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HomeMy WebLinkAboutStormwater-ATC-Application NEW HANOVER COUNTY Engineering Department 230 Government Center Drive ∙ Suite 160 Wilmington, North Carolina 28403 TELEPHONE (910)-798-7139 Fax (910) 798-7051 APPLICATION Date Received: _________________________ STORM WATER SYSTEM AUTHORITY TO CONSTRUCT Application No.: ___________________________ Name of Proposed Development: _____________________________________________________________ Location: ___________________________________________________________________________ Tax ID Number: _____________________________________________________________________ Acres Disturbed: _____________________________________________________________________ Type of Development: ____________________Subdivision, _________________Commercial Development Owner/Developer: ______Individual, ______Partnership, ______Corporation, _____L.L.C., _____Other Name: _____________________________________________________________________________ Address: _____________________________________________________________________________ _____________________________________________________________________________ Contact Person: ______________________________________________________________________ *E-Mail Address: ______________________________________________________________________ Phone Number: _____________________________ Fax Number: ___________________________ Storm Water Design Professional: Company: ___________________________________________________________________________ Address: ____________________________________________________________________________ Engineer/Contact Person: _____________________________________________________________ *E-Mail Address: ______________________________________________________________________ Phone Number: _____________________________ Fax Number: ___________________________ Attachments: Two Sets of Plans dated, signed and sealed Certifications dated, signed and sealed Two Sets of Design Calculations, signed and sealed Copies of all other permits (COE,DEM, SW, S&E, etc.) Maintenance Agreement Application Fee in the Amount of: $ ________________ *Correspondence will be sent electronically to email addresses that are provided. James P. Iannucci, PE, CFM County Engineer Tim Lowe, PE Chief Project Engineer