Floodplain Development Permit Application

Floodplain Development Permit Application

Johnson County, Kansas, Community Number 200159
Applicant
Applicant
Address
City, State, Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
Owner
Owner
Address
City, State, Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
Development Address
Legal Description
A. Flood Plain and Floodway Information and Sources (to be completed with staff)
FIRM Panel Number
Map Date
Flood Hazard Zone(s)
Floodway Area Along

CreekRiverStream
Nearest Reference Mark(s) and Elevation(s)
Estimated Base Flood Elevation (BFE) at the Site: Minimum
Estimated Base Flood Elevation (BFE) at the Site: Maximum
Source(s) of BFE Data If Not Available on FIRM Map
Flood Hazard Boundary Map, Floodway Map, Flood Plain Information Report, Etc. (indicate Title, No., Date, Etc.)
Elevation of Proposed Development
B. Would the proposed development on this property be located in an Area of Special Flood Hazard?
Yes or No?

YesNo
If YES, a Flood Plain Development Permit is required and the development must comply with the following:

Flood Plain Development Permits for new or substantially improved residential structure(s) in designated Area of Special Flood Hazard but not in a Floodway Area are conditioned on the structure(s) being elevated so the lowest floor (including basement floor) would be at least two (2) feet above the Base Flood Elevation. Flood Plain Development Permits for new or substantially improved non-residential structure(s) in designated Areas of Special Flood Hazard are conditioned on the structure(s) either being elevated so the lowest floor (including basement floor) would be at least two (2) feet above the Base Flood Elevation or, for non-residential structure(s) only, the structure(s) being flood proofed to an elevation at least two (2) feet above the Base Flood Elevation. The Permits also are conditioned on the provision of additional information and certifications as indicated in Sections E. and F. of this form. Development within Areas of Special Flood Hazard where Base Flood Elevations and Floodways have not been determined shall not be approved if the development would result in a 1-foot or greater rise in the Base Flood Elevation.
C. Would the proposed development on this property be located in a Floodway Area?
Yes or No?

YesNo
If YES, a Flood Plain Development Permit is required and the development must comply with the following: Permits for proposed development in any Floodway Area within any Area of Special Flood Hazard are not issued without certification that the development would not result in any increase in the Base Flood Elevation, and the Permits are subject to the provision of additional information and certifications as indicated in Sections E. and F. of this form.
D. Description of Proposed Work (Check ALL items that apply. Attach plans, descriptions, blueprints, etc., as available. Provide at least a written description and sketch plan drawings(s)showing existing and proposed conditions.)
Buildings/Structure

NewAddition/AlterationResidentialNon-ResidentialMoving StructureRemoval/Demolition
Non-Building

Road, Street or Bridge WorkWatercourse AlterationDrainage AlterationGradingFillingMaterial Removal/ExcavationSubdivision of Land
Other (Describe)
Does the proposed work involve an addition, alteration, reconstruction, or remodeling of an existing structure?

YesNo
If YES, the market value of the existing structure is
If YES, the estimated cost for the proposed work is
Comments or further explanation/description of work
E. Additional Information and Certifications required before a Flood Plain Development Permit is approved and to be provided by qualified, registered, professional engineer(s) or architect(s) licensed in the State of Kansas and whose services the applicant shall obtain.
1. If the proposed development would be located in any Area of Special Flood Hazard, the following must be provided:

a. The Mean Sea Level (MSL) elevation proposed for the lowest floor (including basement floor) of each proposed structure, or

b. The Mean Sea Level (MSL) elevation to which each proposed non-residential structure would be flood proofed, and certification that the proposed development would withstand the hydrostatic and hydrodynamic loading conditions of expected flood events, and

c. Determination and certification of the Base Flood Elevation (BFE), including calculations, a map (to scale) showing the Base Flood boundaries, and a grading plan with maximum topographic contour intervals of five (5) feet for any development or subdivision greater than fifty (50) lots or five (5) acres, and

d. Determination and certification that the development would not raise the Base Flood Elevation (BFE) one foot or more.

2. If the proposed development would be located in a Floodway Area, a determination and certification that the development would not result in any increase whatsoever of the Base Flood Elevation (BFE) one foot or more.
F. After Construction Elevation Certifications (To be provided by the applicant before issuance of a Zoning Permit and after completion of construction in accordance with an approved Flood Plain Development Permit.)
1. For development located in a flood hazard area, the following certifications by a qualified, licensed, professional engineer, architect or land surveyor must be provided:

a. The certified as-built Mean Sea Level (MSL) elevation of the lowest floor (including basement floor) of each residential structure.

b. The certified as-built Mean Sea Level (MSL) flood proofed elevation of each non-residential structure, or the certified as-built Mean Sea Level (MSL) elevation of the lowest floor (including basement floor) of each nonresidential structure.
G. Summary of Elevation Certifications (Attach Certification(s))
1. The certified as-built Mean Sea Level elevation of the lowest floor (including basement floor) of each residential structure is how many feet.
2. The certified as-built Mean Sea Level (MLS) flood proofed elevation of each non-residential structure ishow many feet, or The certified as-built lowest floor Mean Sea Level elevation (including basement floor) of each non-residential structure is how many feet.
I. Other Permits Required? The applicant shall contact the other agencies and obtain and provide confirmation of whether a permit is required from the following agencies:
Corps of Engineers Permit (Kansas City Office: 816-983-3533)
State Permit (Division of Water Resources: 785-296-5440)
Other (e.g. Building Permit, Grading Permit, Hauling Permit, etc.
J. Additional Information
Engineer, Architect, Land Surveyor and Contractor information (as applicable) (Note: This information may be provided as soon as it becomes available during processing of the permit application or approval of the permit may be conditioned on the builder/property owner providing such information as soon as it becomes available.
Engineer
Engineer
Address
City
State, Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
Architect
Architect
Address
City
State, Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
Contractor
Contractor
Address
City
State, Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
Surveyor
Surveyor
Address
City
State Zip
Phone
Phone Number with Area CodeFormat: (000) 000-0000.
Email
example@example.com
K. Acknowledgements
I have submitted this application for a Flood Plain Development Permit and attest that the statements and representations in this application are true and accurate to the best of my knowledge.
Builder/Property Owner
Date
Should be Empty:

Floodplain Development Permit Application

Applicant

Owner

A. Flood Plain and Floodway Information and Sources (to be completed with staff)

B. Would the proposed development on this property be located in an Area of Special Flood Hazard?

C. Would the proposed development on this property be located in a Floodway Area?

D. Description of Proposed Work (Check ALL items that apply. Attach plans, descriptions, blueprints, etc., as available. Provide at least a written description and sketch plan drawings(s)showing existing and proposed conditions.)

E. Additional Information and Certifications required before a Flood Plain Development Permit is approved and to be provided by qualified, registered, professional engineer(s) or architect(s) licensed in the State of Kansas and whose services the applicant shall obtain.

F. After Construction Elevation Certifications (To be provided by the applicant before issuance of a Zoning Permit and after completion of construction in accordance with an approved Flood Plain Development Permit.)

G. Summary of Elevation Certifications (Attach Certification(s))

I. Other Permits Required? The applicant shall contact the other agencies and obtain and provide confirmation of whether a permit is required from the following agencies:

J. Additional Information

Engineer

Architect

Contractor

Surveyor

K. Acknowledgements