20061518 Ver 2_Staff Report_20191206

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11 /14/2019 8:01:34 AM (Workflow Start Event)
Submit Perrmt Decision by Johnson, Alan 12/6/2019 2:15:45 PM (401 Project Review Form)
• The task was assigned to Johnson, Alan. The due date is: January 15, 2020 5:00 PM
11/14/2019 8:01 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:
20061518 2
Project Name: Jeffrey L Kirkby Lot 18
County(ies):
Contact Emails:
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 12/5/2019
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 WA
Staff Comments and Documentation
Staff review documentation: FDForjpgonly
Staff Comments: