20181734 Ver 1_Staff Report_20190218

Action History (UTC -05:00) Eastern Time (US & Canada)
by Workflow 12/28/2018 8:57:48 AM (Workflow Start Event)
Submit Permit Decision by Scarbraugh, Anthony 2/18/2019 1:28:58 PM (401 Project Review Form)
• May, David reassigned the task to Scarbraugh, Anthony 1/2/2019 9:28 AM
• The task was assigned to May, David 12/28/2018 8:57 AM

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Date Information Received:
Project Information
ID#: Version:
20181734 1
Project Name: Forman
County(ies):
Pamlico
Contact Emails:
Project Folder Web Access
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 2/13/2019
Check all agencies that need to r DCM
receive notification of your decision. r WRC
r DMS
Has your decision letter been uploaded into Laserfiche?*
r Yes - Uploaded separately
r Yes - Attaching it to this form
r No - Sent for signature (TPB Unit Only)
r N/A
Staff Comments and Documentation
Staff review documentation: M PDF orjpg only
Staff Comments: