20180401 Ver 1_Staff Report_20180328

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow3/21/2018 11:06:37 AM (WorkflowStart Event)
�brrrit Pem�it Decision by Ridings, Rob 3/28/2018 10:03:45 AM (DOT Project Review)
• The task was assigned to Ridings, Rob . The due date is: April 18, 2018 5:00 PM 3/21/2018 11:06 AM

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.
Date Information Received:
Project Information
ID#: Version:
20180401 1
Project Name: Bridge 15 SR 1719 Wayne Co.
County(ies):
Wayne
Contact Emails:
[e-mail]
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letterwritten* 3/28/2018
Check all agencies that need to � DCM
receive notification of your decision. r�/RC
� DMS
Has your decision letter been uploaded into Laserfiche?*
C' Yes - Uploaded separately
C' Yes - Attaching it to this form
r No - Sent for signature (TPB Unit Only)
l' �UA
Staff Comments and Documentation
Staff review documentation: (�) F�Forjpg only
Staff Comments: