WSMU_LIBE_WSWP Submittal Review_20230707

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/6/2023 1:40:01 PM(Supplemental Submittal)
Approve by Paul.Clark 7/7/2023 11:01:42 AM(WSW Program Info Submittal Review)
0 Thank you for recompleting and resubmitting survey and uploading the watershed map and
ordinance.
• The task was assigned to Paul.Clark.The due date is:July 20,2023 5:00 PM 7/6/2023 1:40:03 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 7/6/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Randolph
What Type of Municipality
Program?* County
Municipality:* Liberty
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_LIBE
Identifier:* Auto-populated from choices above
Name of Submitter:* Scott Kidd
Who is submitting this information?
Title:* Municipal Manager
Email:* [e-mail]
Telephone:* 3362152339
Map: Click the upload button or drag and drop files here.
Watershed map from GIS.pdf 1.17MB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP watershed ordinance.pdf 337.87KB
ordinance(s):
Only pdf files are accepted.
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:* Scott Kidd
Signature
r5COTT�fOD
Date Submitted 7/6/2023
Submittal Date 20230706
Formatted

Review
Program Entity: Liberty
Edit if necessary
Verify Primary Randolph
County* Update county if needed.
Verify WSW ID* Liberty(WSMU_LIBE)
Update ID if needed.
Review Date 07/07/2023