20191420 Ver 1_Staff Report_20191115

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 10/24/2019 1:03:44 PM (Workflow Start Event)
Submit Perrmt Decision by Johnson, Alan 11 /15/2019 9:48:41 AM (401 Project Review Form)
• The task was assigned to Johnson, Alan. The due date is: December 23, 2019 5:00 PM
10/24/2019 1:04 PM

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: 10/14/2019
Project Information
ID#:
20191420
Project Name
County(ies):
Iredell
Version:
1
Simmons 176 Ponderosa Cir
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 11/5/2019
Check all agencies that need to F- DCM
receive notification of your decision. r WRC
DMS
Has your decision letter been uploaded into Laserfiche?*
r Yes - Uploaded separately
f Yes - Attaching it to this form
f No - Sent for signature (TPB Unit Only)
r NIA
Staff Comments and Documentation
Staff review documentation:(?) PDForjpgonly
Staff Comments: