Floodplain Permit Form 2017
FLOODPLAIN DEVELOPMENT PERMIT
PERMIT NO.
NAME OF PERMITEE:
The above named permitee applied for a FLOODPLAIN DEVELOPMENT PERMIT on
The application
has been reviewed by the FLOODPLAIN ADMINSTRATOR and it has been determined that the proposed development is located within an identifiable floodplain of:
The FLOODPLAIN
ADMINISTRATOR has reviewed plans and specifications of the proposed development for conformance with the development standards required by Floodplain Management Ordinance #2001-952,
as amended. You are hereby authorized to proceed with the following described work:
To maintain compliance with the development standards
of Floodplain Management Ordinance #2001-952, as amended, and to eliminate or minimize flood damage potential to the proposed development, you are hereby directed to construct your proposed
development in accordance with the following special provisions:
( ) Compliance with the development standards of Floodplain Management Ordinance #2001-952, as amended, including
but not limited to:
For residential structures, the lowest floor (including basement) must be elevated to two (2) feet above the 100-year base flood elevation or one (1) foot above
ultimate condition whichever is higher. Certification of the lowest floor must be submitted from a registered professional engineer, architect, or land surveyor.
For non-residential
structures, the lowest floor (including basement) must be elevated or flood-proofed to two (2) feet above the 100-year base flood elevation or one (1) foot above ultimate condition whichever
is higher. Certification that the flood-proofing methods are adequate to withstand the flood depths, pressure, velocities, impact and uplift forces and other factors associated with
the base flood must be submitted from a registered professional engineer or architect.
For fill activities, the permittee must submit certification from a registered professional engineer
or land surveyor that the level of the compacted fill materials is at or above the elevation of the Base Flood.
( ) Certified copy of all final plans or As-Built Drawings must be submitted
to the FLOODPLAIN ADMINISTRATOR.
( ) OTHER PROVISIONS:
Acknowledgement of Conditions by Permittee
Printed Name Date
Signature of FLOODPLAIN ADMINISTRATOR Printed Name Date