WSMU_REID_WSWP Submittal Review_20210127

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/22/2021 3:15:33 PM (Supplemental Submittal)
Approve by Clark, Paul 1/27/2021 1:15:29 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 5, 2021 5:00 PM 1/22/2021 3:15 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 1 /22/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Municipality:
Rockingham
r Municipality
f County
Reidsville
Choose additional counties if applicable:
Additional County:
WSW Program WSMU REID
Identifier:* Auto -populated from choices above
Name of Submitter:* Donna Setliff
Vft is subrritting this information?
Title:* Director, Community Development
Email:* [e-mail]
Telephone:* 336-349-1039
Map: Click the upload button or drag and drop files here.
Troublesome Creek Watershed WSIII 8 1-2 x 11.pdf 384.66KB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Article XIV -Water Supply Watershed Protection. pdf 847.04KB
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:* Donna H Setliff
Signature
Owal
Date Submitted 1/22/2021
Submittal Date 20210122
Formatted

Review
Program Entity: Reidsville
Edit if necessary
Verify Primary Rockingham
County * Update county if needed.
Verify WSW ID* Reidsville (WSMU REID)
Update ID if needed.
Review Date 01/27/2021