HomeMy WebLinkAboutFDP201800005 Application 2018-03-02Phone (434) 296 -5832
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
FLOODPLAIN DEVELOPMENT PERMIT
Fax (434) 972-4126
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 pennit 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 Attorney/Fonns/Albemarle County Code
Chl8 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.org/department.asp?department=cdd&relpage=4447.
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Owne a e (Print) Home Phone Chet- / Other Phone
Add r ss
City
Number�ri�JC�' i�D tatG`a�DL.�C �)
applicable) t b('J e &��'��2�clld
or Project Number (if applicable)
Zip Code "I'ax Map & Parcel
Project Name (if
Building Permit
I I11,`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.):
L L-LM V
i` S 4-L ClAvy az C-e
1.1 %
(Please attach any plans or photos to this application)
L If a structure is proposed, is the structure accessory to a recreational or agricultural use? Yes No I/AX)
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway _
serving a single family dwelling? YesN/A
3. Does any proposed fencing cross a stream channel? Yes o N/A
4. If any fill is proposed, please approximate the propos d amount of till in the floodplain
io �l'- ( �o 5m -t�, j K s
Owner I Agent Signature lift t` '` `� \"``��«-�� Da`fe
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(FOR OFFICE USE ONLY)
Checked By
(for resubmittals) Fee Amount $ Date Paid By Who?_
Receipt # _ Check #
Date
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nicing Schedule RIT ANN T RE.SF.RI OIR BOAT LANDING (WOODLANDS)
FB#2017-08093-09 ON -CALL C-OYTRACT PROJECT ORDER QUOTE
ITEM If
DESCRIPTION
UNIT
QUANTITY
UNIT COST
TOTAL
1
SM-9 5A Street Pavin,
TN
69
S 80 24
S 5,536 56
2
SM-9 5D Sti eet Paving
TN
-
$ 8D.24
S
3
SM-9 SA Parkin, Lot, less than 250 TN
TN
S 80 50
S
4
SM-9.5A Parkin, Lot. seater than 250 TN
TN
S 83.60
S
5
BM-25 0 Base Mix, greater dean 250 TN
TN
S 80.09
S
6
Milling, Per SY/Inch over 2"
SY
S 2.85
S
7
Milling, 0"-2" Less than 1,000 SY (Patching)
SY
S 3.71
S
8
Milling. Parkin, Lot 0-2"
SY
S 1.29
S -
9
Milling, Streets 0-2"
SY
S 3.33
S
10
Misc. Patching BM-25
TN
39
S 149.61
S 5,834 79
11
Misc Patching SM-95A
TN
-
S 170.65
S
12
Driveway Restoration (2"SM-9.5A)
SY
S 36.41
S
13
Street Edge Repair
SQ FT.
S 12 15
S
14
21-A Base (Deliverer)
TN
S 20.75
S
15
Excavating- backhoe, dumptruck, laborer
DY
S 1.967.90
S
16
Grading - Grader, roller, dumptruck, laborer
DY
S 1,46448
S
17
Asphalt Curb
LF
S 18 00
S
18
Asphalt Swale (2' Width)
LF
$ 1444
S
19
Aspaalt Sidewalk (5' Width)
LF
S 11 44
S
20
Seed Hurnp
SQ FT
$ 9 51
S
21
Parkin, Lot Sealing
SQ FT
S 0 13
S
22
Crack Filling
LF
S I I I
S
23
Slurry Seal
SQ FT
S 1 96
S
24
Type B, Class 1, 4" Pavement Marking,
Complete in Place
p
LF
-
S 124
S -
25
Type B, Class I, Crosswalks, Anows, and
Symbols, Complete in Place
SF
S 13 ]0
S -
26
Type A, 4" Pavement Marking, Complete in
Place
LF
S 046
S
27
Type A, Crosswalks, Arrows, and Symbols,
Complete in Place
SF
-
5 1.31
S -
28
Traffic Control - 2 flagmen, signs, Workzone
Trained Supervisor
DY
1
S 1,179.72
S 1,179 72
29
Asphalt Trail, less than 8' width (2" SM-9.5a)
TN
S 248.45
S
30
Asphalt Trail, ,reater than 8' width (2" SM-95a)
TN
S 149.75
S
31
Asphalt Trail (handwork)
TN
S 371 87
S -
TOTAL LUMP SUM QUOTE
$ 12,551.07
FFB #2017-08093-09