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IL SECTION II-REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT REASONS FOR APPEAL OR OBJECTIONS:(Describe your reasons for appealing the decision or your objections to an initial proffered permit in clear concise statements.You may attach additional information to this form to clarify where your reasons or objections 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 QUESTION OR INFORMATION If you have questions regarding this decision and/or the appeal If you only have questions regarding the appeal process you may also process you may contact: contact: U.S.Army Corps of Engineers,Regulatory Branch Administrative Appeals Review Officer Attn:Melissa Jenny Mississippi Valley Division 180 Fifth Street East,Suite 700 P.O.Box 80(1400 Walnut Street) St.Paul,Minnesota 55101 Vicksburg,MS 39181-0080 Telephone(651)290-5363 (601)634-5821 (601)634-5816(fax) 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: Signature of appellant or agent.