BARTON COUNTY FLOODPLAIN DEVELOPMENT PERMIT APPLICATION

Community Name:	Barton County	  Date: 	  Application #:  		  
TO THE ADMINISTRATOR: The undersigned hereby makes application for a permit to develop in a floodplain. The work to be performed, including flood protection works, is as described below and in attachments hereto. The undersigned agrees that all such work shall be done in accordance with the requirements of the Floodplain Management Resolution and applicable to the State of Kansas requirements as contained in K.S.A.l2-766, and K.A.R. 5-44-1 through 5-44-6.

Owner or Developer                  	                            Builder or Contractor (if applicable)	

Street Address	   Street Address

City, State, Zip code	  City, State, Zip code

________________________________________________   ________________________________________________
Phone                                                                                             Phone
SITE DATA
1.	Location:  ________ ¼,                      ¼, Section________, Township________, Range ____________________
	Street Address: 												
2.	Type of Development: New Construction**	  Substantial Improvement**	  Minimum Improvement	
	Filling 	 Grading 		 Excavation  	   Other 						
	**Notice:  FEMA Elevation Certificate MUST be attached to permit.
3.	Description of Development: 									
4.	Structure:  New Structure sq ft. 	 Existing Structure sq ft. 	 + Improvements sq ft 	  = Total sq ft 	
	Principal use 					  Accessory uses (storage, parking, etc.) 				
5.	Value of Improvement (fair market): $			Pre-Improvement/Assessed value of structure $			
6.	Development Located in a Designated:  FLOODWAY? Yes 	  No 			FLOODWAY FRINGE? Yes 	 No 	
IF LOCATED IN FLOODWAY, NO-RISE CERTIFICATION MUST BE PROVIDED PRIOR TO THE ISSUANCE OF A PERMIT TO DEVELOP THAT STATES THE PROPOSED DEVELOPMENT WILL RESULT IN NO INCREASE IN THE BASE FLOOD (100-YEAR) ELEVATION.

7.	FEMA Flood Map Panel Number: 				Effective Map Date: 					

ELEVATIONS (indicate datum used):  NGVD 		 NAVD____________
8.	Elevation of 100-Year Flood / Base Flood Elevation (BFE) at development site:		Feet
9.	Elevation of development site:				Feet
10.	Elevation of lowest floor of residential development (minimum one foot above BFE):		Feet
11.	Elevation of floodproofing for non-residential development (minimum one foot above BFE):		Feet
12.	Other floodplain elevation information (identify and describe source):		 (attach to permit)
13.	Other Permits required?          a.United States Army Corps of Engineers Section 404 Permit:	Yes 	 No 	
      (attach copies to permit)        b. Kansas Department of Agriculture Division of Water Resources:	Yes 	 No 	
		         c.  Other Permits 						
14.	This permit is in compliance with all provisions of Floodplain Management Resolution # 2013-17
NOTICE: Read Carefully. This permit is issued with the condition that the lowest floor (including basement) of any new or substantially-improved (over 50% current market value) residential structure will be elevated at least one (1) foot above the base flood elevation. If the proposed development is a non-residential structure, this permit is issued with the condition that the lowest floor (including basement) of any new or substantially-improved non-residential structure will be elevated or floodproofed at least one (1) foot above the Base Flood Elevation. This permit is issued with the condition that the developer/owner will provide a FEMA Elevation Certificate completed by a registered engineer, architect, or land surveyor of the “as-built” lowest floor elevation of any new or substantially-improved structure covered by the permit.
Permit Decision:	□Approved     □Denied (attach explanation)    this 	day of 		, 20 	
	  								
Print Name and Title of  Owner or Developer	Print Name and Title of Authorizing Community Official

Signature of Owner or Developer               Date		Signature of Authorizing Community Official          Date

INSTRUCTIONS

Section A:  Complete the name and contact information of applicant.  It is preferred that this be the information of the property owner.  Circle owner or builder depending on applicant.

Section B:  Complete information in this section describing location of the development.  Space is provided for other locator such as parcel identification number or name of subdivision.  For a long legal description, the information could be attached separately and noted here.  It is also suggested to attach a FIRMette of the location.

Section C:  *For new construction and substantial improvements an elevation certificate is required.  An elevation certificate based on construction drawings can be used at the start of construction.  A finished construction elevation certificate is required when the project is complete.  Minor projects may not require an elevation certificate.   For example: a new culvert.

Section D:  Describe the development.  Is this a substantial improvement?  Substantial improvement may require that the entire structure be brought up to current standards and that the lowest floor (including basement) be elevated one (1) foot above the base flood elevation.

Section E:  Flood map information.  For a project in a designated floodway a no-rise certificate is required.  In an area of detailed study when a floodway has not been designated it must be determined that development will not cause more than one (1) foot of rise.

Section F:  Specify if National Geodetic Vertical Datum of 1929 or North American Vertical Datum of 1988 was used for the elevation information in this section.  **Lowest floor of a residential structure (including basement) and level of floodproofing for a non-residential structure must be one (1) foot above the base flood elevation.  In a house that has a basement the lowest floor is the floor of the basement.  This information will be on an elevation certificate.  There should be an elevation certificate for every post-FIRM structure.  If other sources of elevation information were used please specify where that information came from.  For certain types of projects the elevation information may not apply.  For example:   excavation of a borrow pit.  In those situations use N/A in the blanks for elevation information.  Elevation certificates are not required for projects.  Projects that do not require elevation certificates are excavation, culverts and parking lots.

Section G:  The Kansas Department of Agriculture, Division of Water Resources requires permits for fill placed in floodplains.  Permits are also required for levees, stream obstructions, and dams.  Some minor projects are exempt based on the amount of fill, upstream drainage, or the size of the dam.  US Army Corps of Engineers may require permits involving wetlands or projects that could alter the course of a navigable water way.