WSCO_HEND_WSWP Submittal Review_20210113

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/12/2021 8:30:13 AM (Supplemental Submittal)
Approve by Clark, Paul 1/13/2021 8:38:10 AM (WSW Program Info Submittal Review)
p Thank you very much for the response. 1 will contact you with any questions, updates, etc. thx again.
paul
• The task was assigned to Clark, Paul. The due date is: January 26, 2021 5:00 PM 1/12/2021 8:30 AM

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NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1/12/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Henderson
f Municipality
IT County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_HEND
Identifier:* Auto -populated from choices above
Name of Submitter:* Autumn Radcliff
Vft is subrritting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 828-697-4819
Map:
Cickthe upload button or drag and drop files here.
Official WSWS Map March 2 2015.PDF 11.88MB
Only pdf files are accepted.
The current version
Cickthe upload button ordrag and drop fileshere.
of your WSWP
02.03.20_Henderson County LDC.pdf 1.54MB
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:* Autumn Radcliff
Signature
Date Submitted 1/12/2021
Submittal Date 20210112
Formatted

Review
Program Entity: Henderson
Edit if necessary
Verify Primary Henderson
County * Update county if needed.
Verify WSW ID* Henderson Co (WSCO_HEND)
Update ID if needed.
Review Date 01/13/2021
Review Date 20210113
Formatted