HomeMy WebLinkAboutFDP202100003 Application 2021-11-230
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-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 vour
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
hM:I/www.abemarle.org/upload/images/Forms Center/DMartments/County Attomey/Forms/Albemarle County 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 httn://www.albemarle.org/department.asp?department=cdd&relpage=4447.
Jonathan and Cody Nystrom 804-419-8110 (' f?) 43a - I) 1
Owner Name (Print) Home Phone Office / Other Phone
2417 Grove Ave
Address
Richmond VA 23220
City State Zip Code
Tax Map & Parcel Number 7-29A
Project Name (if applicable) Nystrom Driveway Crossing
Building Permit or Project Number (if applicable)
mHroOW"
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.):
New Bridge over Buck Mountain Creek and Muddy Run with earthen ramp off -set by volume balance. Volume of bridge
and ramp is equal or lesser than the volume removed.
(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 stre c a
4. If any fill is proposed please ap mate th ,hosed amount of fill in the floodplain
Owner / Agent Signature
(FOR OFFICE USE ONLY)
Checked By
(for resubmittals) Fee Amount $_ Date Paid _ By Who?
Receipt # Check #
Yes ❑ No 0 N/A
YesNo ❑ N/A
Yes ❑ No ❑✓ N/A
Date _P- � 1 - ao
Date
111112M