WSMU_MEBA_WSWP Submittal Review_20210128

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/27/2021 5:18:47 PM (Supplemental Submittal)
Approve by Clark, Paul 1/28/2021 4:01:54 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: February 10, 2021 5:00 PM
1 /27/2021 5:18 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1 /27/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Alamance
What Type of IT Municipality
Program?* f County
Municipality:* Mebane
Choose additional counties if applicable,
Additional County: Orange
WSW Program
WSMU MEBA
Identifier:*
Auto -populated from choices above
Name of Submitter:*
Josh Johnson
Vft is subrritting this information?
Title:*
Stormwater Manager
Email: *
[e-mail]
Telephone:*
3362265534
Map: Click the upload button or drag and drop files here.
WSW Map.pdf 849.3KB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Article 5, Overlay, Environmental, and Special
ordinance(s): 299.16KB
Purpose Regulations Amended 11.06.17.pdf
Only pdf files are accepted.
Other information: aickthe upload button or drag and drop files here.
Only pdf files are accepted.
Describe the The Water Supply Watershed Map is a GIS based map which allows for easy
attachments: updating.
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:* Josh Johnson
Signature
# ! JO&M,
Date Submitted 1/27/2021
Submittal Date 20210127
Formatted

Review
Program Entity:
Mebane
Edit if necessary
Verify Primary
Alamance
County *
Update county if needed.
Verify WSW ID*
Mebane (WSMU_MEBA)
Update ID if needed
Review Date
01/28/2021