WSMU_MAYO_WSWP Submittal Review_20230808

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/7/2023 12:00:09 PM (Supplemental Submittal)
Approve by Paul.Clark 8/8/2023 8:38:06 AM(WSW Program Info Submittal Review)
0 Thank you for completing/submitting survey and uploading ordinance.
• The task was assigned to Paul.Clark.The due date is:August 21,2023 5:00 PM 8/7/2023 12:00:10 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 8/7/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Rockingham
What Type of Municipality
Program?* County
Municipality:* Mayodan
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_MAYO
Identifier:* Auto-populated from choices above
Name of Submitter:* Kathleen Patterson
Who is submitting this information?
Title:* Municipal Manager
Email:* [e-mail]
Telephone:* 336-427-0241
Map: Click the upload button or drag and drop files here.
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Mayodan Watershed Ordinance.pdf 138.17KB
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:
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');

• 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:* Kathleen A. Patterson
Signature
Date Submitted 8/7/2023
Submittal Date 20230807
Formatted

Review
Program Entity: Mayodan
Edit if necessary
Verify Primary Rockingham
County* Update county if needed.
Verify WSW ID* Mayodan(WSMU_MAYO)
Update ID if needed.
Review Date 08/08/2023