WSMU_WALK_WSWP Submittal Review_20210205

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/5/2021 11:20:33 AM (Supplemental Submittal)
Approve by Clark, Paul 2/5/2021 4:53:47 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 19, 2021 5:00 PM
2/5/2021 11:20 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 2/5/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Municipality:
Forsyth/WS
IT Municipality
f County
Walkertown
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_WALK
Identifier:* Auto -populated from choices above
Name of Submitter:* Scott Snow
Vft is subrritting this information?
Title:* Municipal Manager
Email: *
[e-mail]
Telephone:*
3665954212
Map:
aick the upload button or drag and drop files here.
Forsyth County Regulated Watersheds Map (Large)
8.4MB
(PDF).pdf
Only pdf files are accepted.
The current version
aick the upload button or drag and drop f iles here.
of your WSWP
Walkertown, NC Unified Development Ordinance.pdf 184.92KB
ordinance(s):
Only pdf files are accepted.
Other information:
aickthe 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:* Scott Snow
Signature
Date Submitted 2/5/2021
Submittal Date 20210205
Formatted

Review
Program Entity: Walkertown
Edit if necessary
Verify Primary Forsyth
County * Update county if needed.
Verify WSW ID* Walkertown (WSMU_WALK)
Update ID if needed.
Review Date 02/05/2021