SWA000117_Application Form_20210927

Stormwater Fast Track ATC Application Form Page 5 of 9 Feb. 10, 2018
F. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non-Coastal HQW/ORW). Only application packages that include
all required items listed below will be accepted and reviewed.

Initial each item below to indicate that the required information is provided in the application package :

Initials
ARS
1. Two original signed hard copies and one electronic copy of this State Stormwater Fast Track
Process “Authorization to Construct” (ATC) Permit Application Form.

ARS 2. Permit application processing fee of $505 payable to NCDEQ.

ARS 3. Two hard copies and one electronic copy of a USGS map identifying the project location
and GPS coordinates for the project. If the receiving water is Class SA or the receiving water
drains to Class SA waters within ½ mile of the project boundary, include the ½ mile radius
on the map. If the project is within 575 feet of Class SA-ORW waters, include the 575-foot
radius on the map.

ARS 4. Two original signed hard copies and one electronic copy of a site plan depicting the boundary
of the project or project phase currently being permitted, including the locations of SCMs,
streams, wetlands, and buffers.

ARS 5. Two hard copies and one electronic copy of a construction sequence that discusses how any
future development on the project may be phased.

ARS 6. A copy of the most current property deed. Deed book: 4171 Page No: 74

ARS 7. [IF APPLICABLE] When the applicant is a corporation or a limited liability corporation (LLC): Provide
two hard copies and one electronic copy of documentation from the NC Secretary of State, or other
official documentation, which supports the titles and positions held by the persons listed
in Section C.2 per 15A NCAC 2H. 1043(3)(b). The corporation or LLC must be listed as an active
corporation in good standing with the NC Department of the Secretary of State; otherwise, the
application will be returned. https://www.sosnc.gov/search/index/corp

N/A 8. [IF APPLICABLE] When the applicant is a Partnership or other person engaging in business under
an assumed name, attach a copy of the Certificate of Assumed Name.

N/A 9. [IF APPLICABLE] When the applicant is not the property owner: Provide two hard copies and one
electronic copy of lease agreements, affidavits, pending sales agreement, development agreement,
or other documents showing that the applicant has obtained legal rights to submit a stormwater
permit application within the proposed project area.

N/A 10. [IF APPLICABLE] If modifying an existing permit for completed or partially completed projects, a copy
of the designer’s certification.