Stormwater ATC Application (PDF)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.
Take 5 Car Wash
8232 Market St., Wilmington, NC
1.28
Car Wash
X
Boing US Holdco, Inc.
440 South Church St. Suite 700
Charlotte, NC 28202
Rebecca McAllister
rebecca.mcallister@drivenbrands.com
(281) 660-9583
Pennoni
5430 Wade Park Blvd, Suite 106, Raleigh, NC 27607
Ethan Mindrebo
Emindrebo@pennoni.com
(919) 230-9217
Digital
Digital
N/A
TBD