 434 296-4141 Owner Name (Print) Home Phone Office / Other Phone 2619 Hydraulic Road Address Chadottesville va 22901 City State Zip Code Tax Map & Parcel Number 03200-00-00-020000 and 03200-00-00-0230o Project Name (if applicable) North Points Building Permit or Project Number (if applicable) SUB201600092 and SUB201800225 11/12015 Please describe the nature of the development activity proposed within the tioodpiain (e.g. new structure, grading for a playing field, driveway stream crossing, installation of a fence, etc.): Double 10A Box mAverta for access roadway required by Appficagm plan for Narlh Poinla Development (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 streWq channe ? 4. If any fill is proposed, proxj; 4 the prffposed amount of fill in the fioodplain Owner / Agent Signature (FOR OFFICE USE ODI M Chedwd fay (for resubmil Yes El No © N/A Yes ❑ No ❑✓ N/A Yes El No ❑✓ N/A 35 tt Date (O 0 Z C7 r rnrinl5