20210554 Ver 1_Staff Report Conchilla, Ryan J_20220218

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.
Staff Report Submitted on: 2/18/2022
This will be filled in automatically.
PROJECT INFORMATION
ID#: Version:
20210554 1
Project Name: %Replacement of Bridges 109 and 121 on East Gate City Boulevard/E.
Lee Street(SR 4240)over South Buffalo Creek.
County(ies):
Guilford
Contact Emails:
[e-mail]
PROJECT FOLDER ACCESS
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STAFF REVIEW INFORMATION
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Check all agencies that need to receive notification of your decision.
DCM WRC DMS
Does this complete the review for this project?*
• Yes-Review Complete No-Still in Review
No-Place is hold
This updates the progress status for this project in Laserfiche.
What types of information are you providing about this project?*
Decision Letter Duplicate Information Placed on Hold
More Info Received More Info Requested Staff Notes
REVIEW COMPLETION DECISION INFORMATION
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Has your decision letter been uploaded into Laserfiche?*
Yes-Uploaded separately Yes-Attaching it to this form
• No-Sent for signature(TPB Unit N/A
Only)