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SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT <br />REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial <br />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 <br />record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to <br />clarify the administrative record. Neither the appellant not the Corps may add new information or analyses to the record. However, <br />you may provide additional information to clarify the location of information that is already in the administrative record. <br />POINT OF CONTACT FOR QUESTIONS OR INFORMATION: <br />If you have questions regarding this decision and/or the appeal <br />If you only have questions regarding the appeal process you may <br />process you may contact: <br />also contact the Division Engineer through: <br />Tom Hingsberger <br />Mr. Thomas McCabe <br />Department of the Army <br />Administrative Appeals Review Officer <br />St. Paul District, Corps of Engineers <br />Mississippi Valley Division <br />180 Fifth Street East, Suite 700 <br />P.O. Box 80 (1400 Walnut Street) <br />St. Paul, MN 55101-1678 <br />Vicksburg, MS 39181-0080 <br />651-290-5367 <br />601-634-5820 FAX:601-634-5816 <br />RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government <br />consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day <br />notice of any site investigation, and will have the opportunity to participate in all site investigations. <br />Date: <br />Telephone number: <br />Signature of appellant or agent. <br />