20170034 Ver 1_No Written Concurrence_20170822

Water Resources
ENVIRONMENTAL �UPLITV
*
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all
mandatory questions are ans�red.
Project Information
ID#:
201700 Version:
34 1
Project Name: Replacement of Bridge 42 over Muddy Creek on SR 1485
(Hampton Road)
County(ies):
Davidson
Contact Emails:
[e-mail]
[e-mail]
[e-mail]
Project Folder Web Access
Click here to log in to see the project information submitted.
Staff Review Documentation
Decision: No Written Concurrence
Has your decision letter been uploaded into Laserfiche?*
C' Yes - Uploaded separately
C' Yes - Attaching it to this form
�' No - Sent for signature (TPB Unit Only)
C•' f�UA
Staff review documentation: (�) F�Forjpg only