WSMU_MNTA_WSWP Submittal Review_20210203

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/3/2021 11:07:05 AM (Supplemental Submittal)
Approve by Clark, Paul 2/3/2021 1:22:27 PM (WSW Program Info Submittal Review)
* 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 17, 2021 5:00 PM
2/3/2021 11:07 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 2/3/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Surry
What Type of IT Municipality
Program?* f County
Municipality:* Mount Airy
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_MNTA
Identifier:* Auto -populated from choices above
Name of Submitter:* Andrew Goodall Jr.
Vft is subrritting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 7043050674
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 files here.
of your WSWP
Article 4 Establishment of Zoning Districts.pdf
ordinance(s):
Article 5 Schedule of District Regulations.pdf
Article 12 Board of Adjustment.pdf
Only pdf files are accepted.
Other information:
aickthe upload button or drag and drop files here.
Only pdf files are accepted.
224.41 KB
310.16KB
197.83KB
Describe the
attachments:
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:* Andrew Goodall Jr.
Signature
Date Submitted 2/3/2021
Submittal Date 20210203
Formatted

Review
Program Entity: Mount Airy
Edit if necessary
Verify Primary Surry
County * Update county if needed.
Verify WSW ID* Mount Airy (WSMU_MNTA)
Update ID if needed.
Review Date 02/03/2021