20171061 Ver 1_401 Staff Project Review Form_20170913

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#:
201710 Version:
61 1
Project Name: Replace Bridge #153 on SR 1728 with Crownspan
County(ies):
Wilkes
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:
Has your decision letter been uploaded into Laserfiche?*
C' Yes - Uploaded separately
�' Yes - Attaching it to this form
l•' No - Sent for signature (TPB Unit Only)
C' N/A
Staff review documentation: (?) FflForjpg only