20191511 Ver 1_Staff Report_20191203

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/7/2019 9:32:45 AM (Workflow Start Event)
S,bmit Permit Decision by Homewood, Sue 12/3/2019 4:03:53 PM (401 Project Review Form)
• The task was assigned to Homewood, Sue. The due date is: January 15, 2020 5:00 PM
11 /7/2019 9:32 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: 11/06/2019
Project Information
ID#: Version:
20191511 1
Project Name: Kaymoore Dam Repair
County(ies):
Forsyth
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 12/2/2019
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: