WSMU_CAND_WSWP Submittal Review_20230614

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/13/2023 3:29:30 PM (Supplemental Submittal)
Approve by Paul.Clark 6/14/2023 9:03:14 AM (WSW Program Info Submittal Review)
0 Thank you for the response, but it appears as though no documents were uploaded with this
response. We are in the process of sending a survey including the Laser Fiche link to local
governments implementing the water supply watershed protection program. The system only allows a
certain number to be sent at one time. You should be receiving it in the by the end of the week. thx
again.
• The task was assigned to Paul.Clark.The due date is:June 27,2023 5:00 PM 6/13/2023 3:29:31 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 6/13/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Montgomery
What Type of Municipality
Program?* County
Municipality:* Candor
Choose additional counties if applicable:
Additional County: Moore
WSW Program WSMU_CAND
Identifier:* Auto-populated from choices above
Name of Submitter:* Tammy K Kellis
Who is submitting this information?
Title:* Municipal Clerk
Email:* [e-mail]
Telephone:* 9109744221
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: Click the upload button or drag and drop files here.
Only pdf files are accepted.
Describe the
attachments:
* By checking the box and signing box below, I certify that:
o I have given true,accurate,and complete information on this form;
o I 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:* Tammy K Kellis
Signature ,,�/
Date Submitted 6/13/2023
Submittal Date 20230613
Formatted

Review
Program Entity: Candor
Edit if necessary
Verify Primary Montgomery
County* Update county if needed.
Verify WSW ID* Candor(WSMU_CAND)
Update ID if needed.
Review Date 06/14/2023