WSCO_STAN_WSWP Submittal Review_20210412

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/8/2021 3:13:14 PM (Supplemental Submittal)
Approve by Clark, Paul 4/12/2021 10:56:12 AM (WSW Program Info Submittal Review)
* Thank you very much for the response. / will contact you with any questions, updates, etc. thx again.
paul
The task was assigned to Clark, Paul. The due date is: April 22, 2021 5:00 PM 4/8/2021 3:13 PM

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NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 4/8/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:*
What Type of
Program?*
Stanly
f Municipality
IT County
Choose additional counties if applicable:
Additional County:
WSW Program WSCO_STAN
Identifier:* Auto -populated from choices above
Name of Submitter:* Robert Remsburg, III
Vft is subrritting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 7049863661
Map: Cickthe upload button or drag and drop files here.
Only pdf files are accepted.
The current version Cickthe upload button ordrag and drop files here.
of your WSWP WATERSHED PROTECTION ORDINANCE 2000.pdf 506.55KB
ordinance(s): Only pdf files are accepted.
Other information: Cickthe upload button ordrag and drop files 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');
o 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');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written

signature; AND
o I intend to electronically sign and submit this form."
Full Name:* Robert Remsburg, III
Signature
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Date Submitted 4/8/2021
Submittal Date 20210408
Formatted

Review
Program Entity: Stanly
Edit if necessary
Verify Primary Stanly
County * Update county if needed.
Verify WSW ID* Stanly Co (WSCO_STAN)
Update ID if needed.
Review Date 04/12/2021