NC0086975_Signature Authority_20231130

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: NC0086975
Permit Type: Water Plants and Water Conditioning Discharge
Facility Name: Laurel Road WTP
Facility Addressl: 534 Laurel Rd
Facility Address2: NCSR 1163
City,State&Zip: 'Beaufort, NC 28516
Owner Information;Details:
MUST submitFa°Change of%Vame/Ownership form to DWR to:make any changes-to'this°Owner information:„`
01"ckHere.for,'Chanae:oflVame%Ownership'!„.Form -. , :` ,,.
Owner Name: Carteret County
Owner Type: Government-County Owner Type Group: Organization
- `:*' /! %° ,*,** Le gally�tiRes .9nsible,for,:Perinit;*** , ;' , *f , . ,,, -
(Responsible corporate-officer/principle'executive officer or;ranking elected'official/general=partneeor proprietor; .=
_ , ; ,.,_. u y,n -'-or,,any,other:personwith delegated-Signatory autHori ,from the'le all 'res onsitile, erson. ;';
Owner Affiliation: Tommy R Burns Title: County Manager
Addressl: 302 Courthouse Sq
Address2:
City,State&Zip: Beaufort, NC 28516
Work Phone: [phone] Fax:
Email Address: tommy.burns©carteretcountvnc.aov
�Ovvner contact'Peron(s) , , - , ., :. . .. Y - M -' -.6', ..
Contact Name Title Address Phone Fax Email
Dee Meshaw Assistant County 302 Courthouse Sq,Ste 200, 252-728-8410 252-728-2092 deem@carteretcountyn
Manager Beaufort, NC 28516 c.gov
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Contact Name Title Address Phone Fax Email
3el V-Si ens -@RC `Super sor 252-441-4646 g€444.simpaqus e t
Billy Mel-Icit.3 -- eettntyfte7flo
:P.orl t Contact.Persori s) n , _ : • _m : :. ,
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Contact Name Title Address Phone Fax Email
Jot&A4Si 'ls Water-Plant- 342 cvu. , c R Far—rN€ __�°_ ._� _a:t=ret
Es;ily Mey Idelttfleiviser -6 cattntync-,gov
Per'init-Billing';Contact.Person;(s) a g ; , _ . n -- _ _ .., ,. ' - _. w - _;
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Contact Name Title Address Phone Fax Email
-T-efty-C-alleen ^-52 8-e595 25'2pr1 •_nri 1..- rt, NGz8.5-a
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Tyne Contact Name Title Address Phone Fax Email
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Permit I ®as Vtietei-Pisr , =4555
$i I Lj Mr*I SkipePitiSOr NC2546
Permit Anthony Garland ORC 91 Pickett Way,Swansboro,NC 910-938-5277 [e-mail]
Futrell 28584
11/6/2023 Page 1

Permit Number: NC0086975
Permit Type: Water Plants and Water Conditioning Discharge
Facility Name: Laurel Road WTP
Facility Addressl: 534 Laurel Rd
Facility Address2: NCSR 1163
City,State&Zip: Beaufort, NC 28516
Designated Operators —n_
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 changearequested,including
designated operators,'For all other operator questions'or'issues,please ca11919-807,6353.
Facility Classification: PC1
Operator Name Role Cert Type Cert Status Cert# Effective Date
Anthony Garland Futrell ORC PC-1 Active 1001044 1/1/2022
Gregory D Spillman Backup PC-1 Active 1007518 1/1/2022
11/6/2023 Page 2