Stormwater-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