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FDP202100007 Application 2021-05-21
�1k!11! Cl��i ``00 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: ® 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-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 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 ham•//www albemarle or�load/images/Forms Center/Departments/Coot/ Attorney/Forms/Albemarle County Code Ch18 Zoning30 Overlay Districts p 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 httR://www albemarle orbdepartment aswde�artment=edd&rel�aae=4447/www albemarle or�department aswde�artment=cdd&rel�aae=4447. Steven Hiss - West Leigh Committee of Three 434-987-5755 Owner Name (Print) Home Phone Office / Other Phone 2390 Kingston Road Address Charlottesville VA 22901 City State Zip Code Tax Map & Parcel Number 059C1-02-00-00200; 059C2-02-00-03800; 059C2-02-00-00100 Project Name (if applicable) Clover Lake Dam Repair 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.): Thin nmiart ig fnr the repair of Cipvpr I akp dam indl idin9mMnmtinn of tha eroded geptinng of thw wmhankment replacement of the failed Principal and Auxiliary Spillways with a larger capacity concrete structure that will serve to lower the 100 year base flood levels, and a new siphon system to replace the failed bottom drain. (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 Lroposed amount of fill in the floodplain Zero increase Owner / Agent Signature 7S--��E-,--j' . Date /�V l (FOR OFFICE USE ONLY) - Checked By (for resubmittals) Fee Amount $ Date Paid By Who? Receipt # - Check # Date 11/12015