WSMU_SOUT_WSWP Submittal Review_20210423

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/21/2021 12:09:13 PM (Supplemental Submittal)
Approve by Clark, Paul 4/23/2021 11:03:13 AM (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: May 5, 2021 5:00 PM 4/21/2021 12:09 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 4/21 /2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Moore
What Type of IT Municipality
Program?* f County
Municipality:* Southern Pines
Choose additional counties if applicable:
Additional County:
WSW Program
WSMU_SOUT
Identifier:*
Auto -populated from choices above
Name of Submitter:*
BJ Grieve
Vft is submitting this information?
Title:*
Planner
Email:*
[e-mail]
Telephone:*
9106924003
Map:
Click the upload button or drag and drop files here.
SP WP OVERLAY MAP.pdf 419.65KB
Only pdf files are accepted.
The current version
Click the upload button or drag and drop files here.
of your WSWP
SP UDO 3.6.8 WP OVERLAY ZONE.pdf 282.78KB
ordinance(s):
Only pdf files are accepted.
Other information:
aick the upload button or drag and drop f iles here.
SP UDO 2.47 WP PERMIT.pdf 145.82KB
Only pdf files are accepted.
Describe the
Application form for a Watershed Protection Permit (WPP)
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:* BJ Grieve
Signature
Date Submitted 4/21/2021
Submittal Date 20210421
Formatted

Review
Program Entity: Southern Pines
Edit if necessary
Verify Primary Moore
County * Update county if needed.
Verify WSW ID* Southern Pines (WSMU SOUT)
Update ID if needed.
Review Date 04/23/2021