WSMU_HGHP_WSWP Submittal Review_20210203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2021 5:35:02 PM (Supplemental Submittal)
Approve by Clark, Paul 2/3/2021 1:06:30 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: February 16, 2021 5:00 PM 2/2/2021 5:35 PM

d� #
NORTH CAROLINA
Ernvlronmental Qualily
Submittal Dated: 2/2/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Guilford
What Type of IT Municipality
Program?* f County
Municipality:* High Point
Choose additional counties if applicable:
Additional County: Davidson
Additional County: Randolph
Additional County: Forsyth
WSW Program WSMU_HGHP
Identifier:* Auto -populated from choices above
Name of Submitter:* G. Lee Burnette
Who is subrritting this information?
Title:* Director, Planning/Zoning/Inspections
Email: * [e-mail]
Telephone:* 336-883-3328
Map: Click the upload button or drag and drop files here
Only pdf files are accepted.
The current version aick the upload button or drag and drop f iles here.
of your WSWP Only pdf files are accepted.
ordinance(s):
Other information: Oick the upload button or drag and drop files here.
Only pdf files are accepted.
Describe the All information requested only online at following:
attachments: Development Ordinance:
https://library. municode.conVnc/high_point/codes/development_ ordinance
Map: https://gisweb10.highpointnc.gov/JS/thePoint/

17 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:* G. Lee Burnette
Signature
Date Submitted 2/2/2021
Submittal Date 20210202
Formatted

Review
Program Entity: High Point
Edit if necessary
Verify Primary Guilford
County * Update county if needed.
Verify WSW ID* High Point (WSMU HGHP)
Update ID if needed.
Review Date 02/03/2021