SWA000195_Application Completeness Review Checklist_20230323

! � L Fast -Track ATC Application Completeness Review Checklist
Project Name: LZI wk �Q ✓ _ Pk ' ` Date Delivered to CO: Vzo/z—
Street Address: f5Z Z reSs 0 co-,4 BIMS Received/Accepted Date: Z
City & County: 'Wits (� � e �, ��c�Y�t�n (-C'c) ���. *BIMS Acknowledged Date: 3 /Z j 2 .3
Rule(s): Phase II [::IORW/HQW 1_1W5WS
Goose El
NSW
1-1
Other
Permit Acti N w New Replacing/ Major Mod / Transfer
V **New Permit #: �} r [ A000/9s
Existing Permit #:
�PE Cert on File?
Permit Type: HD / LD -H" LQ__CnbC1_)
SCM Type(s):(q) f�rD 1r1�%it�� S yts�a teal `�-5
Development Type: Commercial j.Residentol / Other
Subdivided?: Subdddiyisibn or Single Lot
For New or Transferred Permits Permittee is:
al Stream Classification:
✓ Property Owners) Developer El Lessee Purchaser ❑HOA
JnTr❑+/@/*/# Other
ATC Application Form (Acceptable [ N7
ATC App., General (Acceptable [VI) ATC
Project not elidgible
m Project info missing/incorrect,
Coordinates missing/incorrect
Permit type missing/incorrect-
SW program info missing/incorrect-"
Other permit info missing/incorrect
Building permit contact/info missing/
Applicant wrong person ✓
❑
Applicant contact info missing
❑
Property Owner info not needed
a Property Owner wrong person
❑
Property Owner contact info missing
Engineer wrong person +
❑
Engineer contact info missing✓
Project type incorrect
River basin incorrect ✓
Receiving stream info incorrect ✓
a Area shown in acres (not sf) ✓
❑
Missing surface water area
Density calculated incorrectiyr
General issues with area values
able
Check No. -$1/zy�
#1 #2 Submittal Items (Acceptable[
Missing +-
Applicant signature missing
m
Applicant signature not notarized
m
Applicant signature not originaf
m
Applicant signature wrong person
m
Designer signature missing
m
Designer signature not sealed
m
Designer signature wrong person
m
* Property Owner sig. missing
m
* Property Owner sig. not notarized
m
* Property Owner sig. not original
m
* Property Owner sig. wrong person
1 1
Tracking History
Submission Received
i 22 (Accepted/Add Info
Add Info Received
!l (Accepted(_dcfTnfo3)
Add Info Received
3 /1,31L3 ( crept /Returned)
V Reviewer
Permit fee missing
USGS topo map #1 missing t,
USGS topo map #2 missing
Site plan #1 missing✓
Site plan #2 missing"
Site plan not signed ✓
Project boundary not shown✓
SCM location not shown''
Surface water not shown/
Veg. setback not shown ✓
Wetlands not shown✓
Const. sequence #1 missing ,-
EJ
Coast. sequence #2 missing ✓
Deed missing/incorrect ✓ ❑
* Title & position document #1 missing
* Title & position document #2 missing
* Corporation not in good standing✓
* Certificate of assumed name missing
* Lease/sale/dev. agreement#1 missing
* Lease/sale/dev. agreement#2 missing
* Designer certifiaction missing 0
Notes:
b �avA�?1ac.�rY
,ne,ec aid. I c
GS