WQCS00219_Renewal (Application)_20210520

Carolina Water Service
lied of North Carolina'
RECEIVED
April 14, 2021
MAY 2 0 2021
NCDEQ-DWR
Water Quality Permitting Section NCDEQ/DWR/NPDES
PERCS Unit
Attention: PERCS Unit Supervisor
Collection System Renewal
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Connestee Falls Collection System
Permit# WQCS00219
Renewal Request
Dear Sir/Madame:
Please find enclosed application and attachments and consider this letter as our official request to
renew the Collection System Permit for the facility referenced above.
If you should have any questions or need any additional information, please do not hesitate to call me at
704-319-0523 or by email at [e-mail]
Thank you in advance for your attention.
Sincerely,
DO NN signed by TOM,a0119111
ON C=US.OU=tirector 010perabcos.OLroina Water
o.
Tony Konsul',..0` a ro here
Oate 2021 W.141009951Y00
Foal PNenbrnPOF Version 101 3
Tony Konsul
Director, State Operations
Enclosures; (1)CSA 04-16 permit application, (1) CPCN, (1) Pump station list, (1) High Priority list, (1)
Capital improvement plan, (1) Response Action Plan, (1) Contingency Plan, (1) Comprehensive Collection
System Map, (1) Compliance letter
• 4944 Parkway Plaza Blvd.Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0400—SYSTEM-WIDE WASTERWATER COLLECTION SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM CSA 04-16&SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the System-wide Collection System Permitting website:
General—When submitting an application to the Pretreatment,Emergency Response,&Collection Systems(PERCS)Unit,
please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of requested
additional information.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Cover Letter ` ECEIVED
MAY 2 0 2.02i
• Submit a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required NCDEQIDWRINPDES
> No application fee is necessary. The permittee will be billed an annual fee upon issuance of the permit
> The appropriate annual fee for systemwide wastewater collection system permits may be found at:
> Annual Non-Discharge Fees
C. System-Wide Wastewater Collection System (FORM: CSA 04-16)Application:
® Submit the completed and appropriately executed System-wide Wastewater Collection System (FORM: CSA 04-
16) application. Any unauthorized content changes to this form shall result in the application package being
returned. If necessary for clarity or due to space restrictions,attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
® If the Applicant Type in Section I.3 is a Privately-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity(CPCN)from the North Carolina Utilities Commission demonstrating the Applicant is
authorized to hold the utility franchise for the area to be served by the wastewater collection system,or
p Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area
or that franchise approval is expected.
EI If the Applicant Type in Section 1.3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
➢ The Authorized signing official listed in Section I.4 should match with that of the Applicant certification page in
accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T.0106(c),an alternate person may be designated
as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T
.0106(b).
•
> NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION Page 1 of 5

E. Summary of Attachments Required:
® Instruction A: Cover Letter
• Instruction C: Application
• Instruction C: Ownership Documentation(i.e.CPCN)(If necessary)
O Instruction D: Delegation Letter(If necessary for signing official) Already on file
® Section IV.3 Pump Station List
® Section IV.4 High Priority Lines List
• Section V.4 Annual Budget for Collection System(Updated and Approved)
® Section V.6 Capital Improvement Plan(Updated and Approved)
• Section VI.2 Response Action Plan
• Section VL4 Contingency Plan
• Section VI.6 Comprehensive Collection System Map
® Section VII Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery:
Attn: PERCS Unit Supervisor 512 N.SALISBURY ST.Suite 925
1617 MAIL SERVICE CENTER RALEIGH,NORTH CAROLINA 27604
RALEIGH,NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION Page 2 of 5

I. APPLICANT INFORMATION:
1. Applicant's name(Municipality,Public Utility,etc):Carolina Water Service of North Carolina
2. Facility Information: Name: Connestee Falls Collection System Permit No.:WQCS00219
3. Applicant type: ❑Municipal ❑State ®Privately-Owned Public Utility
❑County ❑Other:
4. Signature authority's name:Tony Konsul per 15A NCAC 02T .0106(b)
Title:Director,State Operations
5. Applicant's mailing address:4944 Parkway Plaza Boulevard,Suite 375
City:Charlotte State:NC Zip:28224-0908
6. Applicant's contact information:
Phone number:[phone] Fax number:( ) - Email address:[e-mail]
II. CONTACT/CONSULTANT INFORMATION:
1. Contact Name:Tony Konsul
2. Title/Affiliation:Director,State Operations
3. Contact's mailing address:4944 Parkway Plaza Blvd
4. City: Charlotte State:NC Zip:28224-0908
5. Contact's information:
Phone number:[phone] Fax number:( ) - Email address:[e-mail]
III. GENERAL REQUIREMENTS:
1. New Permit or Permit Renewal? ❑New ®Renewal
2. County System is located in: Transylvania County
3. Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s):Carolina Water Service of North Carolina
4. WWTF Permit Number(s): NC0024295&NC0088943
5. What is the wastewater type? 100%Domestic or %Industrial(See 15A NCAC 02T.0103(20))
Is there a Pretreatment Program in effect?❑Yes or®No
6. Wastewater flow:0.254 MGD(Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 0.380 MGD
8. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T.0114 or®Representative Data(Jan—Dec DMR)
9. Population served by the collection system:2593=(1037 connections x 2.5)
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description Length
Gravity Sewer 28.1 (miles)
Force Main 6.5(miles)
Vacuum Sewer 0(miles)
Pressure Sewer 0(miles)
APPLICATION CSA 04-16 Page 3 of 5

2. Pump Stations for Collection System:
Pump Station Type Number
Simplex Pump Stations(Serving Single Building) 0
Simplex Pump Stations(Serving Multiple Buildings) 0
Duplex Pump Stations 17
3. Submit a list of all major(i.e.not simplex pump station serving a single family home)pump stations. Include the following
information:
➢ Pump Station Name
➢ Physical Location
➢ Alarm Type(i.e.audible,visual,telemetry,SCADA)
➢ Pump Reliability(Can convey peak hourly wastewater flow with largest single pump out of service)
➢ Reliability Source(permanent/portable generator,portable pumps)
➢ Capacity of Station(Pump Station Capacity in GPM)
4. Submit a list of all high priority lines according per 15A NCAC 02T.0402(2)known to exist in the collection system. Head
the list with"Attachment A for Condition V(4)"and include the system name.
➢ Use the same line identification regularly used by the applicant
➢ Indicate type of high priority line(i.e.aerial),material and general location
V. COLLECTION SYSTEM ADMINISTRATION:
1. Provide a brief description of the organizational structure that is responsible for management, operation and maintenance of
the collection system.
,Director,State Operations,Area Manager,ORC,Lead Operator,Operator
2. Indicate the current designated collection system operators for the collection system per 15A NCAC 08G.0201
Main ORC Name: Douglas Corn Certification Number: 18986
Back-Up ORC Name:Richard Lightle Certification Number: 1008972
See the"WQCS Contacts and ORC Report"for a current listing of the ORC(s)the Division has on file for WQCS permit
3. Approximate annual budget for collection system only: $50K approximately
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budge for the collection system only: $275K approximately annually
6. Submit a copy of your current capital improvement plan.
7. Is this collection system currently a satellite system ❑ Yes or®No
8. Do any satellite systems discharge to this collection system ❑Yes or®No(If yes complete table below)
Satellite System Contact Information(Name,Address,Phone Number)
Complete for Satellite Systems that have a flow or capacity greater than 200,000 GPD(Average daily flow)
9. List any agreements or ordinances currently in place to address flows from satellite systems:
N/A
APPLICATION CSA 04-16 Page 4 of 5

VI. COLLECTION SYSTEM COMPLIANCE:
1. Is a Response Action Plan currently in place®Yes or El No
2. If Yes,submit a copy of the Response Action Plan or see table 6 below.
3. Is a pump station contingency plan currently in place?®Yes or El No
4. If Yes,submit a copy of the pump station contingency plan or see table 6 below.
5. Is a comprehensive collection system map currently in place? ®Yes or El No
6. Submit a submit a copy of the collection system map(CD or hardcopy)or indicate a schedule for completion
7. Thoroughly read and review the System-Wide Collection System Permit Conditions. Typically compliance schedules
are only offered to NEW permit applicants and NOT permit renewals. Any compliance dates must be included within
the permit prior to issuance or the permit holder will be found in violation upon inspection.
Current If no,Indicate a Typical
Permit Condition Compliance Compliance
Compliance? Date Schedule
I(4)—Grease ordinance with legal authority to inspect/enforce El Yes ®No 12—18 mo.
I(5)— Grease inspection and enforcement program ®Yes El No 12—18 mo.
I(6)—Three to five year current Capital Improvement Plan. ®Yes El No 12—18 mo.
1(8)—Pump station contingency plan ®Yes ❑No 3 mo.
I(9)—Pump station identification signs. ®Yes El No 3 mo.
1(11)—Functional and conspicuous audible and visual alarms. ®Yes ❑No 3—6 mo.
II(5)—Spare pumps for any station where one pump cannot
handle peak flows alone(in a duplex station,the 2nd pump is ®Yes El No 6—9 mo.
the spare if pump reliability is met).
II(7)—Accessible rights-of-way and easements. /i1 Yes El No 6—12 mo.
11(9)—Response action plan with Items 9(a—b). ®Yes El No 3 mo.
III(3)—Comprehensive collection system map Yes El No 10%per year
For conditions not listed,compliance dates are not typically offered. List any permit conditions that may be difficult for the
applicant to meet(attach clarification if needed):
VII. APPLICANT'S CERTIFICATION per 15A NCAC 02T.0106(b):
I,Tony Konsul Director,State Operations attest that this application for Carolina Water Service of North Carolina
(Signature Authority's Name&Title from Item I.4) (Facility name from Item L1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included,this application package
will be returned to me as incomplete.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B,any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
$10,000 as well as civil penalties up to$25,000 per violation.
teWT.,
Tony Konsul
c con
m.Wider md NC ..
Signature: e1111 vy Konrad
Date:
APPLICATION CSA 04-16 Page 5 of 5

APPENDIX A-38
STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
Docket No. W-354, Sub 350
Before the North Carolina Utilities Commission
CAROLINA WATER SERVICE, INC. OF NORTH CAROLINA
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in the
CONNESTEE FALLS SUBDIVISION
Transylvania County, North Carolina
subject to all orders, rules, regulations,
and conditions as are now or may hereafter be lawfully made
by the North Carolina Utilities Commission
ISSUED BY ORDER OF THE COMMISSION.
This the 17th day of August, 2016.
NORTH CAROLINA UTILITIES COMMISSION
Janice H. Fulmore, Deputy Clerk

,„-wo
Carolina Water Service
of North Carolina ''
Transylvania — Pumping Stations
Permit - WQCS00219
Condition II.6.
• Transylvania Main Pump Station—Located at 5999 Greenville HWY, Brevard, NC 28712.Station
has(2) 33.5hp pumps with a capacity of 675 gallons per minute each@ 106'TDH. Station
equipped with emergency back-up generator.Station equipped with audio,visual and telemetry
alarms.
• Transylvania Pump Station#1 - Located at Unit 22 Lot 83 Sequoyah CT, Brevard, NC 28712.
Station has(2) 25hp pumps with a capacity of 210 gallons per minute each @ 111'TDH.Station
equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#2 - Located at Unit 22 Lot 53 Tellico Tr., Brevard, NC 28712. Station
has(2) 10hp pumps with a capacity of 200 gallons per minute each @ 48'TDH.Station equipped
with audio,visual and telemetry alarms. Portable generator available if needed for emergency
back-up power.
• Transylvania Pump Station #3- Located at Unit 5 Lot 37 Echota Ln., Brevard, NC 28712. Station
has(2) 15hp pumps with a capacity of 187 gallons per minute each @ 64'TDH. Station equipped
with audio,visual and telemetry alarms. Portable generator available if needed for emergency
back-up power.
• Transylvania Pump Station#4- Located at Unit 5 Lot 50 Ticoa Park Dr., Brevard, NC 28712.
Station has(2) 10hp pumps with a capacity of 165 gallons per minute each @ 61'TDH. Station
equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#5- Located at CFPOA Maintenance Shop Utsonati Ln., Brevard, NC
it of 180gallonsper minute each 90'TDH.
28712. Station has(2) 15hp pumps with a capacity @
•4944 Parkway Plaza Blvd.Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

Station equipped with audio,visual and telemetry alarms. Portable generator available if
needed for emergency back-up power.
• Transylvania Pump Station#6- Located at Unit 26 Lot 12 Ulvda Ct., Brevard, NC 28712. Station
has(2)25hp pumps with a capacity of 250 gallons per minute each @ 112'TDH.Station
equipped with audio, visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#7- Located at Unit 9 Lot 198 Kanasgowa Dr., Brevard, NC 28712.
Station has(2) 3hp pumps with a capacity of 80 gallons per minute each.Station equipped with
audio,visual and telemetry alarms. Portable generator available if needed for emergency back-
up power.
• Transylvania Pump Station#8—Located at Unit 12 Lot 128 Guwa Ct., Brevard, NC 28712.
Station has(2) 20hp pumps with a capacity of 230 gallons per minute each 85'TDH.Station
equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#9-Located at Unit 26 Lot 109 Utsonati Ln., Brevard, NC 28712.
Station has(2) 5hp pumps with a capacity of 80 gallons per minute each.Station equipped with
audio,visual and telemetry alarms. Portable generator available if needed for emergency back-
up power.
• Transylvania Pump Station#10—Located at Unit 13 Lot 7 Kalvi Ct., Brevard, NC 28712. Station
has(2) 25hp pumps with a capacity of 180 gallons per minute each @ 117'TDH. Station
equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#11- Located at Unit 19 Lot 75 Gawanv Ct., Brevard, NC 28712.
Station has(2) 20hp pumps with a capacity of 180 gallons per minute each.Station equipped
with audio,visual and telemetry alarms. Portable generator available if needed for emergency
back-up power.
• Transylvania Pump Station#12- Located at Unit 30 Lot 41 Notivsi Ct., Brevard, NC 28712.
Station has(2) 3hp pumps with a capacity of 80 gallons per minute each @ 35'TDH. Station
equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#13—Located at Unit 25 Lot 21 Adayani Ct., Brevard, NC 28712.
Station has(2) 3hp pumps with a capacity of 80 gallons per minute each @ 33'TDH. Station

equipped with audio,visual and telemetry alarms. Portable generator available if needed for
emergency back-up power.
• Transylvania Pump Station#14—Located at Unit 40 Lot 5 Amayi Ct., Brevard, NC 28712.Station
has(2)2hp pumps with a capacity of 15 gallons per minute each. Station equipped with audio,
visual and telemetry alarms. Portable generator available if needed for emergency back-up
power.
• Transylvania Pump Station#15—Located at Unit 40 Lot 11 Yona Ct., Brevard, NC 28712. Station
has(2)2hp pumps with a capacity of 15 gallons per minute each. Station equipped with audio,
visual and telemetry alarms. Portable generator available if needed for emergency back-up
power.
• Transylvania Pump Station#16- Located at Hwy 276 Connestee Falls Park, Brevard, NC 28712.
Station has(2) 2hp pumps with a capacity of 20 gallons per minute each. Station equipped with
audio,visual and telemetry alarms.Portable generator available if needed for emergency back-
up power.

Carolina Water Service
lei of North Carolina R'
Connestee Falls — High Priority Lines
Permit - WQCS00219
Attachment"A" for condition V4
• Lake Atagahi Access Road-#11 Lift Station through Manhole#7-22 (Lake Bank)
• Lake Atagahi Access Road-Force Main#11 Lift Station to Manhole#7-22 (Lake Bank)
• Lake Atagahi Access Road-#11 Lift station through Manhole#7-44(Lake Bank)
• Soquili Drive/Sali Court-Manhole#5-95 through Manhole#5A-29 (Stream Bank/Lake
Bank/Creek Crossing/Ariel Line
• Bank/Creek
Middle Connestee Trail - Force Main#5 Lift Station to Manhole#3-24 (Stream
Crossing)
• Middle Connestee Trail - Manhole#3-23 to Manhole #3-24 (Creek Crossing)
• Middle Connestee Trail/Lake Tiaroga Access Road- Manhole#2-193 through Manhole#2-120
(Stream Bank/Lake Bank/Creek crossing)
• Connestee Trail/Lake Tiaroga Access Road- Manhole#2-162 through Manhole #2-120(Stream
Bank/Lake Bank/Creek crossing)
• Lake Atagahi Access Road-#8 Lift Station through Manhole#5A-29 (Lake Bank)
• Lake Atagahi Access Road-#8 Lift Station through Manhole#5-131 (Lake Bank)
• Lake Atagahi Access Road-Force Main#8 Lift Station to Manhole#5-131 (Lake Bank)
• Lake Atagahi Access Road-#6 Lift Station through Manhole#4A-72 (Lake Bank/Stream
Crossing/Stream Bank/Ariel Line
• Lake Atagahi Access Road-Force Main#6 Lift Station through Manhole#4A-20(Lake Bank)
• Lake Atagahi Access Road-Manhole#4A-15 through Manhole#4A-39 (Lake Bank/Creek Crossing)
• Lake Atagahi Access Road- Force Main#6 Lift Station to Manhole#4A-39 (Lake Bank/Creek
Crossing)
• Elaqua Court/Gusv Ct- Manhole#4A-54 through Manhole#4-60(Ariel Line)
• Dotsi Drive/Hwy 276-Manhole#4-63 through Manhole#IL-8(Stream Bank/Creek Crossing/Ariel
Line
• Hwy-276-Manhole#IL-8 through Manhole#IL-3 (Stream Bank)
• Tsalagi Drive- Manhole#6-86 through Manhole#6-84(Stream Bank/Pond Bank)
• Ugedaliyvi Court- Manhole#6-45 through Manhole#6-60(Stream Bank/Creek Crossing)
•4944 Parkway Plaza Blvd.Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

• Lake Ticoa Access Road-#10 Lift Station through Manhole#6-35 (Lake Bank)
• Lake Ticoa Access Road-#10 Lift Station through Manhole C-5(Lake Bank)
• Lake Ticoa Access Road/Dotsi Drive- Force Main#10 Lift Station to Manhole#4-87 (Lake Bank)
• Ticoa Park Drive/Lake Ticoa Access Road- Force Main#4 Lift Station to Manhole#1-70 (Lake
Bank)
• Echota Lane/Lake Ticoa Access Road-#3 Lift Station through Manhole#1-70 (Lake Bank/Creek
Crossing
• Echota Lane/Lake Ticoa Access Road -#3 Lift Station through Manhole#1-31 (Lake Bank)
• Echota Lane/Lake Ticoa Access Road- Force Main#3 Lift Station to Manhole#1-29 (Lake Bank)
• Lake Ticoa Access Road/Cheulah Road-#2 Lift Station through Manhole#1-29(Lake Bank)
• Lake Ticoa Access Road/Unutsi Court-#2 Lift Station through Manhole#1-12 (Lake Bank)
• Lake Ticoa Access Road Unutsi Court-Force Main#2 Lift Station to Manhole#1-12 (Lake Bank)
• Lake Ticoa Access Road Unutsi Court-#1 Lift Station through Manhole#1-11 (Lake Bank)
• Lake Ticoa Access Road-#1 Lift Station through Manhole#1-1A(Lake Bank)
• Lake Ticoa Access/Dotsi Drive - Force Main#1 Lift Station to Manhole#4-87 (Lake Bank)
• Lake Wanteska Access Road/Tsvwagi -#13 Lift Station through Manhole#8-98(Lake
Bank/Stream Crossing/Stream Bank)
• Ugugu Drive/Lake Wanteska Access Road- Manhole#8-74 through Manhole#8-78 (Lake
Bank/Creek Crossing/Ariel)
• Lake Wanteska Access Road- Force Main#13 Lift Station to manhole#8-104(Lake Bank)
• Lake Wanteska Access Road/Ayugidv Court-#12 Lift Station through Manhole#8-26 (Lake
Bank/Stream Crossing)
• Lake Wanteska Access Road/-#12 Lift Station through Manhole#8-24 (Lake Bank)
• Lake Wanteska Access Road- Force Main#12 Lift Station to Manhole#8-76 (Lake Bank)

.'f.`e, BUSINESS CORPORATION ANNUAL REPORT 111
102017
NAME OF BUSINESS CORPORATION: Carolina Water Service, Inc. of North Carolina
0023927 Filing Office Use my
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC
E-Filed Annual Report
0023927
REPORT FOR THE FISCAL YEAR END: 1 2/31/201 9 CA202006903009
3/9/2020 03:00
SECTION A: REGISTERED AGENTS INFORMATION ❑X Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, 2626 Glenwood Avenue„ Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Water/Sealer Utility
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
500 W.Monroe St.STE 3600 500 W. Monroe St.STE 3600
Chicago, IL 60661 Chicago, IL 60661
6. Select one of the following if applicable. (Optional see instructions)
The company is a veteran-owned small business
The company is a service-disabled veteran-owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Bryce Mendenhall NAME: Amy Robinson NAME: Allen Wilt
TITLE: Vice President TITLE: Assistant Secretary TITLE: Secretary
ADDRESS: ADDRESS: ADDRESS:
5701 Westpark Drive,Suite 101 2335 Sanders Road 500 W.Monroe St.STE 3600
Charlotte, NC 28217 Northbrook, IL 60062 Chicago, IL 60661
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entAmy Robinson 3/9/2020
/� SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Amy Robinson Assistant Secretary
Print or Type Name of Officer Print or Type Title of Officer
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Jim Andrejko NAME: Donald Denton NAME:
TITLE: Treasurer TITLE: President TITLE:
ADDRESS: ADDRESS: ADDRESS:
500 W. Monroe St STE 3600 5701 Westpark Drive, Suite 101
Chicago, IL 60661 Charlotte, NC 28217
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:

= Carolina W _a ter Service
11011 of North Carolina-"
Connestee Falls
Capital Improvement Plan
Sanitary Sewer Collection System Permit WQCS00219
Mission Statement
Carolina Water Service of North Carolina Inc.owns, operates,and maintains the sanitary sewer
collection system serving the Connestee Falls residential community Located in Transylvania County, NC.
Transylvania is an investor-owned public utility and is committed to providing safe, reliable, and cost-
effective service to our customers and with the underlying commitment to act with integrity, protect the
environment and enhance the communities we serve. Transylvania works to maintain the system and
meet customer growth expectations and regulatory requirements in a financially responsible manner.
As a privately owned public utility,Transylvania is regulated through the NC Utilities Commission.
II. Description of Systems
The service area currently is comprised of 1037 residential customers. Growth has been somewhat
stagnant in recent years. The system is comprised of approximately 28.1 miles of gravity sewer
collection mains; 6.5 miles of pressure force main, (17) pump stations and a 0.360 MGD extended
aeration wastewater treatment plant and a .020 MGD wastewater plant.
III. Projects
Preventive Maintenance -At least 10%of the gravity collection system mains are pressure washed and
cleaned each year with the intent to clean 100%of the gravity mains in a ten-year period or less. All lift
stations are cleaned at least annually.
Transylvania Utilities is financially capable of making all emergency repairs immediately and takes
immediate action any time the system may be compromised to protect the system integrity,the
environment and to meet regulatory requirements.
Transylvania Utilities plans for all capital improvement with at least a 3-year plan. The system is
assessed each year by review of operations,visual inspection of manholes, and review of emergency
repair history or other deficiencies identified in state inspections or in review of compliance needs. Any
needed improvements are prioritized for inclusion in future year's budgetary plan.
•4944 Parkway Plaza Blvd.Ste 375 • Charlotte,North Carolina 28217 • 800-525-7990

As of 4/9/2021 the following projects have been identified for 2020 or later.
NC-2021-Connestee Falls-WWCS Improvements(Rehab-Clean,CCTV,CIPP, Replacement) $291,200
NC-2023-Connestee Falls-WWCS Improvements(Rehab-Clean,CCTV,CIPP, Replacement) $ 190,800
NC-2024-Connestee Falls-Replace or Rehab LS#7 and LS#9 $259,700
NC-2025-Connestee Falls-WWCS Improvements(Rehab-Clean,CCTV,CIPP, Replacement) $296,800
NC-2021-Connestee Falls-Sewer LS portable generator installations(2 generators-44KW and 80KW) $63,600
NC 2020-LIFT STATION REPLACEMENTS $ 1,146,673

Carolina Water Service
of North Carolina"
SANITARY SEWER OVERFLOW AND SPILL RESPONSE ACTION PLAN
Connestee Falls Sanitary Sewer Collection System
WQCS00219
A Sanitary Sewer Overflow (SSO) can endanger the environment and affect the health of individuals and
wildlife that come in contact. It is the policy of our company that all SSO's be investigated immediately
and actions taken to prevent or minimize all environmental impact.
The public should contact our 24-hour customer service number at 1-800-525-7990 and provide as much
information as possible on the location of the problem. On-call staff will be dispatched immediately for
full investigation. This number will reach our office during normal business hours and then an
emergency call service center after normal business hours. Available and current on-call staff
information is always kept ensuring that appropriate staff can be dispatched immediately.
Any operations employee that comes across an SSO should contact the Area Manager or Director,State
Operations immediately and take immediate action to assess, minimize, prevent,or mitigate any such
event.
The local Area Manager and ORC of the system will be the primary interface between the company and
the NC Dept.of Environment and Natural Resources, Division of Water Quality(DWQ)and county health
department (if required). The appropriate manager will follow the current and then in place SSO
reporting policy as designated by DWQ(see attached reporting form)or any other regulatory agency
having jurisdiction. As of the writing of this document.
• Report any spill of 1,000 gallons or more; and
• Any spill, regardless of the volume, if any waste reaches the surface waters of the State. Any
conveyances such as drainage ditches or storm sewers are considered waters of the State.
1) Report by telephone to a person (not a fax or voicemail)to the Asheville Regional DWQ Office at
828-296-4500 during normal business hours(Monday through Friday, 8 am to 5 pm) as soon as
possible, but in no case more than 24 hours after the SSO is known or discovered. To report
outside of regular business hours, call [phone].
2) Follow up the verbal report by sending the completed written report using the attached form or
most current within five days.
•4944 Parkway Plaza Blvd.Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

3) If the discharge involves 1,000 gallons or more AND reaches surface waters, a press release
must be issued within 48 hours of first notification. If the discharge is 15,000 gallons or more, a
public notice must be published within 10 days and proof of publication shall be provided to
DWQ within 30 days.
Containment Procedures
As soon as an employee arrives at the site of the SSO, he/she shall use whatever means necessary to
contain the spill as to prevent it from reaching surface waters. If there is no danger or potential of the
SSO reaching surface waters,the SSO should be contained in as small an area as possible but use of any
means possible such as construction of dams,ditches,checks etc. The sewage contained or collected
shall be returned to the sewer system or taken to the WWTP by pumps, pumper trucks or other
available means.
If possible, a blocked or damaged section of collection main should be bypassed around the problem
area using transfer pumps from an upstream manhole into a downstream manhole. The damaged main
section should be plugged if possible,to prevent waste from entering the problem area.
The area should be sectioned off to prevent any unauthorized person from entering the contaminated
area.
Blockage Correction
Employees should treat a reported blockage with utmost urgency to prevent any spill or backup from
causing environmental or home damage. The first person on site should try to assess the problem and
determine if flow can be maintained or restored using temporary pump bypass or other means, of if the
problem area can be blocked off and the waste transported from a manhole to the WWTP using a pump
or pumper truck. Contractors should be called immediately, and employee should stay on site or within
close distance to assist with emergency work. Containment and bypass equipment and measures shall
remain on site until the blockage is corrected.
Clean up
Remove all debris such as plastic, paper,or other materials from the site, bag or place in a container and
dispose of properly in dumpster at WWTP site.
Clean or wash area thoroughly and return this water to the sewer system or treatment plant. If on soil
or dirt,apply a liberal layer of white hydrated lime to raise the pH and kill pathogenic organisms and to
treat for odor. Apply straw and grass seed if appropriate.
If the SSO reaches surface waters,every effort should be made to contain the spill area by use of dams
near a manhole or area accessible to a pumper truck and mobile equipment. The contained area should
be pumped back into the sewer system. Two employees or one employee and a contractor shall be
present at all time while pump is operated. Backhoe or other equipment should be available to help
maintain earthen dams until cleanup efforts are complete.

If possible,the area should be flushed with potable water and that water also returned to the sewer
system. The operator should try and use a broom or other measures to agitate sludge on the bottom
during the pumping and cleaning efforts to make sure it is all retrieved. Rocks and riprap should be
washed of residue.
If surface waters are used for drinking source or recreation, additional measures must be taken to notify
local health departments.
Water samples to include dissolved oxygen and fecal bacteriological samples should be taken frequently
before clean-up, during and after clean-up. In addition, samples should be taken upstream and
downstream of the affected area.
Spare Parts and Equipment list
Connestee Falls Sanitary Sewer Collection System
WQCS00219
Portable trailer mounted generators to operate pump stations and/or electrical equipment in the event
of power loss or in remote locations. A backhoe, portable pumps to dig out and repair lines. These will
be always kept in good running order at the WWTP location.
Common parts such as electrical components, elapsed time meters,voltage phase monitors, pipe,
couplings etc. are kept in stock at the Connestee Falls WWTP warehouse and can be always accessed by
a supervisor and operators.
White hydrated lime will be kept on hand at the WWTP for spill abatement.
Normal hand tools such as shovels, rakes etc.will be kept on the Operator's truck or at the WWTP.
The ORC and Area Manager must be familiar with all pumping equipment brands and have means to
contact a distributor or representative for expedited parts.

Connestee Falls Sanitary Sewer Collection System
W QCS00219
Contractors list and Contact Information
Gopher Utility—704-932-7662
Electrical and equipment repair work
Rain for Rent—704-393-3345
Emergency portable pump rental and pump supplies (hoses etc.)
Mike Septic—828-775-1658
Pumper truck/vac truck.
W&S Maintenance—828-216-8998
Sewer main jetting/cleaning and underground maintenance.
A&D Maintenance---828-507-9853
Electrical and equipment repair work
Roto-Rooter-828-258-8001
Sewer main jetting
Cantrell Construction-828-884-6157
Underground Maintenance, new main installation
James Freeman—828-606-6432
Underground Maintenance

Carolina Water Service
lila of North Carolina'
Connestee Falls
Lift station Pump Failure Contingency Plan
Sanitary Sewer Collection System Permit WQCS00219
Mission Statement
1. Carolina Water Service Inc. of NC (CWSNC) owns, operates, and maintains the
sanitary sewer collection system serving the Connestee Falls communities
located in Transylvania County, NC. CWSNC is an investor-owned public utility
and is committed to providing safe, reliable, and cost-effective service to our
customers and with the underlying commitment to act with integrity, protect the
environment and enhance the communities we serve. CWSNC works to
maintain the system and meet customer growth expectations and regulatory
requirements in a financially responsible manner. As a privately owned public
utility, CWSNC is regulated through the NC Utilities Commission.
Description of Systems
2. The service area currently is comprised of 1037 sewer residential customers. The
system is comprised of approximately 28.1 miles of gravity sewer collection
mains; 6.5 miles of pressure force main, (17) pump stations and a 0.3 MGD
extended aeration wastewater treatment plant and a .020 MGD water plant.
Objective of Plan
3. To ensure a normal level of service in the event of a lift station pump failure
while protecting the environment. CWSNC is financially capable of making all
emergency repairs immediately and takes immediate action any time the system
may be compromised to protect the system integrity,the environment and to
meet regulatory requirements.

Criteria for Invoking the plan:
4. One or more pump failures or loss of power to any or all lift station
Roles, Responsibilities, and Authority
5. The local Operating Manager/ORC of the system will oversee operating this
contingency plan. If additional personnel are needed, he will contact the
appropriate Area Manager who will then assign more staff if deemed necessary.
Procedures for Invoking Contingency Mode
6. The area operator will monitor the system on an emergency basis until there are
no problems with the operation of the system. The alarm systems for all (17) lift
stations have capabilities so that alarms will still be reported in the event of
power loss.
If an employee discovers a problem, he will immediately begin to diagnose to
correct the problem. The employee will also call his immediate supervisor and
describe the nature of the problem (e.g., no electricity, pump failure to one or all
lift stations).
Procedures for Operating in Contingency Mode
7. Generators—Some Lift Stations are equipped with generator transfer quick
connects that will enable the operator to hook up available portable generators
located in the system. The major station WWTP has an onsite generator which
will start automatic in case of power failure. If all lift stations are without power,
the Area Manager will establish a rotation schedule based upon the capacity in
the wet wells and storage in the lines to rotate the generators between the lift
stations.
One Pump Failure—Should one pump fail in the duplex stations; the operator is
to contact the necessary contractor from the contractors list and arrange to have
the pump checked immediately. Should the pump need to be replaced, the
operator should check the spare parts inventory and have installed, should one
be available. The other pump should be sent to a repair facility for a repair cost
estimate. The station should be checked daily until such time the pump can be
repaired or replaced.
Dual Pump Failure—Should both pumps fail in the duplex stations, the operator
is to contact the necessary contractors from the contractors list and arrange to
have the pumps checked immediately and/or to rent a portable pump if needed.

Should the pump need to be replaced,the operator should check the spare parts
inventory and have a pump installed, should one be available. The other pumps
should be sent to a repair facility for a repair cost estimate. The station should
be checked daily until such time that both pumps can be repaired and replaced.
If needed a vacuum pump truck should be called from the contractors list to
prevent all overflows.
8. Criteria for Returning to normal operation mode:
Electricity returned to all stations and all lift station pumps are operational.
9. Post Contingency Plan:
The Area Manager will meet with personnel who assisted in operating this plan
to evaluate how well it worked. If necessary, changes will be made for any future
emergencies.

•
•
•
CONNESTEE FALLS
SEWERAGE FACILITIES ,. \ -4_
--,....,,,,,..NN.N.:,,..,p,
•
OP '4pp to O4 �OQ
a A0 cvA
GI
eQPa _ �b��`ee���`+Oo° ..0.10.s aOwc �%/ o��e ' 4'P+r
0 Qij �ts ANA
izrft✓ V4C pp%/� +a '� �' Crp a <4'%•t •
gr . 4 `00 ! +a�1`� 4aap �0o� r'� = . % q„ e ,00 oik
O4n coO ® ,*a4* I ,.00 t, a Q -•4L1Ø
•��0 A�sore e .a a�.• � ` ed N, r�ir t,40 p�.QrrAt:*
,q?JAdo�lC� �eaaei 9ks Od��a ao� �° r o a'+�Qa� ®,d,` oo,: 1 v a d ,� :4 4,w' SA
)110p.
r= p �u 0 �L,Za a�'"�� e OQ Ov0 'dC �A�`� o D !. ►• 0�v
o ofi 40 i-, �p �e p0O � a#4 dao°v ' ;.4 •••• r .4 .a,�CdOm'' t ;\ 1st,
E\ �ao04g1�+�Op�.4a lt'O� �d a \. we 04d�C�l�Cdi� ) o'�' e,�0>"+f��'O° g`QOaed,0i;,,..�Y -.► b 4 o 0 v, a �„a cee� ) $p4QD04 o O�Q,o��OVaO oDe'000 p4� Oev!€ 0 m1.•/.--.%0.ypc� D - g c+91,gyp v E A� r 's un- 0 4
/ 0., O p�a,9 c+S Q r0 4 Ea Pp`r-i °" 1 r ;4t�w+44�0
O oC)�i�' Off% ,,: p 06 o Qo, tr,ato "iptdppi` lit ,,) 4ec�r I ,
Q C p g v ilto � � ,s`18-w'Cd ',..ter o� ---a�'� � .° ': ,, apdnn0 1 titspoi
a■O O�S • Q � � 00 w`ip iik:741,44',..,444,
b ± � � r wpOO � r
C4d0�/ 0 p m O@.���oo �q., ,,, lesp.4„.° ` .�-- �t.t, ., 8�` Yi
s�•��+7oa •ase,a'+�° d-,�:� o mah t �� e�;e �� .G '�°i'
��,` 7pl4a00•000�p4 �'� �. Cn < ��' R. O�'O+ '� �� Qoe 1111 ,..
e ►Q ooOnoC �G�: v > . �IQ 00 @a`o °�- Gn�ly
�a� , d5p c e ►.e', o o O, 0
Q
e ae OQc OoeC C a .e. °l$"` Ifr ��p�� o �.. �0,,, �» a �.�ik. - � ,.or
aa� A*III ��QI Q�O t ' 9�' O % ,,- -•. -'gyp *,.. , , V., .
CO..v; o,4a. 3. p�„�+Jo Ater'e �. " 1 mac' 0041
aS0o.SW �a acr4' 4�Cpd a. �'e1qa r • y�G� •� ��I r�i Q+D •E`w:.♦♦tid .
n�CoG Q ....1. 1 n aCC•• a
-_� ,i'" O p Qcm cs alto{ + o .0�ryw ._,y�.•;7tl a
L.6111C Q�-��jp���p Q:29: .0,�Oa'• ��e s°`M; I. "" ,.`I% - •- woa ��oe°tIbelfa `g! eop•,�o ``.:.:a noon °`- 1 =•..
GRAVITY,....LINE
�.`p4 00 s0.��ecf'a�`db pC�ioO°e30000
.�.... ....o., \eJ 44Go t, 4pdc dut GOad0
�p404i ..7.E et
S. A 0 *ib,
�.. QUI®LG SSOCIATI110. INCQ°eln

CONNESTEE FALLS _ —ti
SEWERAGE FACILITIES o s �, 3 .._.R_
�� " E �,.pe s�s+.m� �.j� s�s .� �' �'°'°
0
aE
pl„0,. 90/ yo �e rs
Pn,,i,lc Tron /D Vo 040 V t. ',.
pOaQ ,. 4re- 44
Olt o
�p7�' O''p0 co�
�c°o is Od O� 1 ;.f..,
'' ii: '''.:'. . .
ce--.4 Qe Oleo�Ao `�► o' ,� ,tlD�
n n rJ(� b . dbp / �. � �, O _4Gla �. e0 , o,�d
�. ,r-' �a node ® \ �/ 'p� 14,r�'�4� a d^4 "00 0,
j + I � .'
bra,;, k .� iiiii: 04.01 n �.�n -y )` � ,
wild: Q' 0 ar a p!� ,✓ .�3'v r;
,..,�.. P o cod � � � h ,, it
:;11 IN• „Ai �': �' �P -0
�p� sz0 d: O b?
tk
q `a o�*te� v 4a 41;O�to 01 CP ,or ) w) 4#.46% A sot o.1`/ as.,,Nis ..CO v v
44,3Y-4V .tr . , c. , -,,,...., 4 - ,,,- .r_ , ,..„ " le•-• 40
4.1-pe. 4 l,*♦a� ` 0 �''' :.`.401-.1t114 4: .,C., ' • .. e: 1 ,,ti..t.t, . ,„_-__ ,-,,,,,,e.-„,.1,-:,-,.., 4,14,t,,.10:4,..,4 k
ea i app.- i ' i '_` /40, ' �i /\ ..i `' aae,. e „ o /pD p �'■
o f ,c / �, a
aapp0; ' �� 04.'�4 )a �� i ,4a,� I (i a '_ 14 i
Oaf vva'aa ...eooae` °° � 'e©o, �: , :� Y
�aoaa p.." gao$440.03o" r, • �paAa!o 1 'xf � e f
0,A04?4"11"..• L-•_:Ail_Ciiif"':.',',- fariii ,:e—;;=.k7.;,4,., ' , .:,' ' ,., „, ,...:vto a;
0
L�D•ND / 4,19°4jig.;1.6 0�oo/eoao:eo o u� . •. .
a° $"°e°oa�Qaa d�� .i ''
4:4 a /
.la, O
v-,ppo�D,.� _
PI G�o C a d -_
aQAnp aee QUIBLE 8. A930W IAT@S, INC.
aaunm1,mNu,$uN Dmro�s

i
J ,
ifi
CONNESTEE FALLS . \...,
SEWERAGE FACILITIES /,‘„, , . ..., ,
(7,......v., FL,....> cii), r e,A,,, to,..? • -..„ \
•-•- 44)11,•Ort4 6-...1_,':'-4- • ''''''''' .'' \-s....:.s.sN'N:N.---„,
fra' 4j .
�,g`" ;-leg:4'84 14,..44.e: S r ' t -
Ao o n . 'IN . r row
,•^� era+
"INg
rO
`ti kill!
aq p vr�d�O�j�p�+ •�. f i/ �`, r a omb�ae;r!� s ,.j: #°" �,�"� 70)
O abca a v,� k,. e . o
'� ,F,90 v�y Q _/ 9 Tp1 gy '
'moo �''� �� r � .� qh�J '' Coo r n
,r �,� x a ©'� I� . : Ell nti,..1.,:,-44 , ;� , 4 . ., .�,,, �_ �� aoamo�oo ,
'\� ' ^���.3�g,. ,,,,„17,4„;(7. — e�e a Appo�o�acA, 7 f / �:-1-. ,.c.:- Ae. i -4_' 4 ;,,_ �` �004 '
.. 4 0 -pi,.
�� 1'• WI \ . orDAn r � i �bco V
r Q"� ��4A 1A000' .s �, I,,� n P dC 4 ,45 , z, f` --=',�00
JD �f
' C A".?� �9r f o r�AQ a OO,- L'1i►0�'t�4a { *tel'icIA''',igiF �� o-.. ' 77���i�°�
J
ea e o • ,
\"O b4 -.,9p,`0.• 44,A.,® 7/1116 • 0. �� �• :s are � .s 1-114 .'r 4- d 1- ' : '°2;-,4
to Or 414
(,�/ 9,
• a OOr OO�� parr 4�t` 7 r \ " i`T 4Q-019it`1, a,9 •'�='- ee��0 0
- q� eIv 415
---.. i elP,:ittvA'//e4;',$$.-.'. '...':...,4,':41 a. . --
• . .Artol.•i'I•'- `,.'N ,0 D4 vcaCiat. .. :i. `,- , Jl�� ' qQ+ Q' i' • --5.,s 0/ y'
H
b.t
-.../.
•
40• . .
: :tv a ,1111 _..... , ... ..e4,,, ....,
'°O�po° ile�, o D o dd 0lea�i p�` ' ®dk� `�' 0
a��00 Q �pA D 0 •'i�iii'iU, 9 V000"Q�% �\`�
O'00O Op d m .,� o00 o s o �1
.w..,.,.wl.... 1 O so°AoINCIIL D /4diov°o4e�00o 40 .
UN viTv IEw[x ., p ontttpp0o /----.
ap4oyp,,41 o \o00
pd •..• CWI�L� O N& A•* C1ATINi. C.
��""" 1111.1111M11__,I MI MM.

Carolina Water Service
lad of North Carolina'
Potential Compliance Issues
Section VII
Re: Connestee Falls Collection System
Permit# WQCS00219
Renewal Request
Dear Sir/Madame:
There are no known compliance issues within the Connestee Falls subdivision.
If you should have any questions or need any additional information, please do not hesitate to call me at
704-319-0523 or by email at [e-mail]
Thank you in advance for your attention.
•4944 Parkway Plaza Blvd.Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990