WQCS00162_Renewal (Application)_20210603

MAN Carolina Water Service
lied of North Carolina"
May 28,2021
Michael Montebello
PERCS Unit Supervisor
512 N. Salisbury St.
Suite 925
Raleigh,North Carolina 27604 RECEIVED
JuN 0 3 2021
Subject: Permit Renewal WQCS00162 NCDEQ/DWR/NPDES
Fairfield Harbour Collection System
Carolina Water Service Inc. of NC
Craven County
Mr. Michael Montebello,
Enclosed you will find our renewal application for our Fairfield Harbour wastewater collection system.
If you have any questions or require additional information,please do not hesitate to contact myself or Dana
Hill.
Sincerely,
"Ot AL-
Brent Milliron
Regulatory Compliance Manager
Carolina Water Service Inc.of North Carolina(CWSNC)
cc: Dana Hill,Director of State Operations,CWSNC
•4944 Parkway Plaza Blvd.Suite 375 •Charlotte, North Carolina 28217 •800-525-7990

Table of Contents
1. Form CSA 04-16 Application
2. Certificate of Public Convenience and Necessity
3. Business Registration —North Carolina Secretary of State
4. Pump Station List
5. Annual Budget for Collection System and Capital Approvement Plan
6. Response Action Plan
RECEIVED
SUN 0 3 2C21
7. Contingency Plan NCDEQ/DWR/NPDES
8. Comprehensive Collection System Map

L APPLICANT INFORMATION:
1. Applicant's name(Municipality,Public Utility,etc):Carolina Water Service Inc.of North Carolina
2. Facility Information: Name: Fairfield Harbour Collection System Permit No.:WQCS00162
3. Applicant type: ❑ Municipal ❑State ®Privately-Owned Public Utility
❑County ❑Other:
4. Signature authority's name:Dana Hill per 15A NCAC 02T.0106(b)
Title:Director of Operations
5. Applicant's mailing address:P.O Box 240908
City:Charlotte State:NC Zip:28224-0908
6. Applicant's contact information:
Phone number:[phone] Fax number:[phone] Email address:Dana.Hill(a,carolinawaterservicenc.com
H. CONTACT/CONSULTANT INFORMATION:
1. Contact Name:Dana Hill
2. Title/Affiliation:Director,State Operations
3. Contact's mailing address:4944 Parkway Plaza Blvd.,Suite 375
4. City:Charlotte State:NC Zip:28217-
5. Contact's information:
Phone number:[phone] Fax number:[phone] Email address:Dana.Hill(a»carolinawaterservicenc.com
III. GENERAL REQUIREMENTS:
1. New Permit or Permit Renewal? ❑New ®Renewal
2. County System is located in: Craven County
3. Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s):Carolina Water Service Inc.of North Carolina
4. WWTF Permit Number(s): NC0033111
5. What is the wastewater type? 100%Domestic Ior 0%Industrial(See 15A NCAC 02T.0103(20))
y Is there a Pretreatment Program in effect?❑Yes or®No
6. Wastewater flow: .3 MGD(Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 0.600 MGD
8. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T.0114 or®Representative Data
9. Population served by the collection system:4738
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description Length
Gravity Sewer 22.5(miles)
Force Main 5.86(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 26
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
D. 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.NONE
➢ 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.
Donald
Denton
Senior Vice Preside
Dana Hill
Director,State Operation
Lane Chilton
Matt Golden Samuel Cox
Lead Operator. O.-rotor
2. Indicate the current designated collection system operators for the collection system per 15A NCAC 08G.0201
Main ORC Name: Matthew Golden Certification Number: 1002998
Number:ORC Name: Dana Hill Certification cat 988819
See the"WOCS 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: $172,037
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budget for the collection system only: $1,883,785
6. Submit a copy of your current capital improvement plan.
APPLICATION CSA 04-16 Page 4 of 5

1
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:
VI. COLLECTION SYSTEM COMPLIANCE:
1. Is a Response Action Plan currently in place®Yes or❑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❑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❑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 ®Yes ❑No 12—18 mo.
I(5)— Grease inspection and enforcement program ®Yes ❑No 12—18 mo.
I(6)—Three to five year current Capital Improvement Plan. ®Yes ❑No 12—18 mo.
I(8)—Pump station contingency plan ®Yes ❑No 3 mo.
I(9)—Pump station identification signs. ®Yes ❑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 ❑No 6—9 mo.
the spare if pump reliability is met).
II(7)—Accessible right-of-ways and easements. ®Yes ❑No 6—12 mo.
II(9)—Response action plan with Items 9(a—h). ®Yes ❑No 3 mo.
III(3)—Comprehensive collection system map ®Yes ❑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):
APPLICATION CSA 04-16 Page 5 of 5
1

VII. APPLICANT'S CERTIFICATION per 15A NCAC 02T.0106(b):
I,Dana Hill attest that this application for Carolina Water Service Inc.of North Carolina
(Signature Authority's Name&Title from Item I.4) (Facility name from Item I.1)
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.
Digitally signed by Dana Hill
Signature: DN:C US,O-CWSNC,CN-Dana 1611, Date: 5/28/21
Dana E=dana.hill@carolinawaterservicenc.c
om
Reason:I am the author of this
document
ocat on:your signing location here
Date:2021.05.28 08:20:18-04'00'
Foxit PhantomPDF Version:10.1.3
APPLICATION CSA 04-16 Page 6 of 5

-- STATE OF NORTH CAROLINA •
UTILITIES COMMISSION
RALEIGH
• APPENDIX B
v 1 .
DOCKET NO. W-778, SUB 2
•
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
•
Know All Men By These Presents, That
CWS SYSTEMS, INC.
is hereby granted this •
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
FAIRFIELD HARBOR SUBDIVISION
Craven County, North Carolina
subject to such orders, rules, regulations, and
conditions as are now or may hereafter be lawfully
made by the North Carolina Utilities Commission.
V ISSUED BY ORDER OF THE COMMISSION.
This theiday of ��sY.1991.
NORTH CAROLINA UTILITIES COMMISSION
(SEAL) an ra . Webs r, hie lerk
•

5/21/2021 North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal Name
Carolina Water Service, Inc. of North Carolina
Information
Sosld: 0023927
Status: Current-Active 0
Date Formed: 12/20/1976
Citizenship: Domestic
Fiscal Month: December
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Corporation Service Company
Addresses
Reg Office Reg Mailing
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608 Raleigh, NC 27608
Mailing Principal Office
500 W. Monroe St. STE 3600 500 W. Monroe St. STE 3600
Chicago, IL 60661 Chicago, IL 60661
Officers
Treasurer President Assistant Secretary
Jim Andrejko Donald Denton Amy Robinson
500 W. Monroe St STE 3600 5701 Westpark Drive, Suite 101 2335 Sanders Road
Chicago IL 60661 Charlotte NC 28217 Northbrook IL 60062

5/21/2021 North Carolina Secretary of State Search Results
Secretary
Allen Wilt
500 W. Monroe St. STE 3600
Chicago IL 60661
Stock
Class: COMMON
Shares: 20000
Par Value 1

Section IV.3
Fairfield Harbour Lift Stations
Lift Station Pump Capacity
Number Physical Location Alarm Type Reliability Reliability Source m
(Y/N) (8p )
1 Sect. 5, Lot 233 Radio/Telemetry/Audble/Visual Y Portable Generator 100
2 Sect.4, Lot 155 Radio/Telemetry/Audble/Visual Y Permanent Generator 175
3 Sect. 5, Lot 140 Radio/Telemetry/Audble/Visual Y Portable Generator 120
4 Sect. 5, Lot 114 Radio/Telemetry/Audble/Visual Y Portable Generator 200
5 Sect. 5, Lot 482 Radio/Telemetry/Audble/Visual Y Portable Generator 200
6 Sect. 6, Lot 20 Radio/Telemetry/Audble/Visual Y Portable Generator 100
7 Sect. 6, Lot 82 Radio/Telemetry/Audble/Visual Y Portable Generator 100
8 Sect. 7, Lot 271 Radio/Telemetry/Audble/Visual Y Portable Generator 100
9 Sect. 6, Lot 139 Radio/Telemetry/Audble/Visual Y Portable Generator 120
10 Sect. 6, Lot 185 Radio/Telemetry/Audble/Visual Y Portable Generator 120
11 Sect. 6, Lot 227 Radio/Telemetry/Audble/Visual Y Portable Generator 120
12 Sect. 6, Lot 227 Radio/Telemetry/Audble/Visual Y Portable Generator 120
13 Sect. 7, Lot 195 Radio/Telemetry/Audble/Visual Y Portable Generator 120
14 Sect. 7, Lot 207 Radio/Telemetry/Audble/Visual Y Portable Generator 120
15 Sect. 7, Lot 458 Radio/Telemetry/Audble/Visual Y Portable Generator 120
16 Sect. 7, Lot 437 Radio/Telemetry/Audble/Visual Y Portable Generator 320
17 Sect. 13, Waterwood Radio/Telemetry/Audble/Visual Y Permanent Generator 420
18 Sect.4, Lot 122 Radio/Telemetry/Audble/Visual Y Portable Generator 75
19 Sect. 18, Harbourmaster Radio/Telemetry/Audble/Visual Y Portable Generator 120
20 Sect. 10, Lot 84 Radio/Telemetry/Audble/Visual Y Portable Generator 100
21 Sect. 15, Sandcastle Radio/Telemetry/Audble/Visual Y Permanent Generator 170
22 Sect. 9, Lot 37 Radio/Telemetry/Audble/Visual Y Permanent Generator 475
23 Sect. 26, Lake Elizabeth Radio/Telemetry/Audble/Visual Y Portable Generator 170
24 Sect. 20, Lot 258 Radio/Telemetry/Audble/Visual Y Portable Generator 175
25 Sect. 20, Lot 82 Radio/Telemetry/Audble/Visual Y Portable Generator 175
26 Sect. 20, Lot 83 Radio/Telemetry/Audble/Visual Y Portable Generator 175

Section V.4
Farifield Harbour-Wastewater Collection System
O&M 2021 Budget
Sewer Rodding 82,208
Maint.Supplies 10,342
Maint. Repairs 44,851
Maint. Permits 3,012
Maint. Electric Equip Repair 62
Other Maintenace Expenses 31,561
Total 172,037
Section V.6
Project In-Service Date Total Expected Project Cost
NC-2021- Fairfield Habour-LS Replacements 6/30/2021 $427,977
NC-2022- Fairfield Harbour-WWCS Improvements (Rehab-Clean, CCTV,CIPP, Replacement) 6/30/2022 $371,846
NC-2023- Fairfield Harbour-WWCS Improvements (Rehab-Clean, CCTV,CIPP, Replacement) 6/30/2023 $161,556
NC-2024- Fairfield Harbour-Sewer LS Replacement(4 stations) 9/30/2024 $543,302
NC-2025- Fairfield Harbour-WWCS Improvements(Rehab -Clean, CCTV,CIPP, Replacement) 6/30/2025 $379,104
Total $1,883,785

Section VI.2
( Ities Inc-
and affiliates,Carolina Trace Utilities, Carolina Water Service, Inc.of North Carolina,
CWS Systems, Inc, Bradfield Farms Water Company,Transylvania Utilities,Inc.and Elk
River Utilities Inc.
SANITARY SEWER OVERFLOW AND SPILL RESPONSE ACTION PLAN
Fairfield Harbour Sanitary Sewer Collection System
WQCS00162
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 any
and all SSO's be investigated immediately, and actions taken to prevent or minimize any
and 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 than an emergency call service center after normal
business hours. Available and current on-call staff information is kept at all times to
ensure that appropriate staff can be dispatched immediately.
Any operations employee that comes across an SSO should contact the Operating
Manager,Area Manager or Regional Manager immediately and take immediate action to
assess,minimize,prevent or mitigate any such event.
The local Operating 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 Raleigh Regional
DWQ Office at 919-791-4200 during normal business hours(Monday through
Friday, 8 am to 5 pm)as soon as possible,but in no case more that 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.
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, everyeffort should be made to contain the spill area
P
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 clean up efforts are complete.
If possible,the area should be flushed with potable water and that water also returned to
the seer 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 rip-rap 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
Portable trailer mounted generator to operate pump stations and/or electrical equipment
in the event of power loss or in remote locations. This will be kept in good running order
at all times at the WWTP location.
Common parts such as electrical components such as elapsed time meters,voltage phase
monitors etc.are kept in stock at the Fairfield Harbour WWTP and can be accessed at all
times.
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 or Operating Manager must be familiar with all pumping equipment brands and
have means to contact a distributor or representative for expedited parts.
Contractors List and Contact Information
Gopher Utility—704-932-7662
Electrical and equipment repair work

Pipe Connection 919-770-9175
Main/Service Repairs,backhoe contractor
Envirolink 252-236-1428
Pumper truck/vacuum truck and main cleaning.
Water&Waste Systems 919-625-8864
Electrical and repair work

Section VI.4
Fairfield Harbour
Lift station Pump Failure Contingency Plan
Sanitary Sewer Collection System Permit WQCS00162
Carolina Water Service Inc.of North Carolina
Mission Statement
1. Carolina Water Service Inc.of NC (CWSNC)owns,operates and maintains the
sanitary sewer collection system serving Fairfield Harbour located in Craven
County,NC. CWSNC is an investor owned private 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 serves a population of 4738.The system is comprised
of approximately 22.5 miles of gravity sewer collection mains; 5.8 miles of
pressure force main, (26)pump stations and a 0.6 MGD wastewater treatment
plant.
Objective of Plan
3. To insure a normal level of service in the event of a lift station pump failure while
protecting the environment. CWSNC is financially capable of making any and all
emergency repairs immediately and takes immediate action any time the system
may be compromised in order 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 stations.

Roles,Responsibilities,and Authority
5. The local Operating Manager/ORC of the system will be in charge of operating
this contingency plan. If additional personnel are needed,he will contact the
appropriate Area Manger 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 it is clear
that there are no problems with the operation of the system.The alarm systems for
all 26 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— Lift Stations are equipped with either fixed or mobile generator
transfer quick connects that will enable the operator to hook up available portable
generators located in the system. 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 on a daily basis 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 on a daily basis until such time that both pumps can be repaired or
replaced. If needed a vacuum pump truck should be called from the contractors
list to prevent any and all overflows.

Water Restrictions—If city wide or regional power outage lasts for more than
one day,we would consider restricting community water usage to reduce the flow
of wastewater through the system.
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.

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"CONFIDEMIAL 8 PROPRIETARY INFORMATION
CWSNC makes no guarantee,implicit or" N
Fairfield Harbour r DISCLAIMER:This map is not a survery. Map Produced By:SPQ A
o 200 +� WC' am Date:05/21/2021
Sewer Collection System Metes implied,about the accuracy of this data.