WSMU_ALBE_WSWP Submittal Review_20230612

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/12/2023 12:48:48 PM (Supplemental Submittal)
Approve by Paul.Clark 6/12/2023 1:02:20 PM (WSW Program Info Submittal Review)
0 Thank you again for submitting information.
• The task was assigned to Paul.Clark.The due date is:June 26,2023 5:00 PM 6/12/2023 12:48:49 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 6/12/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Stanly
What Type of Municipality
Program?* County
Municipality:* Albemarle
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_ALBE
Identifier:* Auto-populated from choices above
Name of Submitter:* Kevin Robinson
Who is submitting this information?
Title:* Director, Planning/Zoning/Inspections
Email:* [e-mail]
Telephone:* 704-984-9424
Map: Click the upload button or drag and drop files here.
DWR Watershed Survey Docs-Albemarle.pdf 275.14KB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Only pdf files are accepted.
ordinance(s):
Other Information: Click the upload button or drag and drop files here.
Only pdf files are accepted.
Describe the
attachments:
* By checking the box and signing box below, I certify that:
• I have given true,accurate,and complete information on this form;
• 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');

• 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:* J Kevin Robinson
Signature
Date Submitted 6/12/2023
Submittal Date 20230612
Formatted

Review
Program Entity: Albemarle
Edit if necessary
Verify Primary Stanly
County* Update county if needed.
Verify WSW ID* Albemarle(WSMIJ ALBE)
Update ID if needed.
Review Date 06/12/2023