HomeMy WebLinkAbout20201851 Ver 1_Staff Report Johnson, Alan_20210215Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 1 /19/2021 12:16:26 PM (Workflow Start Event)
Submit Perrmt Decision by Johnson, Alan 2/15/2021 4:53:14 PM (401 Project Review Form)
• The task was assigned to Johnson, Alan. The due date is: March 26, 2021 5:00 PM
1/19/2021 12:16 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: 01/15/2021
Project Information
ID#: Version:
20201851 1
Project Name: Novant Health South Charlotte Med Center
County(ies):
Mecklenburg
Contact Emails:
mhstiene@novanthealth.org
aliisa@cws-inc.net
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 2/12/2021
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: