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Home My WebLink AboutNC0062219_Owner (Affiliation Change)_20240702North Carolina Department of Environmental Quality Division of Water Resources Permit Number: NCO062219 Permit Type: Discharging 100% Domestic < 1MGD Facility Name: Kings Grant Subdivision WWTP Facility Addressi: 4817 Mial Plantation Rd Facility Address2: City, State & Zip: Raleigh NC 27610 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 Water Service Inc of North Carolina 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: Gary Mack Peacock Title: Director of Operations Addressi: PO Box 240908 Address2: City, State & Zip: Charlotte, NC 28224-0908 Work Phone: 828-242-7588 Fax: Email Address: aary_peacock(o)carolinawaterservicenc.com Owner Contact Person(s) Contact Name Title Address Phone Fax Email Travis Dupree VP Project 130 S Main St, Ste 800, Greenville, SC 864-203-0233 Travis. Dupree@corix.co Management & 29601 m Engineering Tony Konsul Operations Director 4944 Parkawy Plaza Blvd Ste 375, 704-319-0523 704-525-8174 tony.konsul@carolinawat Charlotte, NC 28224-0908 erservicenc.com Donna Stegall Admin. Assistant PO Box 240908, Charlotte, NC 28224 704-319-0506 donna.stegall@carolinaw aterservicenc.com Facility Contact Person(s) Contact Name Title Address Phone Fax Email Permit Contact Person(s) Contact Name Title Address Phone Fax Email Permit Billing Contact Person(s) Contact Name Title Address Phone Fax Email Donald Denton PO Box 240908, Charlotte, NC 704-525-7990 28224-0908 Persons with Signatory Authority Type Contact Name Title Address Phone Fax Email Permit Tony Konsul PO Box 240908, Charlotte, NC 704-525-7990 704-525-8174 tjkonsul@uiwater.com 28224-0908 Permit Dana Hill 5058 Hwy 70 W W Rdg Ctr 704-319-0503 Dana.Hill@carolinawaters N2a, Morehead City, NC 28557 ervicenc.com Owner Brent Milliron Regulatory PO Box 240908, Charlotte, NC 704-319-0504 brent.milliron@carolinaw Compliance Manager 28224-0908 aterservicenc.com 7/1/2024 Page 1 Permit Number: NCO062219 Permit Type: Discharging 100% Domestic < 1MGD Facility Name: Kings Grant Subdivision WWTP Facility Addressl: 4817 Mial Plantation Rd Facility Address2: City, State & Zip: Raleigh, NC 27610 Designated Operators If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by a "Operator Designation Form " (Click Here for ORC Designation FormJ. P/ease pro vide specific details as to the changes requested, including th designated operators For a// other operator questions or issues, please call 919-807-6353, Facility Classification: WW2 Operator Name Brandon Dale Baldwin Role ORC Cert Type WW-3 Cert Status Active Cert # 1000627 Effective Date 9/11/2014 Anthony Michael Caddiell Backup WW-3 Active 1012880 12/8/2022 Jeffrey J. Cooke Backup WW-2 Active 9151 8/1/2019 Ronnie E. Dickens Backup WW-2 Active 9153 8/1/2019 Christopher Lee -Aaron Godfrey Backup WW-1 Active 1008027 8/1/2019 Stephen Boyd Harrell Backup WW-3. Active 25543 7/1/2019 John Eric Johansen Backup WW-2 Invalid 11805 8/1/2019 Donald Wayne Leary Backup WW-3. Active 988335 6/18/2014 Dean Ray Miller Backup WW-4 Active 1008143 8/1/2019 David R Ryniak Backup WW-2 Active 987900 8/1/2019 7/1/2024 Page 2