5.2. PCSR 10-25-2005 - Laserfiche WebLink

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CEMVP-OP-R (MVP-2005-5066- YSB) 1 ~gCTIONII-REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT IREASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial .ered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or ections are addressed in the administrative record.) . ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. POINT OF CONTACT FOR QUESTIONS OR INFORMATION. If you have questions regarding this decision and/or th~ appeal If you only have questions regarding the appeal process you may also process you may contact: contact: U.S. Army Corps of Engineers Division Engineer Regulatory Branch c/o Martha S. Chieply, Appeal Review Office 190 East Fifth Street CEMVD Saint Paul, MN 55101 P. O. Box 80 Telephone: 651-290-5365 Vicksburg, MS 39181-0080 Telephone (601) 634-5820 RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site investigations. Date: Telephone number: ,.ture of appellant or agent. Edition of August 2000. Previous editions obsolete.