WSMU_PILO_WSWP Submittal Review_20210205

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/4/2021 8:37:47 AM (Supplemental Submittal)
Approve by Clark, Paul 2/5/2021 2:10:20 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 18, 2021 5:00 PM 2/4/2021 8:37 AM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 2/4/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Surry
What Type of IT Municipality
Program?* f County
Municipality:* Pilot Mtn
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_PILO
Identifier:* Auto -populated from choices above
Name of Submitter:* Andrew Goodall
Vft is subrritting this information?
Title:* Planner
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 8—Development Standards.pdf 408.74KB
ordinance(s):
Only pdf files are accepted.
Other information:
aickthe upload button or drag and drop files here.
Only pdf files are accepted.
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:* AndrewJ. Goodall Jr.
Signature
1.T
Date Submitted 2/4/2021
Submittal Date 20210204
Formatted

Review
Program Entity: Pilot Mtn
Edit if necessary
Verify Primary Surry
County * Update county if needed.
Verify WSW ID* Pilot Mtn (WSMU_PILO)
Update ID if needed.
Review Date 02/05/2021