WSCO_ASHE_WSWP Submittal Review_20231031

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/30/2023 1:04:02 PM (Supplemental Submittal)
Approve by Paul.Clark 10/31/2023 8:30:49 AM (WSW Program Info Submittal Review)
0 Thanks
• The task was assigned to Paul.Clark.The due date is: November 13,2023 5:00 PM
10/30/2023 1:04:03 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 10/30/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Ashe
What Type of Municipality
Program?* County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_ASHE
Identifier:* Auto-populated from choices above
Name of Submitter:* Matthew Levi
Who is submitting this information?
Title:* Planner
Email:* [e-mail]
Telephone:* 3368465957
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:
• I have given true,accurate,and complete information on this form;
• 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

o I intend to electronically sign and submit this form."
Full Name:* Matthew Levi
Signature
Date Submitted 10/30/2023
Submittal Date 20231030
Formatted

Review
Program Entity: Ashe
Edit if necessary
Verify Primary Ashe
County* Update county if needed.
Verify WSW ID* Ashe Co(WSCO_ASHE)
Update ID if needed.
Review Date 10/31/2023