WQCS00217_Owner (Affiliation Change)_20240703

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQCS00217
Permit Type: Collection system management and operation
Facility Name: Carolina Trace Collection System
Facility Addressi: PO Box 240705
Facility Address2:
City, State & Zip: Charlotte, NC 28201
Owner Information Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership Form)
Owner Name: Carolina Trace Utilities Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Matthew Klein Title:
Addressi: PO Box 240908
Address2:
City, State & Zip: Charlotte, NC 28224-0908
Work Phone: [phone] Fax:
Email Address: tikonsulCcbuiwater.com
If any information related to specified contact persons is incorrect or no longer valid, please contact the regional office with jurisdiction
for your facility. Changes must be requested by an individual with signature authority in accordance with 15A NCAC 02T.0106.
Information and area of coverage for regional offices can be obtained at https://deg.nc.gov/contact/regional-offices.
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Donald J. ORC 7346 Overhills Rd, Spring Lake, NC 910-949-2010
Scarboro 28390-7346
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Donald Denton Senior Vice President PO Box 240908, Charlotte, NC 800-525-7990 [e-mail]
28224-0908
Permit Billing Contact Person(s)
Contact Name Title Address Phone Fax Email
Martin Lashua PO Box 240908, Charlotte, NC 704-319-0517 704-525-8174 [e-mail]
28224-0908
7/1/2024 Page 1

Permit Number: WQCS00217
Permit Type: Collection system management and operation
Facility Name: Carolina Trace Collection System
Facility Addressl: PO Box 240705
Facility Address2:
City, State & Zip: Charlotte, NC 28201
Persons with Signatory Authority
Type Contact Name Title
Address Phone
Fax Email
Owner Martin Lashua Director Regional
PO Box 240908, Charlotte, NC 704-319-0517
704-525-8174 [e-mail]
28224-0908
Owner Donald Denton
PO Box 240908, Charlotte, NC 800-525-7990
[e-mail]
28224-0908
Permit Gary Mack
PO Box 240908, Charlotte, NC 828-242-7588
gary.peacook@carolinaw
Peacock
28224-0908
aterservicenc.com
Owner Danny Lassiter
Owner Martin Scanlon
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by s
"Operator Designation Form" (Click Here for ORC Designation Form). Please provide specific details as to the changes requested, including thi
designated operators For all other operator questions or issues, please call 919-807-6353.
Facility Classification: CS2
Operator Name Role
Cert Type Cert Status Cert #
Effective Date
Stephen Boyd Harrell ORC
CS-4 Active 995549
6/15/2016
John Eric Johansen Backup
CS-1 Invalid 13008
6/15/2016
Dean Ray Miller Backup
CS-1 Active 997978
6/15/2016
7/1/2024