20181181 Ver 1_Staff Report_20180828

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 8/27/2018 10:55:37 AM (Workflow Start Event)
�brrrit Pemm�it Decision by Ward, Garcy 8/28/2018 10:25:12 AM (DOT Project Review)
. The task was assigned to Ward, Garcy. The due date is: September 24, 2018 5:00 PM
8/27/2018 10:55 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: 08/25/2018
Project Information
ID#:
20181181
Project Name
County(ies):
Hertford
Version:
1
Courtesy Notification - Hertford SR 1119 Teaster Track Road -
Pipe Replacement
Contact Emails:
[e-mail]
[e-mail]
Project Folder Web Access
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Staff Review Documentation
Decision:*
Date decision letterwritten*
No Written Concurrence
8/28/2018
Check all agencies that need to r DCM
receive notification of your decision. ��/RC
� 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