Fillable FLOODPLAIN PERMIT APPLICATION ($100.00 Application Fee Required) 1. (City of Norman)

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FLOODPLAIN PERMIT APPLICATION ($100.00 Application Fee Required) 1. (City of Norman)

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City of Norman
Floodplain Permit
Application
Floodplain Permit No. _______________
Building Permit No. _________________
Date ______________________________
FLOODPLAIN PERMIT APPLICATION
($100.00 Application Fee Required)
SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign):
1. No work may start until a permit is issued.
2. The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Occupancy is issued.
5. The permit will expire if no work is commenced within 2 years of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal
regulatory requirements and must be included with this floodplain permit application.
7. Applicant hereby gives consent to the City of Norman or his/her representative to access the property to make
reasonable inspections required to verify compliance.
8. The following floodplain modifications require approval by the City Council:
(a) A modification of the floodplain that results in a change of ten percent (10%) or more in the width of
the floodplain.
(b) The construction of a pond with a water surface area of 5 acres or more.
(c) Any modifications of the stream banks or flow line within the area that would be regulatory floodway
whether or not that channel has a regulatory floodplain, unless the work is being done by the City of
Norman staff as part of a routine maintenance activity.
9. All supporting documentation required by this application is required along with the permit fee by the
submittal deadline. Late or incomplete applications will not be accepted.
10. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE.
SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLICANT.)
APPLICANT: _______________________ ADDRESS:
TELEPHONE: SIGNATURE:
BUILDER: _________________________ ADDRESS:
TELEPHONE: SIGNATURE:
ENGINEER: ________________________ ADDRESS:
TELEPHONE: SIGNATURE:
PROJECT LOCATION
To avoid delay in processing the application, please provide enough information to easily identify the project location.
Provide the street address, subdivision addition, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well known landmark. A sketch attached to this application showing the
project location would be helpful.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
New Structure Residential (1-4 Family)
Addition Residential (More than 4 Family)
Alteration Non-Residential (Flood proofing? Yes)
Relocation Combined Use (Residential & Commercial)
Demolition Manufactured (Mobile) Home
Replacement In Manufactured Home Park? Yes
ESTIMATED COST OF PROJECT $_____________ Work that involves substantial damage/substantial improvement
requires detailed cost estimates and an appraisal of the structure that is being improved.
B. OTHER DEVELOPMENT ACTIVITIES:
Fill Mining Drilling Grading
Excavation (Beyond the minimum for Structural Development)
Watercourse Alteration (Including Dredging and Channel Modifications)
Drainage Improvements (Including Culvert Work) Road, Street or Bridge Construction
Subdivision (New or Expansion) Individual Water or Sewer System
In addition to items A. and B. provide a complete and detailed description of proposed work (failure to provide this item
will be cause for the application to be rejected by staff). Attach additional sheets if necessary.
__________________________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
C. ATTACHMENTS WHICH ARE REQUIRED WITH EVERY APPLICATION:
The applicant must submit the documents listed below before the application can be processed. If the requested document
is not relevant to the project scope, please check the Not Applicable box and provide explanation.
A. Plans drawn to scale showing the nature, location, dimensions, and elevation of the lot, existing or
proposed structures, fill, storage of materials, flood proofing measures, and the relationship of the above
to the location of the channel, floodway, and the regulatory flood-protection elevation.
B. A typical valley cross-section showing the channel of the stream, elevation of land areas adjoining each
side of the channel, cross-sectional areas to be occupied by the proposed development, and high-water
information.
Not Applicable:
________________________________________________________________________________________
________________________________________________________________________________________
C. Subdivision or other development plans (If the subdivision or other developments exceeds 50 lots or 5
acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not
otherwise available).
Not Applicable:
________________________________________________________________________________________
________________________________________________________________________________________
D. Plans (surface view) showing elevations or contours of the ground; pertinent structure, fill, or storage
elevations; size, location, and spatial arrangement of all proposed and existing structures on the site;
location and elevations of streets, water supply, sanitary facilities; photographs showing existing land uses and
vegetation upstream and downstream, soil types and other pertinent information.
Not Applicable:
________________________________________________________________________________________
________________________________________________________________________________________
E. A profile showing the slope of the bottom of the channel or flow line of the stream.
Not Applicable:
________________________________________________________________________________________
________________________________________________________________________________________
F. Elevation (in relation to mean sea level) of the lowest floor (including basement) of all new and
substantially improved structures.
Not Applicable:
________________________________________________________________________________________
________________________________________________________________________________________
G. Description of the extent to which any watercourse or natural drainage will be altered or relocated as a
result of proposed development.
Not Applicable:
________________________________________________________________________________________
H. For proposed development within any flood hazard area (except for those areas designated as regulatory
floodways), certification that a rise of no more than five hundredths of a foot (0.05’) will occur on any adjacent
property in the base flood elevation as a result of the proposed work. For proposed development within a
designated regulatory floodway, certification of no increase in flood levels within the community during the
occurrence of the base flood discharge as a result of the proposed work. All certifications shall be signed and
sealed by a Registered Professional Engineer licensed to practice in the State of Oklahoma.
I. A certified list of names and addresses of all record property owners within a three hundred fifty (350)
foot radius of the exterior boundary of the subject property not to exceed 100 feet laterally from the Special Flood
Hazard Area. The radius to be extended by increments of one hundred (100) linear feet until the list of property
owners includes not less than fifteen (15) individual property owners of separate parcels or until a maximum
radius of one thousand (1,000) feet has been reached.
J. A copy of all other applicable local, state, and federal permits (i.e. U.S. Army Corps of Engineers 404
permit, etc).
After completing SECTION 2, APPLICANT should submit form to Permit Staff for review.
SECTION 3: FLOODPLAIN DETERMINATION (To be completed by Permit Staff.)
The proposed development is located on FIRM Panel No.:______________, Dated: _____________
The Proposed Development:
Is NOT located in a Special Flood Hazard Area
(Notify the applicant that the application review is complete and NO FLOODPLAIN PERMIT IS REQUIRED).
Is located in a Special Flood Hazard Area.
The proposed development is located in a floodway.
100-Year flood elevation at the site is____________ Ft. NGVD (MSL) Unavailable
See Section 4 for additional instructions.
SIGNED: _________________________________________ DATE: _________________________
SECTION 4: ADDITIONAL INFORMATION REQUIRED (To be completed by Permit Staff.)
The applicant must also submit the documents checked below before the application can be processed.
Flood proofing protection level (non-residential only) ___________ Ft. NGVD (MSL). For flood proofed
structures applicant must attach certification from registered engineer.
Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any
increase in the height of the 100-year flood (Base Flood Elevation). A copy of all data and calculations
supporting this finding must also be submitted.
Certification from a registered engineer that the proposed activity in a regulatory flood plain will result in an
increase of no more than 0.05 feet in the height of the 100-year flood (Base Flood Elevation). A copy of all data
and calculations supporting this finding must also be submitted.
All other applicable federal, state, and local permits have been obtained.
Other: ______________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SECTION 5: PERMIT DETERMINATION (To be completed by Floodplain Chairman.)
The proposed activity: (A) Is; (B) Is Not in conformance with provisions of Norman’s City Code Chapter 22,
Section 429.1. The permit is issued subject to the conditions attached to and made part of this permit.
SIGNED: _______________________________________ DATE: ________________________
If BOX A is checked, the Floodplain committee chairman may issue a Floodplain Permit.
If BOX B is checked, the Floodplain committee chairman will provide a written summary of deficiencies. Applicant
may revise and resubmit an application to the Floodplain committee or may request a hearing from the Board of
Adjustment.
APPEALS: Appealed to Board of Adjustment: Yes No
Hearing date: __________________
Board of Adjustment Decision - Approved: Yes No
Conditions:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Form Revised 1/16
SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of
Occupancy is issued.)
1. FEMA Elevation Certificate
and/or
2. FEMA Floodproofing Certificate
NOTE: The completed certificate will be reviewed by staff for completeness and accuracy. If any deficiencies
are found it will be returned to the applicant for revision. A Certificate of Occupancy for the structure will not
be issued until an Elevation and /or Floodproofing Certificate has been accepted by the City.
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FLOODPLAIN PERMIT APPLICATION ($100.00 Application Fee Required) 1. (City of Norman)

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Completed 14 July 2020

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