WQ0004270_Owner (Affiliation Change)_20230901

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQ0004270
Permit Type: Wastewater Irrigation
Facility Name: A. B. Carter - Gastonia WWTP
Facility Addressl: 4801 York Hwy
Facility Address2:
City, State & Zip: Gastonia, NC 28052
Owner Inf r ation Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click here for "Change of NarnelOwnership"form)
Owner Name: AB Carter Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Respoihsible corporate officer/principle executive nicer or ranking elected official/general Partner or oprietori
or any other person with delegated signatory authority from the legally responsible pe n.)
Owner Affiliation: Richerd-i-CraiV1 F S(; Title: Riwid@F& 1 t-es,'Je4vwA CI;U
Addressl: PO Box 518
Address2:
City, State & Zip: Gastonia, NC 28053
Work Phone: [phone] Ext. Fax: [phone]
Email Address: �r bQabc rso=. y,Vp;Se-e>cbecay.^6.Cat,
*** Permit Annual Fee Billing ***
Billing Month: June
Invoice Number Invoice Date Inv ice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title
Address
Phone
Fax
Email
'� -
4801 York Hwy, Gastonia, NC 28052
704-865-1201
704 866-5M
-70Y-
IpefmingtenOabcarter:c&
LL
C-VI-swo
Facility Contact Person(s)
i
Contact Name jille
Address
Phon
F
Email
6rgCkK Rcc'��c
N: Ott
Permit Contact Person(s)
Const Name Title
Address
Phone
Fax
EwLI,ll b'rec: sG 6 C-46.J1r
fee--Pertrnrtgt�m Environmental-
PO Box 518, Gastonia, NC 28053
704-874
704-864-8870
�I�y iragton@AhQ rter.c o
4 Ik t'lanager.--
7.1 Y8
w�•�..
m
Permit Billing Contact Person(s)
Contact Name Title
Address
Phone
Fax
mail
PO Box 518, Gastonia, NC 28053
Persons with Signatory Authority
Type Contact Name Tit a Address Phone Fax Email
Permit F.r�aest,�A45ar PO Box 518, Gastonia, NC 704-865=[phone]
Ca 28053 it e .. ,1ir
8/28/2023 Page 1,

Permit Number: WQ0004270
Permit Type: Wastewater Irrigation
Facility Name: A. B. Carter - Gastonia WWTP
Facility Addressi: 4801 York Hwv
Facility Address2:
City, State & Zip: Gastonia, NC 28052
Designated Operators
If the designated operators listed below are incarrUct or no longer associated with the co/lection sysd'em, the Information can be updated by sL
a completed "Operator Designation Form "((Ir Here for A!?C peslggion�J. P/easeprovide specific details as to the changes requested,,
the addition/removal of designated operators. Forall otheroperator questions orissues, please call 9I9-807-6353
Facility Classification:
Operator Name
Role Cert Type Cert Status Cert # Effective Date
8 / 28 / 2023
Page 2