20191648 Ver 1_Staff Report_20191220

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 12/11/2019 10:14:50 AM (Workflow Start Event)
S,bmit Permit Decision by Goss, Stephanie 12/20/2019 3:48:27 PM (401 Project Review Form)
• The task was assigned to Goss, Stephanie. The due date is: February 10, 2020 5:00 PM
12/11/2019 10:14 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: 12/02/2019
Project Information
ID#:
20191648
Project Name
County(ies):
Franklin
Version:
1
Neals Lot R-2041
Contact Emails:
[e-mail]
philsqualityconstruction@gmail.
com
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 12/20/2019
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: