20170732 Ver 3_Staff Report_20180522

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 5/18/2018 5:33:41 PM (Workflow Start Event)
�brrrit Pemm�it Decision by Wanucha, Dave 5/22/2018 2:44:23 PM (DOT Project Review)
. The task was assigned to Wanucha, Dave. The due date is: June 15, 2018 5:00 PM
5/18/2018 5:33 PM

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: 05/18/2018
Project Information
ID#:
20170732
Project Name
County(ies):
Forsyth
Contact Emails:
[e-mail]
Version:
3
US421/I-40 Bridge Replacements, Improvements, Paving (U-
2827B/G5620A)
Project Folder Web Access
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Staff Review Documentation
Decision:*
Date decision letterwritten*
Approval Letter
5/22/2018
Check all agencies that need to r DCM
receive notification of your decision. � WRC
r DMS
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' NIA
Staff Comments and Documentation
Staff review documentation: (?)
Staff Comments:
FiJF or jpg only