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CITY OF COLLEGE STATION
Pla11ning &Dewlopmmt Servitt.1
DEVELOPMENT PERMIT
FOR OFFICE USE ONLY
Case No. {)(o -r l
Date Submitted l[ fl~ {DLR
4 -.~o NG
/ MINIMUM SUBMITTAL REQUIREMENTS
~ $200 development permit fee . 0 $600.00 Public Infrastructure Inspection Fee if applicable. (This fee is payable if construction of a public
waterline, sewerline, sidewalk, street or drainage facilities is involved.) 0 Drainage and erosion control plan, with supporting Drainage Report two (2) copies each 0 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)
LEGALDESC~PTION~~H~g~~~~~h~h~-1~0-~~-'~-~~~4-,·~fC-~~--------/ APPLICANT'S INFORMATION (Primary Contact for the Project):
Name a4::.x tJ fVLQl1~. E-Mail
Street Address f 0 f3 c> >c I 5' 3 ?
City NAVA--S'OTA State_T...__x __ _
Phone Number '136 ~2)--2/C) FaxNumber
a":Y ;12k6 a: .. W:>rh.,,.,. • (efJ?-.-
Zip Code _ ___.;.7_7-"--"tJ"-'6""'"'9.....___
93(-e?.5-'2Y~
PROPERTY OWNER'S INFORMATION:
Name SAU ":l :J_(A../Al L
StreetAddress 9J.5 EAeL f2.y(JQ~
City ([)LLf( ... £ $JI\\\ a....J State t .,C...
E-Mail S L ~J..{t+!L lOCJ~ e.~1 1
~"-{ ~
Phone Number C\J£1..-SlY=-~~ l
Zip Code 118Lf s-· ·
Fax Number -~-)_'1~--£~~~~~,__q=j_q_/ _
ARCHITECT OR ENGINEER'S INFORMATION:
Name P~0/ f H<Afek. E-Mail __________ _
Street Address
City /fA....,....J---,--k_S_D_T_A ___ st-at-e --T;...,--;x:.. ____ Z_ip_C_o-de--7-2_8 _6_8 __
PhoneNumber q3C,,--f'.12s=-~03 FaxNumber _________ _
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.
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 G<r~F~v'!T~~ Contrador /
CERTIFICATIONS:
A. I, __ , certify that any nonresidential structure on or proposed to 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, __ , certify 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
concerning encroachments of floodways and of floodways fringes.
Engineer Date
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 shall 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 project. All of the applicable codes and
ordinances of the City of College Station shall apply.