WSMU_BELM_WSWP Submittal Review_20230823

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/22/2023 1:16:57 PM (Supplemental Submittal)
Approve by Paul.Clark 8/23/2023 7:45:48 AM (WSW Program Info Submittal Review)
0 Thank you for uploading digital copies of map and ordinance.
• The task was assigned to Paul.Clark.The due date is: September 5,2023 5:00 PM
8/22/2023 1:16:58 PM

Water Supply Watershed E-Submittal
s
NORTH CAROLINA
Environmental Quality
Submittal Dated: 8/22/2023
Water Supply Watershed Protection Program Info
Please supply the information below
.....................................................................................................................................................................................................................................................................................................................................................................................................
County:* Gaston
What Type of Municipality
Program?* County
Municipality:* Belmont
Choose additional counties if applicable:
Additional County:
WSW Program WSMU_BELM
Identifier:* Auto-populated from choices above
Name of Submitter:* W A Robinson
Who is submitting this information?
Title:* Planner
Email:* [e-mail]
Telephone:* 704 616 6453
Map: Click the upload button or drag and drop files here.
Watershed map upload.pdf 8.24MB
Only pdf files are accepted.
The current version Click the upload button or drag and drop files here.
of your WSWP Watershed ordinance upload.pdf 1.9MB
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:* W A Robinson
Signature
W A /RohtiSoo
Date Submitted 8/22/2023
Submittal Date 20230822
Formatted

Review
Program Entity: Belmont
Edit if necessary
Verify Primary Gaston
County* Update county if needed.
Verify WSW ID* Belmont(WSMU_BELM)
Update ID if needed.
Review Date 08/23/2023