WSMU_CLAR_WSWP Submittal Review_20210203

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/2/2021 4:50:08 PM (Supplemental Submittal)
Approve by Clark, Paul 2/3/2021 1:03:37 PM (WSW Program Info Submittal Review)
* Thank you very much for the response. I will contact you with any questions, updates, etc. thx again.
paul
The task was assigned to Clark, Paul. The due date is: February 16, 2021 5:00 PM 2/2/2021 4:50 PM

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NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 2/2/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Catawba
What Type of IT Municipality
Program?* f County
Municipality:* Claremont
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_CLAR
Identifier:* Auto -populated from choices above
Name of Submitter:* Leah Martin
Vft is submitting this information?
Title:* Director, Planning/Zoning/Inspections
Email: * [e-mail]
Telephone:* 8284667260
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 Only pdf files are accepted.
ordinance(s):
Other information: aick the upload button or drag and drop files here.
Only pdf files are accepted.
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:* Leah P. Martin
Signature
Date Submitted 2/2/2021
Submittal Date 20210202
Formatted

Review
Program Entity: Claremont
Edit if necessary
Verify Primary Catawba
County * Update county if needed.
Verify WSW ID* Claremont (WSMU CLAR)
Update ID if needed.
Review Date 02/03/2021