20201159 Ver 1_Staff Report_20200929

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 9/10/2020 10:56:22 AM (Workflow Start Event)
Submit Perrmt Decision by Annino, Amy M 9/29/2020 10:49:44 AM (401 Project Review Form)
• The task was assigned to Annino, Amy M. The due date is: November 13, 2020 5:00 PM
9/10/2020 10:56 AM

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Date Information Received: 09/04/2020
Project Information
ID#: Version:
20201159 1
Project Name: Nordblom 2008 Old Wildlife Club Dr
County(ies):
McDowell
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 9/29/2020
Check all agencies that need to F- DCM
receive notification of your decision. r WRC
DIMS
Has your decision letter been uploaded into Laserfiche?*
r Yes - Uploaded separately
r Yes - Attaching it to this form
f No - Sent for signature (TPB Unit Only)
r WA
Decision Letter* 20200929 Nordblom, 2008 Old Wildlife
1.28M6
Club_APPRVL.pdf
FDF Only
Staff Comments and Documentation
Staff review documentation: PDForjpgonly
Staff Comments: