WSMU_DAVI_WSWP Submittal Review_20210105

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/5/2021 11:16:25 AM (Supplemental Submittal)
Approve by Clark, Paul 1/5/2021 12:42:23 PM (WSW Program Info Submittal Review)
p Thank you very much for the response. 1 will contact you with any questions, updates, etc. thx again.
paul
• The task was assigned to Clark, Paul. The due date is: January 19, 2021 5:00 PM 1/5/2021 11:16 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1 /5/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Mecklenburg
What Type of IT Municipality
Program?* f County
Municipality:* Davidson
Choose additional counties if applicable:
Additional County: Mecklenburg
WSW Program WSMU_DAVI
Identifier:* Auto -populated from choices above
Name of Submitter:* Jason Burdette
Vft is subrritting this inforrration?
Title:* Director, Planning/Zoning/Inspections
Email: * [e-mail]
Telephone:* 704-940-9621
Map:
Click the upload button or drag and drop files here.
Only pdf files are accepted.
The current version
Click the upload button or drag and drop files here.
of your WSWP
02018-03 DPO 17 Watershed Amendments.pdf
ordinance(s):
Only pdf files are accepted.
Other information:
Oick the upload button or drag and drop files here.
Only pdf files are accepted.
575.55KB
Describe the
attachments:
17 By checking the box and signing box below, I certify that:
have given true, accurate, and complete information on this form;
agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes

(the "Uniform Electronic Transactions Act');
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit this form."
Full Name:* Jason Burdette
Signature
.450rJ i�T
Date Submitted 1/5/2021
Submittal Date 20210105
Formatted

Review
Program Entity: Davidson
Edit if necessary
Verify Primary Mecklenburg
County * Update county if needed.
Verify WSW ID* Davidson (WSMU DAVI)
Update ID if needed.
Review Date 01/05/2021
Review Date 20210105
Formatted