SWA000163_Fast Track ATC App Comp Review Checklist_20220817

Fast -Track ATC Application Completeness Review Checklist ^�
Project Name: /tAad.3o, � Pen4,� Date Delivered to CO: /ITZZZ
Street Address: uwFh ?yv: dt A4p po,,n BIMS Received/Accepted Date:
City&county: X AkX,J &Aj (/M,b*., b. *BIMSAcknowledged Date:
Rule(s):
®Phase
II
F—IORW/HQW
F-1WSWS
Goose
NSW
Other
Permit Action: (9/New Replacing/Major Mod/Transfer
**New Permit#: Od�
Existing Permit #:
MPE Cert on File?
Permit Type: / LD / HD & LD Combo
SCM Type(s): Ve% poh G(
Development Tubdivision mmerci Residential / Other
Subdivided?: Sor Single Lot
For New or Transferred Permits Permittee is: Special Stream classification:
Property Owner(s) DDeveloper Lessee ❑Purchaser ❑HOA Tr ❑+/@/*/# Other
Paperwork
Emailed Engineer on:
©ATC Application Form (original signature & sealed & notarized)
MY For Corp/LLC: Sig. Auth. per (SoS, Signature Authorization letter/report)
�22 5/IQ (Accepted Add Info
(i cc� /Returned)
©$505 (within 6mo) Check#(s): loOoZ
Email Address: Design Engineer
©USGS Map (project location)
©Email Address: Property Owner
©Property Deed
Construction Sequence
II-- ��®Deed
I / IEmail Address: Lessee
�r--�®Lease
Designer's Certifiaction (if required)
Agreement
[ZlEmail Address: Purchaser
MPurchase Agreement
Email Address: Developer
Email Address: HOA Representative
Plans
r712 Sets (signed, sealed, folded)
Project Boundaries (bearing & distance)
©Location of SCMs
©Surface Waters & Vegetated Setbacks
®Wetlands
(del ineate owetlan
REVIEWER NAME: NOTES TO REVIEWER: *Enter BIMS Acknowledged Date on this Sheet
**FOR NEW Projects -Enter New Permit # on
Supplements & Deed Restriction Templates.