SWA000142_Fast-Track ATC App Comp Review Checklist_20220315

Project Name:
Street Address:
City & County:
Fast -Track ATC Application Completeness Review Checklist 2 II
Date Delivered to CO:3�/sh2
BIMS Received/Accepted Date:
*BIMS Acknowledged Date:
FI'Gc, Eh
IRule(s): IxlPhase11 "ORW/HQW "WSWS "Goose "NSW "Othe
Permit Action: New / New Replacing /Kajor Mo­cTbTransfer
iit Type: HDkD HD & LD Combo
Type(s):
Type: Commercial / Residentia 6 e
*New Permit #: S�
xisting Permit #: 541621OS0
EIPE Cert on File?
For New or Transferred Permits Permittee is: Special Stream Classification:
PropertyOwner(s) Developer Lessee ❑Purchaser❑HOA Tr+/@/*/# E]
Paperwork Emailed Engineer on: .5116/ 1Z (Accepter
®ATC Application Form (original signature & sealed & notarized)
OFor Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
®$505 (within 6mo) Check#(s): QZZ 7 Sq S
®USGS Map (project location)
Property Deed
®Construction Sequence
®Designer's Certifiaction (if required)
Plans
EJ2 Sets (signed, sealed, folded)
Project Boundaries (bearing & distance)
Location of SCMs
Surface Waters & Vegetated Setbacks
wetlands)
(Accepted
€mail Address: Design I
®Email Address: Propert
®Deed
Email Address: Lessee
Lease Agreement
I Address: Purchast
Agreemer
Email Address: Develop
Email Address: HOA Rel
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
W,**FOR NEW Projects -Enter New Permit#on
—Or'y'-1rJ1Y P"Xekpplements & Deed Restriction Templates.
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