WSMU_CHAP_WSWP Submittal Review_20210630

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/30/2021 2:40:36 PM (Supplemental Submittal)
Approve by Clark, Paul B 6/30/2021 4:35:25 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 B. The due date is: July 14, 2021 5:00 PM 6/30/2021 2:40 PM

d� #
NORTH CAROLINA
Ernvlronmental qualily
Submittal Dated: 6/30/2021
Water Supply Watershed Protection Program Info
Rease supply the information below
County:* Orange
What Type of IT Municipality
Program?* f County
Municipality:* Chapel Hill
Choose additional counties if applicable:
Additional County: Durham
WSW Program WSMU CHAP
Identifier:* Auto -populated from choices above
Name of Submitter:* Allison Weakley
Vft is submitting this information?
Title:* Other
Email: *
[e-mail]
Telephone:*
9199697202
Map:
Click the upload button or drag and drop files here.
TOCH Watershed Protection District Map 2021-06-
2.28MB
30.pdf
Only pdf files are accepted.
The current version
aick the upload button or drag and drop f iles here.
of your WSWP
LUMO 3.6.4 as of Supplement 17.pdf 290.8KB
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:* Allison Elizabeth Weakley
Signature
� "A nel
Date Submitted 6/30/2021
Submittal Date 20210630
Formatted

Review
Program Entity: Chapel Hill
Edit if necessary
Verify Primary Orange
County * Update county if needed.
Verify WSW ID* Chapel Hill (WSMU_CHAP)
Update ID if needed.
Review Date 06/30/2021