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City of Piedmont Lands Located In Floodplain Areas (CITY OF PIEDMONT)

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City of Piedmont
314 Edmond Rd. NW PO Box 240
Piedmont, OK 73078
P: (405) 373-2621 Fax: (405) 373-3243
Residential Development Permit Application for Proposed Development on
Lands Located In Floodplain Areas
To comply with floodplain management regulations and to minimize potential flood damage, if you are building within an identified
flood hazard area, you must agree to construct your proposed development in accordance with the following Special Floodplain
Provisions:
Residential
1.
The lowest floor (including basement) must be elevated two feet above the base flood elevation (100-year flood
elevation)
WITH THE EXCEPTION OF ANY AND ALL FINAL PLATS OF RECORD APPROVED ON OR
BEFORE SEPTEMBER 26, 2008 AND UNRECORDED PLATS AS DESCRIBED BY METES AND BOUNDS
OF SURVEY FRED OF RECORD ON OR BEFORE SEPTEMBER 26, 2008,
IN
WHICH THE LOWEST FLOOR
(INCLUDING BASEMENT) MUST BE ELEVATED ONE (1) FOOT ABOVE THE BASE FLOOD
ELEVATION,
as delineated in this community's floodplain management regulations or ordinances. See provisions
for manufactured homes in local regulations.
Non-Residential
1.
The lowest floor must be elevated two feet above the base flood elevation (100-year flood elevation),
WITH THE
EXCEPTION OF ANY AND ALL FINAL PLATS OF RECORD APPROVED ON OR BEFORE
SEPTEMBER 26, 2008 AND UNRECORDED PLATS AS DESCRIBED BY METES AND BOUNDS OF
SURVEY FILED OF RECORD ON OR BEFORE SEPTEMBER 26, 2008,
IN
WHICH THE LOWEST
FLOOR (INCLUDING BASEMENT) MUST BE ELEVATED ONE (1) FOOT ABOVE THE BASE FLOOD
ELEVATION,
or floodproofed to withstand the flood depths, pressures, velocities, impact and uplift forces
associated with the 100- year flood as delineated in this community's floodplain management regulations or
ordinances.
All Structures
1.
The foundation and the materials used must be constructed to withstand the pressures, velocities, impact and uplift
forces associated with the 100-year flood.
2.
All utility supply lines, outlets, switches and equipment must be installed and elevated so as to minimize damage
from potential flooding. Water and sewer connections must have automatic back flow devices installed.
3.
You must submit certification on the attached form(s) from a
REGISTERED ENGINEER, ARCIDTECT or LAND
SURVEYOR,
that the floor elevation and/or floodproofing requirements have been met. Failure to provide the
required certification is a violation of this permit.
Other Provisions: ☐ See Attachment ☐ None
Authorization
I have read or had explained to me and understand the above special provisions for flood plain development.
Authorization is hereby granted the permitting authority and their agents or designees, singularly or jointly, to enter upon
the above-described property during daylight hours for the purpose of making inspections or for any reason consistent
with the issuing authority's floodplain management regulation. I
further verify that the above information
is
true and
accurate to the best of my knowledge and belief.
Signature of Applicant
Date
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Floodplain Development Application
(For Proposed Development in Floodplain Areas)
Applicant/Developer: _______________________________ Contact Name: __________________________
Application Address: ________________________________________________________________________
Legal Description of Property: _________________________________________________________________
(Ex. NW/4, SEC. 32, T14N, R5W)
Email Address: ___________________________________ Telephone Number: ______________________
If
property will be located in an identified Special Flood Hazard Area complete the following and
require certified elevation of proposed lowest floor (including basement) & lowest adjacent grade.
Applicant Requests To:
☐ Construct
☐ Mine
☐ Construct Addition
☐ Manufactured Housing (Placement)
☐ Drilling
☐ Elevate
☐ Demolish
☐ Storage (Equipment or Supplies)
List Purpose of Development: _________________________________________________________________
Flood Zone Type: _______ Base Flood Elevation: ________ Proposed Lowest Floor Elevation: ________
Name of Community: _________________________________ NFIP Community No.: __________________
Community Panel Number: _________________ Flood Map Effective Date: _________________________
Plans, specifications and elevation certificate filed by the applicant shall
constitute by reference, a part of
this permit. I agree that all information submitted is correct to the best of my ability.
Signature: __________________________________________________________________________________ Date: ____________________________________________
Printed Name: _____________________________________________________
City Use Only
Permit #: __________________________________
Flood Zone: ________________________________
NOI Fee:
☐
Paid
☐
Unpaid
Amount: $_________________________
Receipt Number: ___________________
Permit Fee ($100):
☐
Paid
☐
Unpaid
Amount: $_________________________
Receipt Number: ___________________
_________________________________________________
City Inspector/Community Development Director Approval
__________________________________
Date
Are other local, state, or federal permits required?
☐
Yes
☐
No If yes, list types: ____________________________________
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City of Piedmont Lands Located In Floodplain Areas (CITY OF PIEDMONT)

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Completed 14 July 2020

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