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StiCTION ]l - RE UEST FOR APPEAL or OB1ECTlONS TO AN iNITIAL PROFFERL•D PERMIT `" <br /> REASONS FOR APPEAL OR OBIECTIOTdS. (Dcscribc your rcasons for appealing the decision or your objcciions io an <br /> initial prof(ered pertnil in dear concise statemrnts. You may anach ndditionel information to this funn to clarify where your reasons <br /> nr objcciions are addresscd in�hc edminisirative record.) <br /> ADJIIlONAL MPORMA TlON: Thc appcal is limi�cd to e rcvicw of thc adminiarativc rcmrd,thc Corps mcmorendum (or thc <br /> reco�d of ihe appcal conference or mecting.end nny supplemcnial informaiion iha�the rcview o(licer has determined is necded to <br /> clanf��lhc edminitilraiive recon�. Neither�he TppcllaN nor ihc Carps may add nce in(urtnation or enaly�scs to�he record, Howcver, <br /> vou mo � rovidc additional informetion m darif thr lowtiun uf informaliun tha�is alrcad in the admioixtrativc rccord. <br /> pOfNT OF CONTACT FOR QUESTIONS OR Ih1�ORMATION: <br /> II you hnvc qucslions regarding this dccision snd/or�hc appcal <br /> proccss}�ou mny contacc <br /> Division En�inccr <br /> I�:rin I.cy,�c, Pro�cct h7anagcr U.S.Arm��Corps of Gngincen,ho�hwcri Division <br /> U.S. Army Corps of Ln�inecn, Sealqc Dislrict Davc(icsl, Reguln�ory Program ManaFer <br /> Post O�cc E3ux 3755 Post OfTicc lins 2R70 <br /> Sca�dc, w'ashingion 9R124J7S5 Ponland,O�egon 9720A-2R70 <br /> Tcicphonc�. (.OG)7b4-6695 Tcicphonc: (503)RON-3825 <br /> RIGNT OP GNTRY: Yuur signaturc hclow grants tL•c right of entq�ro Corps of Gnginccn personncl,and any govcmmcnt <br /> consultents, m conduct investigetiom of ihe pmjeci site Auring the eourse of lhe ap,eal process. You will be provided a I S-day <br /> notice of anv site investigation, end will have ihe opponunily lo artici ate in nll s3e imesti�a�ions. _ _ <br /> — Datc: Tclephonc numbcr. <br /> Si naturc of a ellant or a cn1. <br /> uno-Rrn ro�+ r.a« <br /> 10 April 2000 <br />