Floodplain Development Permit Application (Page 3 of 4) in pdf

3 of 4

APPLICATION #_____________

PAGE

SECTION 4: ADDITIONAL INFORMATION REQUIRED

(To be completed by LOCAL

FLOODPLAIN ADMINISTRATOR)

The applicant must submit the documents checked below before the application can be processed:

□ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions,

flood zone boundaries, and proposed development.

□ Development plans and specifications, drawn to scale, including where applicable: details for anchoring

structures, proposed elevation of lowest floor (including basement), types of water resistant materials used

below the flood protection level, details of floodproofing of utilities located below the flood protection

level, and details of flood vents for enclosures below the flood protection level.

Other ____________________________________________________________________________

□ If flood vents for enclosures below the flood protection level do not meet the minimum design criteria

specified in the Local Law for Flood Damage Prevention, provide certification by a Professional Engineer

or architect specifying that the proposed design will provide for equalization of hydrostatic flood forces.

□ Certification by a Professional Engineer or architect that proposed utilities located below the flood

protection level are resistant to flood damage.

□ Elevation Certificate for proposed building.

□ Subdivision or other development plans. If the subdivision or development exceeds 50 lots or 5 acres,

whichever is the lesser, the applicant must provide base flood elevations determined using detailed

methods if they are not otherwise available.

□ Plans showing the watercourse location, proposed relocations, technical evaluation by a licensed

professional engineer demonstrating that the conveyance capacity will be maintained, application materials

for FIRM revision, and maintenance plan for the relocated portion of the watercourse.

□ Topographic information showing existing and proposed grades and the location of all proposed fill.

□ Top of new fill elevation __________Ft. □ NGVD 1929 / □ NAVD 1988 / □ other datum (describe)

___________________________________

□ Dry floodproofing protection level (non-residential only) ______ Ft. □ NGVD 1929 / □ NAVD 1988 / □

other datum (describe) ___________________________________ For dry floodproofed structures,

applicant must attach a FEMA Floodproofing Certificate signed by a registered engineer or architect.

□ Certification from a Professional Engineer that the proposed activity in a regulatory floodway will not

result in any increase in the height of the base flood. A copy of all data and calculations supporting this

finding must also be submitted.

□ Technical analysis by a Professional Engineer showing that the proposed development will not result in

physical damage to any other property

Other: _______________________________________________________________________________

□

_______________________________________________________________________________

NOTE: Any work performed prior to submittal of the above information and completion of Section 5 is at the risk

of the Applicant.

Floodplain Development Permit Application Page 3