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SECTION II - REQUEST FOR ,APPEAL/ Qr. • a113CTIONS,T <br />REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an <br />initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or <br />objections are addressed in the administrative record.) <br />ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record <br />of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the <br />administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may <br />provide additional information to clarify the location of information that is already in the administrative record <br />If you have questions regarding this decision and /or the appeal process you <br />may contact: <br />Steve Moore <br />U.S. Army Corps of Engineers <br />Colorado West Regulatory Branch <br />Phone: 970 - 243 -1199 x13, FAX 916 -557 -6877 <br />Email: Stephen.A.Moore @usace.army.mil <br />(Use this address for submittals to the district engineer) <br />If you only have questions regarding the appeal process you may also <br />contact: <br />Thomas J. Cavanaugh <br />Administrative Appeal Review Officer <br />U.S. Army Corps of Engineers <br />South Pacific Division, CESPD -PDO <br />1455 Market Street, 2052B <br />San Francisco, California 94103 -1399 <br />Phone: 415 -503 -6574, FAX 415 -503 -6646) <br />Email: Thomas.J.Cavanaugh @usace.army.mil <br />(Use this address for submittals to the division engineer) <br />RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants, to <br />conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site <br />investigation, and will have the opportunity to participate in all site investigations. <br />Signature of appellant or agent. <br />Date: <br />Telephone number: <br />SPD version revised Decemberl7, 2010 <br />