WSMU_THOM_WSWP Submittal Review_20210305

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/3/2021 9:49:58 PM (Supplemental Submittal)
Approve by Clark, Paul 3/5/2021 2:57:14 PM (WSW Program Info Submittal Review)
p 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: March 17, 2021 5:00 PM 3/3/2021 9:50 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 3/3/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Davidson
What Type of IT Municipality
Program?* f County
Municipality:* Thomasville
Choose additional counties if applicable:
Additional County: Randolph
WSW Program WSMU_THOM
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.
Lake Reese WSW.pdf 2.91 MB
Only pdf files are accepted.
The current version
aickthe upload buttonordrag and drop files here.
of your WSWP
All WSW Portions of
ordinance(s):
123.59KB
Thomasvil IeNCCodeofOrd inances.doc. pdf
Only pdf files are accepted.
Other information:
aicktheupload buttonordrag 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:* Josh Johnson
Signature
Date Submitted 3/3/2021
Submittal Date 20210303
Formatted

Review
Program Entity: Thomasville
Edit if necessary
Verify Primary Davidson
County * Update county if needed.
Verify WSW ID* Thomasville (WSMU THOM)
Update ID if needed.
Review Date 03/05/2021