20190967 Ver 1_Staff Report_20190829

Action History (UTC -05:00) Eastern Time (US & Canada)
by Workflow 7/23/2019 2:31:10 PM (Workflow Start Event)
Sulbmit Permit Decision by Annino, Amy M 8/29/2019 8:18:47 AM (401 Project Review Form)
The task was assigned to Annino, Amy M. The due date is: September 27, 2019 5:00 PM
7/23/2019 2:31 PM

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: 07/19/2019
Project Information
ID#: Version:
20190967 1
Project Name: Gansrow 5254 Pier Pointe Dr
County(ies):
Caldwell
Contact Emails:
[e-mail]
marineconl @embargmail.com
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Staff Review Documentation
Decision:* Approval Letter
Date decision letter written* 8/28/2019
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
F Yes - Attaching it to this form
r No - Sent for signature (TPB Unit Only)
r N/A
Decision Letter*
Staff Comments and Documentation
Staff review documentation:(?)
Staff Comments:
20190829 Gansrow,5254PierPointeDriv... 1.2MB
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