20180710 Ver 1_Staff Report_20180523

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 5/23/2018 2:46:12 PM (Workflow Start Event)
�brrrit Pemm�it Decision by Ward, Garcy 6/20/2018 5:44:17 PM (DOT Project Review)
. The task was assigned to Ward, Garcy. The due date is: June 19, 2018 5:00 PM 5/23/2018 2:46 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: 05/22/2018
Project Information
ID#:
20180710
Project Name
County(ies):
Perquimans
Version:
1
Courtesy Notification - Perquimans SR 1111 Goodwin Mill Road -
Pipe Replacement
Contact Emails:
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:*
Date decision letterwritten*
No Written Concurrence
5/23/2018
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)
r NIA
Staff Comments and Documentation
Staff review documentation: (?)
Staff Comments:
FiJF or jpg only