20191143 Ver 1_Staff Report_20191120

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 8/29/2019 11:33:05 AM (Workflow Start Event)
Submit Pernit Decision by Goss, Stephanie 11/20/2019 8:54:01 AM (401 Project Review Form)
• The task was assigned to Goss, Stephanie. The due date is: November 6, 2019 5:00 PM
8/29/2019 11:33 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: 08/28/2019
Project Information
ID#: Version:
20191143 1
Project Name: Jackson Springs
County(ies):
Johnston
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 11/18/2019
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: