WSMU_BURL_WSWP Submittal Review_20230705

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/5/2023 9:52:37 AM(Supplemental Submittal)
Approve by Paul.Clark 7/5/2023 11:40:17 AM(WSW Program Info Submittal Review)
0 Thank you for recompleting/resubmitting the survey and uploading map.
• The task was assigned to Paul.Clark.The due date is:July 19,2023 5:00 PM 7/5/2023 9:52:38 AM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 7/5/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Alamance
What Type of Municipality
Program?* County
Municipality:* Burlington
Choose additional counties if applicable:
Additional County: Guilford
WSW Program WSMU_BURL
Identifier:* Auto-populated from choices above
Name of Submitter:* Amy Barber
Who is submitting this information?
Title:* Stormwater Manager
Email:* [e-mail]
Telephone:* 3363091684
Map: Click the upload button or drag and drop files here.
WSWP Map.pdf 316.75KB
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:* Amy Barber
Signature
�'�ilYf�/I tit
Date Submitted 7/5/2023
Submittal Date 20230705
Formatted

Review
Program Entity: Burlington
Edit if necessary
Verify Primary Alamance
County* Update county if needed.
Verify WSW ID* Burlington(WSMU_BURL)
Update ID if needed.
Review Date 07/05/2023