SWA000145_Fast-Track ATC App Comp Review Checklist_20220428

Fast -Track ATC Application Completeness Review Checklist //..
Project Name: f r• w 1P4on Fo.rwt S Date Delivered to CO:
Street Address: W, mhvj BIMS Received/Accepted Date:
City & County: M:Ad P Sa-Y , i1/R6h G• . *BIMS Acknowledged Date:
Rule(s):
Phase 11
E]ORW/HQW
E1WSWS
Goose
NSW
Other
Permit Action: le / New Replacing / Major Mod / Transfer
**New Permit #: 5 W R 000 I
Existing Permit #:
EIPE Cert on File?
Permit Type: <ED / LD / HD & LD Combo
SCM Type(s): Wt� P2Pt15
Development Type: Commercial R identia Other
Subdivided?: CNEEion or Single Lot
For New or Transferre Permits Permittee is: Special Stream Classification:
Property Owner(s) Developer Lessee ®Purchaser E]HOA Tr ®Other
Paperwork Emailed Engineer on:
? 17 9�Z(Accepted45d Infoy
®ATC Application Form (original signature & sealed & notarized)
glalZL ( cepted Returned)
For Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
®$505 (within 6mo) Check#(s): 40325
®Email Address: Design Engineer
®USGS Map (project location)
Email Address: Property Owner
©Property Deed
®Deed
©Construction Sequence
17111mail Address: Lessee
Designer's Certifiaction (if required)
Lease Agreement
®Email Address: Purchaser
®Purchase Agreement
Email Address: Developer
^
V IEmail Address: HOA Representative
Plans
2 Sets Igoe eale folded)
Project Boundari earl istanc
Location of SCMs
Waters & Vegetated Setbacks
REVIEWER NAME:
wetlands)
NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
SGM Z f,. _ **FOR NEW Projects -Enter New Permit # on
Supplements & Deed Restriction Templates.
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