Nichols, NY · Tioga County

No notary required

Floodplain Development Permit Application

Applicants use this form to request a permit for proposed development in Nichols, providing project details and information for the Local Administrator’s review.

What this form is

This application requests a floodplain development permit and is completed in duplicate. The applicant describes the proposed work, identifies the project location, and signs a certification that the statements are true and accurate. The Local Administrator reviews the application, identifies any additional documents needed, and determines whether the activity conforms to the local law. As-built elevation information is required before a Certificate of Compliance is issued.

Who needs it

Applicants proposing structural or other development activities described on the form should complete it and submit it to the Local Administrator.

How to submit it

Complete Section 2 and submit the form in duplicate to the Local Administrator for review. The permit may be issued upon payment of a designated fee, if applicable.

About notarization

This document is signed and dated by the applicant without a notary; the form does not require a sworn statement or notarized attachment.

How to submit this form

  1. 1

    Download the Application

    Download the Floodplain Development Permit Application PDF.

  2. 2

    Complete the Applicant Section

    Fill out Section 2 with applicant, project location, proposed work, and estimated project cost information.

  3. 3

    Gather Supporting Documents

    Review Section 4 for documents the Local Administrator may require before processing the application.

  4. 4

    Submit in Duplicate

    Submit the completed application in duplicate to the Local Administrator for review.

Frequently asked questions

Do I need a notary for the Floodplain Development Permit Application?
No. The applicant signs and dates this application without a notary; the form does not require a sworn statement or notarized attachment.
How do I submit the Floodplain Development Permit Application?
Complete Section 2 and submit the application in duplicate to the Local Administrator for review, as directed on the form.
What information does the application ask for?
It asks for applicant and project details, the project location, a description of the proposed work, and other information completed by the Local Administrator.
What attachments may be required?
Depending on the project, the form lists items such as a site plan, development plans and specifications, an Elevation Certificate, or floodproofing certification.

Need something notarized?

This Floodplain Development Permit Application doesn’t need a notary — but if you have another Nichols form that does, a commissioned online notary can help.