HomeMy WebLinkAboutFDP202100010 Approval - County 2021-09-031- C�
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APPROVED
COUNTY OF ALBEMARLE by the Albemarle County
Department of Community Development � unky ��/;? Department
401 McIntire Road Fly
Charlottesville, Virginia 22902 4596 J V- d d cr/Q
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-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://www.albemarle.org/upload/images/Forms Center/Departments/County Attomey/Forms/Albemarle County_Code
Chl8 Zonin00 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 hq://www,albemarle.ora/dMarfinent.asp?department=cdd&relpa eg =4447.
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Owner Name
C V UsUllp
city
Tax Map & Parcel Number
Project Name (if applicable)
State
Building Permit or Project Number (if applicable)
Home Phone
Zip Code
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ter Phone
11/112015
Please describe the nature of the development activity proposed within the
playing field, driveway streams crossing, installation of a fence, etc.):
plain (e.g. new structure, grading for a
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(Please attach any plans or photos to this application) D V er-t' "(A^-e— �: t(J a 52 F',e l l/�
1. If a structure is proposed, is the structure accessory to a recreational or agricultural use? YesJI'[71r1"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 /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 M Date �L5 �- �`o26p2
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals)
Fee Amount
Receipt # _
Date Paid By
Check
Date
Ct
l lll/2015
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