SWA000202_Application Completeness Review Checklist_20230419

/� Fast-Track ATC Application Completeness Review Checklist r 91
Project Name: V r'�� �� G �Q i , Date Delivered to CO: q/1 Z 3
Street Address: 1111-A T3 No,+k {•la iMa oh S 'P°9' BIMSReceived/Accepted Date: _L� f 47T_3
City&County: /K1 , PfEu,,�c,n� { CaGa✓fluC �o, *BIMS Acknowledged Date: [� 1! /Z
Fule{s}; Phasell �ORW/HCiW �WSWS Goose1:1 NSW 1-1
Other
Permit Action: Ne /New Replacing/Major Mod/Transfer **New Permit#: .`�✓ f ;G C
Permit Type: D/LD/HD&LD Combo Existing Permit#:
SCM Type(s): t/0 d - EIPE Cert on File?
Development Type: Commercial/Residential Other
Subdivided?: Subdivision or g le Lot
For New or Transferred Permits Permittee is: Special Stream Classification:
Property Owners) El Developer El Lessee ElPurchaser EIHOA Tr ❑+/@/*/# Other ATC Application Form{Acceptable[+;]) Check No.- Z 3 Z/7-7
q
ATC App.,General(Acceptable[V]) ATC App.Signatures{Acceptable[ ]} #1 #2 Submittal Items{Acceptable[✓r)
Q Project not elidgible Missing W Permit fee missing
Project info missing/incorrect �� Applicant signature missing USGS topo map#1 missing
Coordinates missing/incorrect Applicant signature not notarized m USGS topo map#2 missing LJ
Permit type missing/incorrect IC] Applicant signature not original m Site plan#1 missing
SW program info missing/incorrect Applicant signature wrong person m Site plan#2 missing "lJ
Other permit info missing/incorrect Designer signature missing W Site plan not signed
Building permit contact/info missing v Designer Signature not sealed m Project boundary not shown "IJ
Applicant wrong person Designer signature wrong person SCM location not shown
Applicant contact info missing * Property Owner sig. missing ® Surface water not shown
Property Owner info not needed "IJ * Property Owner sig. not notarized I .J Veg.setback not shown VIJ
Property Owner wrong person * Property Owner sig. not original ® Wetlands not shown
Property Owner contact info missing * Property Owner sig.wrong person Const.sequence 41 missing
Engineer wrong person Tracking History Const.sequence#2 missing
Engineer contact info missing Z Submission Received Deed missing/incorrect v�
Project type incorrect Z�Z3 (Accepte d Info * Title&position document#1 missing E]
River basin incorrect ✓❑ �# ��; Add Info Received * Title&position document 42 missing
Receiving stream info incorrect Tf" L4Y. Accept /Add Info) * Corporation not in good standing
Area shown in acres(not sf) 10 Add Info Received * Certificate of assumed name missing
Missing surface water area � (Accepted/Returned) * Lease/sale/dev.agreement 41 missing
Density calculated incorrectly * Lease/sale/dev.agreement 42 missing
General issues with area values _5i L^Fcl kc�t 5 Reviewer * Designer certifaction missing
Notes: