Floodplain Development
Permit
Issue Date:
Permit #
Expiration Date:
* Permit becomes void if there
are changes to the eective
Flood Insurance Rate Maps*
The Floodplain Development Permit is the mechanism by which our community evaluates any and all impacts of activities proposed
within our regulated floodplains. All activities must be in compliance with the Town of Buena Vista Floodplain Ordinance. The National
Flood Insurance Program provides flood insurance to individuals at much lower premiums than could otherwise be purchased through
private insurers, and makes certain federal funds are available to communities. In order for citizens to be eligible for the national flood
insurance rates, or for communities to receive certain kinds of federal funds, the community must agree to meet minimum floodplain
standards. This application packet is a tool to ensure that the activities in our community comply with the Floodplain Damage Prevention
Ordinance
Any party undertaking development within a designated oodplain must obtain a oodplain development permit prior to the work
commencing. FEMA denes development in Title 44 of the Code of Federal Regulations part 59.1 as: Any man-made change to improved
or unimproved real estate, including but not limited to buildings or other structures, mining, dredging, ling, grading, paving, excavation
or drilling operations or storage of equipment or materials. Other human activities that are considered development include but are
not limited to: alterations of a structure through additions, demolition and remodeling, fences, retaining wall, moving/placement of
remanufactured or mobile homes, campgrounds, storage of equipment, vehicles or materials (storage yards, salvage yards).
General Provision of the Floodplain Development Permit Terms
1. No work may start until a permit has been issued.
2. The permit may be revoked if:
a. Any false statements are made herein;
b. The eective Flood Insurance Rate Map has been revised;
c. The work is not done in accordance with the Floodplain Damage Prevention Ordinance of the presiding jurisdiction or other local,
state and federal regulatory requirements.
d. The work is dierent than what is described and submitted to the community as part of the Floodplain Development
Permit application.
3. If revoked, all work must cease until permit is reissued.
a. If the permit cannot be reissued, applicant acknowledges that they will be responsible to correct the issue which may
require removal of any development that may have occurred.
4. Development shall not be used or occupied until the project has received nal inspection, a nal elevation and approval by the
community.
5. The permit will expire if no work has commenced within 3 months of issuance and by the expiration date noted on the permit.
6. Applicant is hereby informed that other permits may be required to fulll local, state, and federal regulatory requirements and
acknowledges that it is their responsibility to ensure that all necessary permits are obtained.
a. This includes but is not limited to documentation showing compliance with the endangered species act.
7. Applicant hereby gives consent to the local Floodplain Administrator and his/her representative (including state and federal
agencies) to make reasonable inspections required to verify compliance.
8. Applicant acknowledges that the project will be designed to minimize any potential drainage onto surrounding properties and will
be responsible for any drainage issues that may arise.
9. I, the applicant, certify that all statements herein and in attachments to this application are, to the best of my knowledge, true and
accurate. Furthermore, I have read and understand the relevant Floodplain Damage Prevention Ordinance for my community and will
adhere to the ordinance and will or have already obtained all necessary state, federal and local permits for the proposed development.
APPLICANT’S NAME:
APPLICANT’S SIGNATURE: DATE:
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Town of Buena VIsta
Robin Mesaric-King
Floodplain Manager 719.395.8643 RKing@buenavistaco.gov
Floodplain Development
Permit
Issue Date:
Permit #
Expiration Date:
* Permit becomes void if there
are changes to the eective
Flood Insurance Rate Maps*
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OWNER: CONTRACTOR/DEVELOPER:
PROJECT ADDRESS:
WATERCOURSE NAME:
SPECIAL FLOOD HAZARD ZONE:
VERTICAL DATUM: MUST BE EITHER NGVD OR NAVD 88 AND THE SAME VERTICAL DATUM OF THE EFFECTIVE FIRM:
ELEVATION OF FLOODPROOFING (NON-RESIDENTIAL STRUCTURES ONLY)*: *SOURCE OF ELEVATION AND/OR FLOODPROOFING INFORMATION:
ELEVATION OF LOWEST FLOOR, INCLUDING BASEMENT OR CRAWLSPACE*: ELEVATION OF LOWEST, HABITABLE FLOOR*:
BASE FLOOD ELEVATION: METHOD USED TO DETERMINE BASE FLOOD ELEVATION:
IS THE DEVELOPMENT IN OR IMPACTS A FLOODPLAIN?
DOES THE PROJECT REQUIRE THAT A CLOMR BE PROCESSED? IS A LOMR REQUIRED:
IS THE DEVELOPMENT IN THE FLOODWAY? If yes, a No-Rise Certication is required.No. No.
No. No.
Yes. Yes.
Yes. Yes.
EFFECTIVE FIRM PANEL NUMBER AND DATE:
CHANNEL IMPROVEMENTS MISCELLANEOUS TYPESTRUCTURAL DEVELOPMENT
Bank Stabilization
Grade Control
Drop Structure
Outfall
Fill
Other
Bridge
Culvert
Demolition
Fence
Grading / Parking Lot
Other
Temporary
Permanent
Rehabilitation
Emergency Repair
Maintenance
Other
New Construction
Residential Building
Non-Residential
Manufactured Home
Rehabilitation (< 50%)
Substantial Improvement (≥ 50%)
Other
ESTIMATED COST OF PROJECT:
VALUATION OF EXISTING STRUCTURE: SOURCE OF VALUATION: WHEN THE EXISTING STRUCTURE WAS BUILT:
If work is on, within or connected to an existing structure:
* If the value of an addition, remodel or alteration to a structure equals or exceeds 50% of the value of the structure before the addition, remodel or
alteration, the entire structure must be tr
eated as a substantially improved structure and is required to comply with the relevant Floodplain
Ordinance. A relocated structure, including mobile homes, manufacture homes or cabins, must be treated as a new construction.
LATITUDE/LONGITUDE #:LEGAL DESCRIPTION:
DESCRIPTION OF PROJECT:
ADDRESS: ADDRESS:
CITY: CITY:
TELEPHONE #: TELEPHONE #:
EMERGENCY TELEPHONE #: EMERGENCY TELEPHONE #:
CONTACT NAME: CONTACT NAME:
E-MAIL: E-MAIL:
FAX #: FAX #:
STATE: STATE:ZIP CODE: ZIP CODE:
Owner Information
Project Overview
Flood Hazard Data (TO BE COMPLETED BY FLOODPLAIN ADMINISTRATOR)
Contractor/Developer Information
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Town of Buena VIsta
Robin Mesaric-King
Floodplain Manager 719.395.8643 RKing@buenavistaco.gov
Floodplain Development
Permit
Issue Date:
Permit #
Expiration Date:
* Permit becomes void if there
are changes to the eective
Flood Insurance Rate Maps*
Floodplain Development Permit Checklist
Permit Action
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Tax assessor map
Maps and/or plans showing the location, scope and extent of development
Floodproong Certicate: Certicate and supporting documentation used to provide the certication
Documentation showing compliance with the Endangered Species Act
No-Rise Certicate: Certicate and supporting documentation used to provide the certication
Elevation Certicate
Constructional Drawing
Building Under Construction
Finished Construction
Grading plans
Detailed hydraulic and hydrology model for development in a Zone A
Conditional Letter of Map Revision (CLOMR)
Structure valuation documentation
Non-conversion agreement: Required for all structures that are constructed with an enclosure
Wetland Permit from the U.S. Army Corps of Engineers
Copies of all federal, local and state permits that may be required.
Manufactured home anchoring certicate: Certicate and supporting documentation used to provide the certication
Other documents deemed necessary by the Floodplain Administrator
PERMIT APPROVED: The information submitted for the proposed project was reviewed and is in compliance with approved
oodplain management standards.
PERMIT APPROVED WITH CONDITIONS: The information submitted for the proposed project was reviewed. In order for
the proposed project to be approved, certain restrictions or conditions must be met. These restrictions or conditions are
attached.
PERMIT DENIED: The proposed project does not meet approved oodplain management standards (explanation on le).
VARIANCE GRANTED: A variance was granted from the base (1%) ood elevations established by FEMA consistent with
variance requirements of Title 44 of the Code of Federal Regulations part 60.6 (Variance action documentation is on le).
The following documents may be required at the discretion of the approving community oicial:
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SIGNATURE OF COMMUNITY OFFICIAL:
PRINT NAME AND TITLE OF COMMUNITY OFFICIAL: DATE:
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THIS PAGE TO BE COMPLETED BY FLOODPLAIN ADMINISTRATOR
Town of Buena VIsta
Robin Mesaric-King