WSMU_JONE_WSWP Submittal Review_20210210

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/9/2021 2:27:43 PM (Supplemental Submittal)
Approve by Clark, Paul 2/10/2021 2:57:40 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 23, 2021 5:00 PM 2/9/2021 2:28 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 2/9/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Yadkin
What Type of IT Municipality
Program?* f County
Municipality:* Jonesville
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_JONE
Identifier:* Auto -populated from choices above
Name of Submitter:* Billy Wood
Vft is subrritting this information?
Title:* Other
Email: * [e-mail]
Telephone:* 3368352250
Map:
aick the upload button or drag and drop files here.
Elkin & Jonesville Water Supply Watershed Land
248.57KB
Cover. pdf
Only pdf files are accepted.
The current version
aick the upload button or drag and drop f iles here.
of your WSWP
ElkinandJonesvilleWaterSup.pdf 9.87MB
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:* Billy Wood
Signature
Date Submitted 2/9/2021
Submittal Date 20210209
Formatted

Review
Program Entity: Jonesville
Edit if necessary
Verify Primary Yadkin
County * Update county if needed.
Verify WSW ID* Jonesville (WSMU_JONE)
Update ID if needed.
Review Date 02/10/2021