WSCO_POLK_WSWP Submittal Review_20200909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/9/2020 3:04:54 PM (Supplemental Submittal)
Approve by Clark, Paul 9/9/2020 3:49:45 PM (WSW Program Info Submittal Review)
p Thank you very much for the response. I will contact you with any questions, updates, etc. thx again.
paul
• The task was assigned to Clark, Paul. The due date is: September 23, 2020 5:00 PM
9/9/2020 3:04 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 9/9/2020
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Polk
f Municipality
IT County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_POLK
Identifier:* Auto -populated from choices above
Name of Submitter:* Cathy Ruth
Vft is subrritting this information?
Title:* Planner
Email:* [e-mail]
Telephone:* 828-894-2732
Map:
Cickthe upload button or drag and drop files here.
watershed map polk.pdf 351.79KB
Only pdf files are accepted.
The current version
Click the upload button or drag and drop f iles here.
of your WSWP
watershed ordinance 10.6.14 boc approved.pdf 254.17KB
ordinance(s):
Only pdf files are accepted.
Other information:
Cickthe upload button ordrag and drop files here.
Only pdf files are accepted.
Describe the
attachments:
rJ By checking the box and signing box below, I certify that:
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:* Cathy Ruth
Signature
" wi
Date Submitted 9/9/2020
Submittal Date 20200909
Formatted

Review
Program Entity: Polk
Edit if necessary
Verify Primary Polk
County * Update county if needed.
Verify WSW ID* Polk Co (WSCO_POLK)
Update ID if needed.
Review Date 09/09/2020
Review Date 20200909
Formatted