20201565 Ver 1_Staff Report Annino, Amy M_20210304

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 2/24/2021 10:16:23 AM (Workflow Start Event)
Submit Permit Decision by Annino, Amy M 3/4/2021 11:33:43 AM (401 Project Review Form)
• The task was assigned to Annino, Amy M. The due date is: May 4, 2021 5:00 PM 2/24/2021 10:16 AM

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Date Information Received: 02/23/2021
Project Information
ID#: Version:
20201565 1
Project Name: Black Forest 17
County(ies):
McDowell
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 3/4/2021
Check all agencies that need to F- DCM
receive notification of your decision. r WRC
DIMS
Has your decision letter been uploaded into Laserfiche?*
r Yes - Uploaded separately
r Yes - Attaching it to this form
f No - Sent for signature (TPB Unit Only)
r WA
Decision Letter*
Staff Comments and Documentation
Staff review documentation
Staff Comments:
20210304_Allen & Benisch, 83 High
Camps Dr_APPRVL.pdf
FDF Only
FDF or jpg only
1.37MB