20210559 Ver 1_Staff Report Ward, Garcy_20210318

Staff Project Review Form
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: 03/11/2021
Project Information
ID#: Version:
20210559 1
Project Name: Courtesy Notification-SR 1137 Liverman Mill Road Pipe
Replacement Hertford Co.
County(ies):
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* No Written Concurrence
Date decision letter written* 3/18/2021
Check all agencies that need to r DCM
receive notification of your decision. r WRC
r DMS
Has your decision letter been uploaded into Laserfiche?*
f Yes-Uploaded separately
f Yes-Attaching it to this form
r No-Sent for signature(TPB Unit Only)
C' N/A
Staff Comments and Documentation
Staff review documentation:(?) FDForjpgonly
Staff Comments: This activity is subject to the terms and conditions in GC 4132.