20180576 Ver 1_Staff Report_20180501

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow4/30/2018 5:28:57 PM (WorkflowStart Event)
�brrrit Pemm�it Decision by Wanucha, Dave 5/1/2018 11:19:44 AM (DOT Project Review)
. The task was assigned to Wanucha, Dave 4/30/2018 5:29 PM

Water Resources
ENVIRONMENTAL �UPLITV
*
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all
mandatory questions are ans�red.
Date Information Received:
Project Information
ID#: Version:
20180576 1
Project Name: Line 326 DOT Pipeline Relocation
County(ies):
Forsyth
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* No Written Concurrence
Date decision letterwritten* 5/1/2018
Check all agencies that need to � DCM
receive notification of your decision. r WRC
� DMS
Has your decision letter been uploaded into Laserfiche?*
f Yes - Uploaded separately
l' Yes - Attaching it to this form
�' No - Sent for signature (TPB Unit Only)
l•' �UA
Staff Comments and Documentation
Staff review documentation: (�) F�Forjpg only
Staff Comments: Did not exceed impact thresholds. General Certification 4133 will
apply.