20211100 Ver 1_Staff Report Ward, Garcy P_20210715

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.
Project Information
ID#: Version:
20211100 1
Project Name: Pipe Replacement SR 1311 North Lake Road Hyde County
County(ies):
Hyde
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Check all agencies that need to r DCM
receive notification of your decision. r WRC
r DMS
Decision:* No Written Concurrence
Has your decision letter been uploaded into Laserfiche?*
f Yes-Uploaded separately
f Yes-Attaching it to this form
f No-Sent for signature(TPB Unit Only)
C' N/A
Staff Comments and Documentation
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Staff review documentation:(?) Ft7Forjpgonly
Staff Comments: This activity is subject to the terms and conditions of GC 4132.
Staff Report Submitted on: 7/16/2021