SWA000148_Fast-Track ATC App Complete Review Checklist_20220531

A" Fast -Track ATC Application Completeness Review Checklist ?
Project Name: Myrf-j? /-iG ntlr� Date Delivered to CO: S/JI�ZZ
Street Address: BIMSReceived/Accepted Date:
City& County:Ah4_;f,/ 4rv.Q(-�('o, *BIMSAcknowledgedDate:
Rule(s):
®Phase II
E]ORW/HQW
EIWSWS
Goose
NSW
Other
Permit Action: ew New Replacing / Major Mod /Transfer
**New Permit #: Sw A000 I li 0
Existing Permit #:
EIPE Cert on File?
Permit Type: (Hb�/ LDA / HD & pLD Combo
SCM Type(s): ln>�'Yppvt�
Development Type: Commercial Residential/Other
Subdivided?: v division-_ r Single Lot -
For New or Transferred Permits Permittee is:
Property Owner(s) Developer Lessee
JSpecial Stream Classification:
Purchaser ❑HOA Tr ❑+/@/*/# Other
Paperwork
Emailed Engineer on:
®ATC Application Form (original signature & sealed & notarized)
®For Corp/LLC: Sig. Auth, per (SoS, Signature Authorization letter/report)
_37/23/2Z (Accepte Add In
6/2�2Z ( cepte fReturned)
®$505 (within 6mo) Check#(s): 33 0 S
®Email
Address: Design Engineer
®USGS Map (project location)
®Email
Address: Property Owner
®Property Deed
©Deed
onstruction Sequence
Email Address: Lessee
ff
esigner's Certifiaction (if required)
Lease Agreement
FxlEmail
Address: Purchaser
Purchase Agreement
Email Address: Developer
Email Address: HOA Representative
Plans
Sets (signed, sealed, folded)
N 2
Project Boundaries (bearing & distance)
FA Location of SCMs
Surface Waters & Vegetated Setbacks
©Wetlands (delineated/no wetlands)
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
/ /f **FOR NEW Projects -Enter New Permit#on
O;,M � Supplements & Deed Restriction Templates.
q!_q lSS,�3 /IU