SWA000168_Fast Tract ATC App Compl Review Checklist_20220902

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(A,TC Application Completeness Review Checklist //
Project Name: (jo- roo; of a $/j9 - Ptt. Date Delivered to CO: MZ✓ ZZ-
StreetAddress: pjd US- ((Zi A( BIMS Received/Accepted Date:
City &County: bN;r�i-sn, 14�,np,}-r'" 6x4y - *BIMS AcknowlAdgeclDate:
Rule(s):
12]Phase
II " "[—]ORW/HQW
E]WSWS
r—lGoose
NSW
Other
Permit Action: Nev / New Replacing / Major Mod / Transfer
**New Permit #: S" C Drj
Existing Permit #:
�PE Cert on File?
Permit Type: HD,0/ HD & LD Combo
SCM Type(s): . C4;41
Development Type: Commercial/ siden' Other
Subdivided?: ubdivisi or Single Lot
For New or Transferred Permits Permittee is:
Property Owner(s)1-1 Developer Lessee ❑Purchaser ❑HOA
Special Stream Classification:
Tr+/@/*/# Other
Paperwork Emailed Engineer on:
(Accepted &I"d Inf�
91ATC Application Form (original signature & sealed & notarized)
) q/G/Z2 (cceptee Returned)
®For Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
©$505 (within 6mo) Check#(s): /9/ 5
©Email Address: Design Engineer
©USGS Map (project location)
Email Address: Property Owner
®Property Deed
®Deed
®Construction Sequence
Email Address: Lessee
Designer's Certifiaction (if required)
/ Lease Agreement
Email Address: Purchaser
nPurchase Agreement
Email Address: Developer
Email Address: HOA Representative
Plans
02 Sets (signed, sealed, folded)
©Project Boundaries (bearing & distance) ShQ l Ph, j 0Y /Y
©Location of SCMs
®"Surface Waters & Vegetated Setbacks
®Wetlands (d meate no wetlands)
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
**FOR NEW Projects -Enter
New Permit iton
- Supplements & Deed Restriction Templates.