WSCO_JACK_WSWP Submittal Review_20230725

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/25/2023 10:13:08 AM (Supplemental Submittal)
Approve by Paul.Clark 7/25/2023 11:05:45 AM (WSW Program Info Submittal Review)
0 Thank you for recompleting and resubmitting the survey and for uploading documents.
• The task was assigned to Paul.Clark.The due date is:August 8,2023 5:00 PM 7/25/2023 10:13:11 AM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 7/25/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Jackson
What Type of Municipality
Program?* County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_JACK
Identifier:* Auto-populated from choices above
Name of Submitter:* Allison Kelley
Who is submitting this information?
Title:* Other
Email:* [e-mail]
Telephone:* 8286312261
Map: Click the upload button or drag and drop files here.
Watershed_Map 03-11.pdf 336.38KB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP 10-4-22 UDO Amend ments-Adopted.pdf 5.77MB
ordinance(s):
Only pdf files are accepted.
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');
o 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:* Allison Kelley
Signature
rf(Lcacn, K��l
Date Submitted 7/25/2023
Submittal Date 20230725
Formatted

Review
Program Entity: Jackson
Edit if necessary
Verify Primary Jackson
County* Update county if needed.
Verify WSW ID* Jackson Co(WSCO_JACK)
Update ID if needed.
Review Date 07/25/2023