20210923 Ver 1_Staff Report Conchilla, Ryan J_20210623

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:
20210923 1
Project Name: %Wentworth Street Bridge Replacement
County(ies):
Rockingham
Contact Emails:
[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:* Approval Letter
Has your decision letter been uploaded into Laserfiche?*
r Yes-Uploaded separately
r Yes-Attaching it to this form
C' No-Sent for signature(TPB Unit Only)
f N/A
Staff Comments and Documentation
Staff review documentation:(?) or jpg only
Staff Comments:
Staff Report Submitted on: 7/28/2021