20210576 Ver 1_Staff Report Annino, Amy M_20210514

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit Permit Decision
by Workflow 4/23/2021 12:28:54 PM (Workflow Start Event)
by Annino, Amy M 5/14/2021 3:35:17 PM (401 Project Review Form)
• The task was assigned to Annino, Amy M. The due date is: June 30, 2021 5:00 PM
4/23/2021 12:29 PM

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: 04/21/2021
Project Information
ID#: Version:
20210576 1
Project Name: Dry Creek 14
County(ies):
Burke
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:
*
Date decision Ietter written* 5/14/2021
Approval Letter
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?*
r Yes - Uploaded separately
C' Yes - Attaching it to this form
f No - Sent for signature (TPB Unit Only)
r N/A
Decision Letter*
Staff Comments and Documentation
Staff review documentation:
Staff Comments:
20210514_Hersey, 1581 Old Dry Creek
Rd_APPRVL. pdf
FtF Only
FCF or jpg only
1.46MB