13-Floodplain Development Permit Application_12-2020Page 1 of 4
Floodplain Development Permit Application – Updated 12-
2020
NEW HANOVER COUNTY_____________________
DEPARTMENT OF PLANNING & LAND USE
230 Government Center Drive, Suite 110
Wilmington, North Carolina 28403
Telephone (910) 798-7165
FAX (910) 798-7053
planningdevelopment.nhcgov.com
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
If your project is determined to be in a Special Flood Hazard area, a floodplain development permit will be required.
The items required with application submittal are listed below. More specific requirements, as well as the standards to
be applied in reviewing the application, are set out in Article 9 of the Unified Development Ordinance.
1. Applicant and Property Owner Information
Applicant/Agent Name Owner Name (if different from Applicant/Agent)
Company Company/Owner Name 2
Address Address
City, State, Zip City, State, Zip
Phone Phone
Email Email
2. Subject Property Information
Address/Location Parcel Identification Number(s) Total Parcel(s) Acreage
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Floodplain Development Permit Application – Updated 12-
2020
3. Description of proposed project
The nature, location, dimensions, and elevations of the area of development/disturbance; existing and proposed
structures, utility systems, grading/pavement areas, fill materials, storage areas, drainage facilities, and other
development.
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Floodplain Development Permit Application – Updated 12-
2020
Staff will use the following checklist to determine the completeness of your application. Please verify all of the
listed items are included and confirm by initialing under “Applicant Initial”. Applications determined to be
incomplete must be corrected in order to be processed for further review.
Application Checklist Applicant Initial
This application form, completed and signed
Application fee: $25 residential use; $45 commercial use
Sealed Survey with all the following information:
Boundary of the Special Flood Hazard Area as delineated on the FIRM
or other flood map
Flood zone(s) designation of the proposed development area
Boundary of the floodway(s) or non-encroachment area(s)
Base Flood Elevation (BFE) where provided
Old and new location of any watercourse that will be altered or
relocated as the result of proposed development
Boundary and designation date of the Coastal Barrier Resource System
(CBRS) area or Otherwise Protected Area (OPA), if applicable
Proposed elevation, and method thereof, of all development within a
Special Flood Hazard Area
Certification of the survey by a registered land surveyor or professional
engineer.
Foundation Plan, drawn to scale, which shall include:
Details of the proposed foundation system
The proposed method of elevation (i.e., fill, solid foundation perimeter
wall, solid backfilled foundation, open foundation on
columns/posts/piers/piles/shear walls), if applicable
Openings to facilitate automatic equalization of hydrostatic flood forces
on walls
In Coastal High Hazard Areas (V Zones and Coastal A Zones) the following
additional information shall be required:
V Zone Certification with accompanying plans and specifications
verifying the engineered structure and any breakaway wall designs
Plans for open wood, plastic, or other latticework or insect screening,
applicable
Plans for nonstructural fill, if applicable. (If non-structural fill is
proposed, it must be demonstrated through coastal engineering analysis
that the proposed fill would not result in any increase in the BFE or
otherwise cause adverse impacts by wave ramping and deflection on to
the subject structure.)
Usage details of any enclosed areas below the lowest floor.
One copy of ALL documents. Additional hard copies may be required by staff
depending on the size of the document.
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Floodplain Development Permit Application – Updated 12-
2020
4. Acknowledgement and Signatures
By my signature below, I understand and accept all of the conditions, limitations, and obligations of the permit for
which I am applying. I certify that this application is complete and that all information presented in this
application is accurate to the best of my knowledge, information, and belief.
If applicable, I also appoint the applicant/agent as listed on this application to represent me and make decisions
on my behalf regarding this application during the review process. The applicant/agent is hereby authorized on
my behalf to:
1. Submit an application including all required supplemental information and materials; and
2. Act on my behalf without limitations with regard to any and all things directly or indirectly connected with
or arising out of this application.
Signature of Property Owner(s) Print Name(s)
Signature of Applicant/Agent Print Name
Note: This form must be signed by the owner(s) of record. If there are multiple property owners, a signature is
required for each owner of record.