WSCO_GRAN_WSWP Submittal Review_20210113

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/12/2021 2:12:44 PM (Supplemental Submittal)
Approve by Clark, Paul 1/13/2021 9:38:40 AM (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 26, 2021 5:00 PM 1/12/2021 2:12 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1/12/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Granville
f Municipality
IT County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_GRAN
Identifier:* Auto -populated from choices above
Name of Submitter:* Barry Baker
Vft is subrritting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 19196031334
Map: Cickthe upload button or drag and drop files here.
Watershed_Jan uary_12_2021. pdf
Only pdf files are accepted.
The current version Click the upload button or drag and drop f iles here.
of your WSWP Only pdf files are accepted.
ordinance(s):
Other information: Cickthe upload button ordrag and drop files here.
Only pdf files are accepted.
Describe the
attachments:
3.29MB
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:* Barry Baker
Signature
f'y
Date Submitted 1/12/2021
Submittal Date 20210112
Formatted

Review
Program Entity: Granville
Edit if necessary
Verify Primary Granville
County * Update county if needed.
Verify WSW ID* Granville Co (WSCO_GRAN)
Update ID if needed.
Review Date 01/13/2021
Review Date 20210113
Formatted