Floodplain Development Permit Application Please enable JavaScript in your browser to complete this form.Name of Property Owner *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmailName of Contractor *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmailSITE DATA The undersigned hereby makes application for a permit to develop in the Special Flood Hazard Area (SFHA) or "floodplain." The work to be performed, including flood protection works, is as described in the application and attachments hereto. The undersigned agrees that all such work shall be in accordance with the requirements of the Floodplain Management Ordinance and with all other applicable county/city ordinances, federal programs, and the laws and regulations of the State of Missouri. Legal Description *example: Southwest Quarter of the Southeast Quarter of Section 20, Township 45 North, Range 4 East. Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeType of Development *FillingGradingExcavationMinimum ImprovementRoutine MaintenanceSubstantial ImprovementNew ConstructionOtherDescription of Development *Square Footage of StructureSquare Footage of Area *Principal Use *Accessory Uses (storage, parking, etc.)Fair Market Value of Improvement *Assessed Value of Structure/Lot Prior to Improvement *Is property located in a floodway? *YesNoIf yes, certification must be provided prior to the issuance of a permit to develop, that the proposed development will result in no increase in the base (1%) flood evaluations.Is property located in a designated floodplain fringe or a floodplain (SFHA) without a designated floodway? *YesNoElevation of the 1% Base Flood (ID source) *Elevation of the Proposed Development Site *Local Ordinance Elevation/Floodproofing Requirement *Other Floodplain Elevation Information (ID and describe source)ARE THE BELOW PERMITS REQUIRED? Email Structure/Lot a Corps of Engineer 404 Permit *Yes, have providedYes, have not providedNoState Department of Natural Resources 401 Permit *Yes, have providedYes, have not providedNoEnvironmental Protection Agency NPDES Permit *Yes, have providedYes, have not providedNoSubmit
