SWA000161_Fast Track ATC App Comp Review Checklist_20220729

Fast -Track ATC Application Completeness Review Checklist
Project Name: / pry p%Q 61"41 3 Date Delivered to CO: TI Z (/ZC_
Street Address: S toMmA , q, BIMS Received/Accepted Date:
City � 6; p1 Ha'k-' . ra. *BIMS Acknowledged Date:
Rule(s):
®Phase
II
F_1ORW/HQW
E1WSWS
El
Goose
NSW
Other
Permit Action: / New Replacing / Major Mod / Transfer
El "New Permit #: S'
Existing Permit #:
1:1PE Cert on File?
Permit Type: iQ/ LD / HD &I1D Combo
SCM Type(s): Q- ��i
Developmen Commercial / R idential / Other
Subdivided?: Sub ivision or Single Lot
For New or Transferred Permits Permittee is:
Property Owner(s) El Developer Lessee ❑Purchaser ❑HOA
Special Stream Classification:
Tr ❑+/@/*/# Other
Paperwork Emailed Engineer on:
9ATC Application For origins ignature & sealed & notarized)
Application
Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
0$505 (within 6mo) Check#(s): O
©USGS Map (project location)
Property Deed
Construction Sequence
Designer's Certifiaction (if required)
Plans
1Z12 Sets (signed, sealed, folded)
Boundaries (bearing & distance)
cation of SCMs
rface Waters & V etated Setba ks
atlands elinea /no wet ands)
REVIEWER NAME:
7/ZZ/ZZ (Accepted/eglig?
&///ZZ (ccepted eturned)
©Email Address: Design Engineer
®Email Address: Property Owner
®Deed
'Email Address: Lessee
121 Lease Agreement
Email Address: Purchaser
12 Purchase Agreement
Email Address: Developer
Email Address: HOA Representative
NOTES TO REVIEWER: `Enter BIMS Acknowledged Date on this Sheet
"FOR NEW Projects -Enter New Permit # on
Supplements & Deed Restriction Templates.