20191421 Ver 1_Staff Report_20191119

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 10/28/2019 3:18:53 PM (Workflow Start Event)
Submit Perrmt Decision by Homewood, Sue 11 /19/2019 12:14:50 PM (401 Project Review Form)
• The task was assigned to Homewood, Sue. The due date is: December 23, 2019 5:00 PM
10/28/2019 3:18 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#: Version:
20191421 1
Project Name: Ellisboro Road
County(ies):
Guilford
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 11/15/2019
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 N/A
Staff Comments and Documentation
Staff review documentation:(?) PDForjpgonly
Staff Comments: