WSMU_MNTA_WSWP Submittal Review_20210826

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/26/2021 8:20:34 AM (Supplemental Submittal)
Approve by Clark, Paul B 8/26/2021 10:27:26 AM (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 B. The due date is: September 9, 2021 5:00 PM
8/26/2021 8:20 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 8/26/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Surry
What Type of IT Municipality
Program?* f County
Municipality:* Mount Airy
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_MNTA
Identifier:* Auto -populated from choices above
Name of Submitter:* AndrewJ Goodall Jr.
Vft is submitting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 7043050674
Map: Oickthe upload button or drag and drop files here.
Official Zoning_20190920.pdf
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Article 4 Establishment of Zoning Districts.pdf
ordinance(s):
Article 5 Schedule of District Regulations.pdf
Article 12 Board of Adjustment.pdf
Only pdf files are accepted.
Other information: Click the upload button or drag and drop files here.
Only pdf files are accepted.
10.25MB
224.1 KB
310.2KB
199.26KB
Describe the
attachments:
rJ By checking the box and signing box below, I certify that:
o I 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:* Andrew Goodall Jr.
Signature
*A!,r P4#�
Date Submitted 8/26/2021
Submittal Date 20210826
Formatted

Review
Program Entity: Mount Airy
Edit if necessary
Verify Primary Surry
County * Update county if needed.
Verify WSW ID* Mount Airy (WSMU_MNTA)
Update ID if needed.
Review Date 08/26/2021