20190825 Ver 2_Staff Report_20191211

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11 /13/2019 2:53:46 PM (Workflow Start Event)
Submit Pernit Decision by Goss, Stephanie 12/11/2019 2:03:01 PM (401 Project Review Form)
• The task was assigned to Goss, Stephanie. The due date is: January 15, 2020 5:00 PM
11/13/2019 2:53 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: 11/06/2019
Project Information
ID#: Version:
20190825 2
Project Name: Eichhorn 767 Sagamore Dr
County(ies):
Franklin
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 12/6/2019
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: