WSCO_FORS_WSWP Submittal Review_20200305

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/5/2020 11:17:59 AM (Supplemental Submittal)
Approve by Clark, Paul 3/5/2020 11:48:04 AM (WSW Program Info Submittal Review)
• The task was assigned to Clark, Paul. The due date is: March 19, 2020 5:00 PM 3/5/2020 11:18 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 3/5/2020
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Forsyth/WS
f Municipality
IT County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_FORS
Identifier:* Auto -populated from choices above
Name of Submitter:* Matthew Osborne
Vft is subrritting this information?
Title:* Watershed Administrator
Email:* [e-mail]
Telephone:* 3367477453
Map:
Cickthe upload button or drag and drop files here.
Forsyth Co Watershed Map.pdf 8AMB
Only pdf files are accepted.
The current version
Cickthe upload button ordrag and drop fileshere.
of your WSWP
City County UDO going live 1-1-2020.pdf 18.58MB
ordinance(s):
Walkertown Watershed Protection Ordinance.pdf 214.86KB
Only pdf files are accepted.
Other information:
Cickthe upload button ordrag and drop fileshere.
Only pdf files are accepted.
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;
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:* Matthew Dale Osborne
Signature
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Date Submitted 3/5/2020
Submittal Date 20200305
Formatted

Review
Program Entity: Forsyth/WS
Edit if necessary
Verify Primary Forsyth
County * Update county if needed.
Verify WSW ID* Forsyth Co/WS (WSCO_FORS)
Update ID if needed.
Review Date 03/05/2020
Review Date 20200305
Formatted