06/03/97 Stulc/Floodplain Permit Application, , va
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L E TT E R R�A�NESIMf1iTTi�A1
0 MR I -111
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples p Specifications
❑ Copy of letter ❑ Change order ❑
COPIES
DATE
NO.
DESCRIPTION
CO
M -�- M
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THESE ARE TRANSMITTED as checked below:
❑ For approval
0 For your use
❑ As requested
❑ For review and comment
❑ F�OR),BppI..,�D�S�� DUE
REMARKS . , �;
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
19 0 PRINTS RETURNED AFTER LOAN IOUs
lr ,'
COPY TO_---_-,.__
SIGNED- 'r .
11 enclosures are riot as noted kinaiv rw0ty us at once.
r
5/30/97 12:25 STATION (123)456-780
( rev i seed 19%�B% �
! I VL
P. 001
1 - y
A pj,a*jmi$ nowt be ieoued by th* FLoadptain Adainiatrator befom the davetvpoeni+ can begin*
'njis Si Clt TOM To Hh CO [iED BY THC APPL
Nano of Applicant jn�l.- A
Addrom p
Location of Prnposed DevoLogPoant
Fi uaription or ®avato ent (check boX Or boxes which best detWorihs davoL®pOsnc)
&aa3den M — Sebdi ri si Oft Bridge le New Construction
labii.a Hama %bile Hane Park 6e Culvert Addition
Cvmmaroiol atone®urea Altsretlen f�itl Improvement
other texpLain)
Signiavure of Applicant
Plop, in dupLieatw_drawn to scale ;howin
A) Dissensions of the doveLopwnt Bit®
e) EleVntiann of the de"clapment alto
C) Propotied structures., buildings, galls homesr bridges, outY®rts, Btc, (include oxisting
attuctures 61here Appropriate]
p} Placements. ntabery and type of armhars for irobiLa Mesas
E) Utility connection tocationa; sewer, vatnrN Spar and electric
F) Bridge and cutvart pinnc must include hydraulic computations by a regiotered engineer
G) Fill, Location & dimensions
NJ Storage of satoriats
Y) Dvainerga facii.itioa
J) Water course etterations including ptan dreuinSaj dross sootiana® and hyreutic earaputations,
Be sure ties inalude the fgllowin
1) Moan See Lovet (HSL) OtOVOtion of tffir3 Lowatt floor jinctuding basement) or proposed
structura(sls or
21 MGL slevation to which etructura(e) it to be ftoodprnafed.
(Appticsni.s Bray bra required to furnish addiDionaL infarnacfon.)
A permit fee of i muat acarmypany Dhia appLicatimn. X— No fee is requirard.
Sand this appliontian &bd all carraepnndPow woncerning tiriu Vomit tea
Name & Ti LLm 9 )YLG
Address
' 1/...5 S Phone
-(123)456-789O F. 002
perms & r$wA-vll —
Date Received
AWUP�MTXW
To M, DGWpLffEU BY 'TNE FLUOUPWN ADMINISTRAMP
Rco&my FL6bd'pL1j1nw no Rose Mood
rho propsaod dovatapaene le in the Floodway , Fringe � Revatiaroa given
the ®awe F bQ4 Ftevaticn at the deveteprment site is 4aet
SourcA DoCLINOUG
to A-ZDne where no Hare FLn*d ReVAriall data is Available, mhat is the bistulliCAL it"a dLaVatiOn Or
dapth as detarminad by Eire FLondplaip inistrator2 feet. Matt may he available from
high watar markev rocidants, nawapaparsa aP 41:Mr sources).
aocumEmt apurcaa Uted to maka detarminatian
Elevetierr RecluiremanCs
HSL r;lavation to which the first rtggr is to be eLavetad faint,
HSL CLovotien to mhich the Strut%Ura is tg be MiodprooPed feat,
MSL Elevation to mhiah the Compacted fill in to be Kavatod feat.
In AMZonb it hiotorioaL FEacd aLevation or depth connag be datarmirrad, what condition$ are pgquir®d?
Etevots S feat abvue odjncant airada$ (r identlaL) Applioant iqujot provide
Seem Flood Revation data
Floodproof R feat above adjaeaat grads (oommarojel) prohibit basement construction
Other (explain)
ACticur 'ialean
- The proposed development is riot im cobfarmence with applicable Ftaadplsiv idanvgemanL
Standards. Permit is deM ad, Explanation attached.
The proposed devatopment is to partial, cunftrmance with the applicable Floodptain Management
srenoerdsr A candid n�_approYal Is oranted_ CCmeitions ATIC hOdp
Tho plans and natarials aubbitted in support of the praapased developmant are irr CoMpHaficb with
spptfcobto Floodptain Managament Standards. Permit is appreve4,
Appticant fi as barn udvived that the proposed davei.opmt may regUiro a "Sla" perRit (Section
M-7-a10 at.caq, ) rram the tocal Concarvation Bletribty or s "Seresn PrOtKtion Actn
($option 87-5-5131 et.5egQ WAI appravat fram the Department of Fiahr Wildlife onci Parker and/or,
a t0404" pornit from tha U.S. Army Carps a? Engineers.
Building Elevation and Comptionce Cortiricaticm
Certiffoorec from registared profossional engineer or Land surveyor varif'ying eleveeions are attached.
The cartiflad ae-huitt MSL elava%ian of Lho Lcoest floor of pee structure 96 fast.
Thu cartitied as: -built M51, flcodproofod elevetian of the structure is Fa at.
VOPM i M of OCCUP040y aN Comptionca rMed
Do to eignatum of PLoadptain Administrator