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Home My WebLink AboutFLD15-0001 Application.pdfMUST BE SUBMITTED AND APPROVED PRIOR TO RELEASE OF PUBLIC WAY OR BUILDING PERMIT F:\PW\Engineering\Floodplains\Floodplain Permits\Floodplain Use Permits\FldPlnUsePermit Application.doc APPLICATION FOR FLOODPLAIN USE PERMIT PRJ#:Town of Vail FLD#:Public Works Dept Parcel #:1309 Elkhorn Dr Bldg Permit #: B -Vail, CO 81657 WARNING: Inclusion of false information in this permit application establishes an automatic denial for a Floodplain Use Permit and forfeiture of application fees. By signing this permit, the applicant declares he/she has read all contents of this document and Title 12-21 of the Town of Vail Code. Application Fee: $300.00 Applicant Name: Phone: City/State/ Applicant Address: Zip: Contractor Name/ Applicant License Number: / Email: Contact Contact Name: Phone: FEMA Floodplain Panel Number: _____________________ FEMA Profile Sheet Number:08037CO656D _______ (http://msc.fema.gov FEMA Adopted Floodplain December 4th, 2007) Floodplain Use Location(Address or Lot & Block): Floodplain Use Description (Purpose):___Construct Boulder Retaining wall Requested Dates of Use: to Minimum Required Submittals (Additional submittals may be required on a case by case basis): C Site plan at an engineering scale showing the location, dimensions, and elevations of the proposed landscape/grade alterations, existing and proposed structures, relevant landscape/topographic features, and the location of the foregoing in relation to the one hundred year floodplain. The floodplain line shall be provided on a plan certified by a licensed professional engineer or land surveyor. Survey datum shall match FEMA map Datum. C Detailed topographic cross-sections provided by a licensed professional surveyor of the area proposed to be altered, showing existing and proposed conditions. C Description of the extent to which any floodplain will be altered including; why, when, how, and when it will be replaced back to its original configuration, and addressing each relevant criteria in Subsection 12-21-11E-3. C Copy of all other necessary approved permits (i.e. ACOE permit, Dewatering permit, DOW permit, CDHPE permit, etc…) C If required by the Floodplain Administrator, an engineered floodplain analysis of the impacts to the floodplain prepared by a qualified licensed professional engineer. C Submitted application for a conditional FIRM and floodway revision through FEMA, if applicable. Applicant must contact Public Works Department at 479-2198 24 hours prior to commencing of work. Failure to notify the Town will result in forfeiture of bond money. Print Applicant Name Applicant Signature Date OFFICE USE ONLY ______________________________________ ____________ Approved Denied ___________________________________ Review By Date Comments Mountain Air Builders LLC 1513 Birch St Canon City CO 81212 Mountain Air Builders 0650D 0468D rolandw533@gmail.com (970) 904-6010Roland Lee (970) 904-6010 Canon City CO 81212 1-10-15 6-2-15 1-10-15 2764 South Frontage Rd West Vail CO 81657 Roland Lee Stephans Subdivision, Parcel A Hoyt-Young Residence , FLD15-0001 14 0153 By Shelley Bellm at 12:01 pm, Jan 13, 2015