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. 12/12 /2007 13 :49 FAX 9797643737 CCS PARKS & REC .
DEVELOPMENT PERMIT
MINIMUM SUBMITTAL REQUIREMENTS
0 $200 development permit fee.
FOR OFFICE USE ONLY
O $600 Public Infrastructure Inspection Fee if applicable_ (This fee is payable if construction of a public
waterline, sewerline, sidewalk, street or drainage facilities is involved.:· D Drainage and erosion control plan, with supporting Drainage Report tv~o (2) copies each D Notice of Intent (N.0.1.) if disturbed area is greater than 5 acres
Date of *Required Preapplication Conference: _________________ ~
"'(Required for areas of special flood hazard)
or the Project):
Name E-Mail f 1144C'ff-fktp ~l/
Street Address ~ ~.
City cPUq£/~ft~s~j2~ S Zip Code '1t1.81$
Phone Number ']lef,,-31-f;?: Fax Number _!/t:f:t-:3']3 7
PROPERTY OWNER'S l:~RMA Tio,~ . .
Name ~...-d:z_.t eit fA~e ~E-Mail _______ _
Street AddressJ---'"-------------------------------
CitY-------~---State ___ ~---Zip Code _______ _
Phone Number_~~-~------~ Fax Number --~--~-----~
Name ---l.'5::::J.l:::::J£......L...-.~IQ.LJ'a.,.J~~~~...LY..~ ._ E-Mail j?IM~oo6<~
City -fe-441=-Zip Code 7~
171-%1-?/f:j:.Z.., Fax Number 1~~ --'f;t{-aZ?7
Application is hereby made for the following development specific site/waterway alterations:
ACKNOWLEDGMENTS:
I, __ , design engineer/owner, hereby acknowledge or affirm that:
The information and conclusions contained in the above plans and supporting documents comply with the
current requirements of the City of College Station, Texas City Code, Chapter 13 and its associated Drainage
Policy and Design Standards. ~~ Property Owner(S)
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. 12/12/200 7 13:49 FAX 97 976 43737 CCS PARKS & REC. 141003
As a condition of approval of this permit application, I agree to construct the improvements proposed in this
application according to these documents and the requirements of Chapter 13 of the College Station City
Code
Contractor
CERTIFICATIONS:
A. I, __ , certify that any nonresidential structure on or proposed tc• be on this site as part of this
application is designated to prevent damage to the structure or its contents as a result of flooding from
the 100-year storm.
Engineer Date
B. I, __ , certify that the finished floor elevation of the lowest floor, including any basement, of any
residential structure, proposed as part of this application is at or above the base flood elevation
established in the latest Federal Insurance Administration Flood Hazard Study and maps, as amended.
Engineer Date
C. I, ~rttfy that the alterations or development covered by this permit shall not diminish the flood-
carrying capacity of the waterway adjoining or crossing this permitted site and that such alterations or
development are consistent with requirements of the City of College Station City Code, Chapter 13
~_;;;:::;:;_w:ys and of floodways frin::<;-i{z
El 19il 1eer .:S.: ,,~ M"~ ;;I__ LJ-. Date
~~~~~~"'"7.irc.ey-~
D. I, __ , do certify that the proposed alterations do not raise the level of the 100 year flood above
elevation established in the latest Federal Insurance Administration Flood Hazard Study.
Engineer Date
Conditions or comments as part of approval: -----------·-----------
In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be
taken to insure that debris from construction . erosion, and sedimentation sh;3ll not be deposited in city streets,
or existing drainage facilities. All development shall be in accordance with the plans and specifications
submitted to and approved by the City Engineer for the above named projeGt All of the applicable codes and
ordinances of the City of College Station shall apply.
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