WSMU_PEMB_WSWP Submittal Review_20210127

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/26/2021 11:18:20 AM (Supplemental Submittal)
Approve by Clark, Paul 1/27/2021 1:12:27 PM (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: February 9, 2021 5:00 PM
1 /26/2021 11:18 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1 /26/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Robeson
What Type of IT Municipality
Program?* f County
Municipality:* Pembroke
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_PEMB
Identifier:* Auto -populated from choices above
Name of Submitter:* Tyler W. Thomas
Vft is subrritting this information?
Title:* Municipal Manager
Email: * [e-mail]
Telephone:* 19105219758
Map: Click the upload button or drag and drop files here.
Pembroke Zoning Map 12 21 2020.pdf 1.26MB
Only pdf files are accepted.
The current version aickthe upload buttonordrag and drop files here.
of your WSWP Watershed Ordinances.pdf 71.71KB
ordinance(s): Only pdf files are accepted.
Other information: aick the upload button or drag and drop f iles here.
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');

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:* Tyler Wellington Thomas
Signature
Date Submitted 1/26/2021
Submittal Date 20210126
Formatted

Review
Program Entity: Pembroke
Edit if necessary
Verify Primary Robeson
County * Update county if needed.
Verify WSW ID* Pembroke (WSMU_PEMB)
Update ID if needed.
Review Date 01/27/2021