SWA000147_Fast-Tract ATC Appl Comp Review Checklist_20220516

I / Fast -Track ATC('7Application Completeness Review Checklist
W Project Name: k1C� V�i'1 o('" fo m P4'k Date Delivered to CO:
Street Address: lol 6& p 's sfWY'e,f- BIMS Received/Accepted Date:
City &County: t,/e4XA / / 'Uk Nn C"Fj/ *RIMS Acknowledged Date:
Phase II uORW/HQW U
y New Replacing / Major Mod / Transfer
iit Type: HD / LD
Type(s): Wp4-
Type:
New or Transferred Permits
Residential / er
Owner(s) I (Developer
is:
Paperwork Emailed Engineer on:
MATC Application Form (original signature & sealed & notarized)
ElFor Corp/LLC: Sig. Auth. per (So , Signature Authorization letter/report)
*New Permit #:
Permit #:
FIFE Cert on File?
Stream Classification:
❑+/@/*/# Other
©$SOS (within 6mo) Check#(s): /�(� DEmail Address: Design Engineer
©USGS Map (project location) ©Email Address: Property Owner
®Property Deed ©Deed
Construction Sequence 7Email Address: Lessee
Designer's Certifiaction (if required) ❑/ Lease Agreement
Email Address: Purchaser
Purchase Agreement
❑/ Email Address: Developer
Q/ Email Address: HOA Representative
Plans
Sets (signe seal olde
Boundaries (bearing & distance)
, of SCMs
Waters & Vegetated Setbacks
wetlands)
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
**FOR NEW Projects -Enter New Permit#on
Supplements & Deed Restriction Templates.
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