20231120_Floodplain_Development_Permit_Application

AFloodplain Development Permit Application
Jones County Date Received:
File Number:
NATIONAL FLOOD
INSURANCE PROGRAM
SECTIONApplicant and Project Information
Generol Informotion
2. No work of any kind may begin in a floodplain until a floodplain development permit is issued.
2. The permit may be revoked if any false statements are made in this application.
3. If revoked,all work must cease until a permit is re-issued.
4. The development may not be used or occupied until a Certificate of Compliance is issued.
S. The permit will expire if no work is commenced within 6 months of the date of issue.
6. The permit will not be Issued until any other necessary local,state or federal permits have been obtained.
By signing and submitting this application,the Applicant gives consent to the local Floodplain Administrator or his/her
representative to make reasonable inspections prior to the issuance of a Certificate of Compliance.
By signing and submitting this application,the Applicant certifies that all statements contained In SECTION I of the
application,and In any additional attachments submitted by the Applicant,are true and accurate.
LeSSee
Ovvner Information
essee
Property AwfleF: Martin Marietta Materials,Inc. Mailing Address: PO Box 30013
Telephone [phone] Raleigh,NC 27622
Email Address: ron•kop H martinmarietta.com
Signature: Date: n
Applicant Informotion
Applicant: Ronald M.Kopplin,President,East Divi: Notes:
Project is part ol'Martin Marietta Belgrade
Telephone [phone] Quarry.Proposed impacts are on Jones
County parcel#543171419300.
Fax Number:
Signature: (
Project
Project Address: Belgrade Quarry-5678 Highway 58 South,Maysville,NC 28555
Subdivision:
Lot:
Block:
Attach Legal Description to application.

Project Information (continued)
Type of Structure:
* Substantial improvement
❑Residential(1 to 4 families) if the value of an addition or alteration to a structure
❑Residential(More than 4 families) equals or exceeds 50%of the value of the structure
before the addition or alteration,the entire structure
❑Non-Residential must be treated as a substantially improved structure.
O Elevated Substantial Improvement Evaluation:
O Floodproofed
Cost of Improvement(a):$
❑Combined Use(Residential and Non-Residential)
❑Manufactured Home Market Value of Building(b):$:
O Located INSIDE a Manufactured Home Park Percent of Value Change(a/b):
O Located OUTSIDE a Manufactured Home Park Disclaimer:Substantial Improvement Evaluation must be
supported by project cost documentation and approved
Type of Structural Activity: market evaluation.Attach supporting documentation.
❑New Structure ** Relocation or Replacement
❑Addition to Existing Structure* A relocated structure or a structure being replaced must
❑Alteration of Existing Structure* be treated as new construction.
❑Relocation of Existing Structure**
❑Demolition of Existing Structure
❑ Replacement of Existing Structure
Other Development Activities
❑Dredging
❑Excavation(not related to a structural development) ❑Watercourse alteration
❑Clearing ❑Drainage improvement(including culvert work)
❑Placement of Fill Material ❑Individual water or sewer system(not included to a
❑Grading structural development listed above)
❑� Mining ❑Roadway or bridge construction
❑Drilling ❑Specify other development not listed above:
B4ti99
SignatureProperty owner
l certify that to the best of my knowledge the information contained in the application is true and accurate.
u4iV A, Ll�_ 111 17
Ode"I
Signature of pro erty Date