WQ0045417_App_Redacted_20240509

May 2024
Goodwyn Mills Cawood NCDEQ, Asheville Regional Office
Water Quality Section
4601 Park Road 2090 US Highway 70
Suite 520
Charlotte, NC 28209 Swannanoa, NC 28778-8211
T [phone]
www.gmcnetwork.com RE: Sugar Mountain Lift Station Improvements, CCLT230004
Fast -Track Sewer System Extension Application
To Whom it May Concern:
=�- MAY 09 2024 J
Water Qual ty Regional Operation
Asheville Regional OfficF
The purpose of this letter is to provide a brief description of the requested permitting action as well
as outline the permit package submittal for the Sugar Mountain Lift Station Improvements project.
This permit application requests for a modification of existing permit WQCS00174 for Sugar Mountain
Pump Station #1 as capacity is being increased from 180 gallons per minute (gpm) per pump to 250
gpm each as part of the aforementioned project.
The submittal package consists of the following:
• Application Document
• Cover Letter/Narrative Description
• Application fee of $600.00
One (1) 8.5-inch x 11-inch color copy of a USGS Topographic Map
• One (1) aerial location map
• One (1) copy of the existing permit, WQCS00174
• One (1) copy of the existing Certificate or Public Convenience and Necessity letter
Please feel free to contact me at 704.247.5800 or corbin.ienkins(@Rmcnetwork.com if you have any
questions or need any additional information.
Sincerely,
GOODWYN MILLS CAWOOD, LLC
Corbin Jenkins, PE
Project Manager
Building Communities

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Carolina Water Service, Inc. of North Carolina (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ® Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Travis Dupree per 15A NCAC 02T .0106(b)
Title: VP, Project Management & Engineering
3I
4. Applicant's mailing address: 5821 Fairview Road, Suite 401 \ ,.4
City: Charlotte State: NC Zip: 28209-
5. Applicant's contact information: MAY 0 9 2024
Phone number: [phone] Email Address: travis.dupreena,corix.com
Mter Quality Regional Operations
II. PROJECT INFORMATION: Asheville Regional Office
1. Project name: Sugar Mountain Lift Station Improvements
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ0022900 and issued date: 3/19/2024,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Avery
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.119269' Longitude:-81.834964'
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Corbin Jenkins License Number: 053457
Firm: Goodwyn Mills Cawood, LLC
Mailing address: 4601 Park Road, Suite 520
City: Charlotte State: NC Zip: 28209-
Phone number: [phone] Email Address: corbin.jenkins ,gmcnetwork.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Sugar Mounatin WWTP Permit Number: NCO022900
Owner Name: Carolina Water Service. Inc. of North Carolina
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ22900
2. Downstream (Receiving) Sewer Information: 8 inch N Gravity O Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00174
Owner Name(s): Carolina Water Service. Inc. of North Carolina
FORM: FTA 10-23 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
® Yes ❑ No ❑ N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes [—]No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes [:]No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ® Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ® Retail with food preparation/service ® Hotel and/or Motels
❑ School / preschool / day care ® Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 21 % Domestic 79 % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ® No
➢ If yes, provide a coin of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow s,b
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gaU
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for pennitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
® Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Sugar Mountain Lift Station #1
2. Approximate Coordinates (Decimal Degrees): Latitude: 36.119269' Longitude:-81.834964'
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.36 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 250 gallons per minute (GPM) at 268 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.l.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(hl(11:
® Standby power source or ❑ Standby pump
);, Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(fl & (g)? ® Yes ❑ No
15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
ZWater mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
ZWater mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305( or g), see Section X.1 of this application
* 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(fl cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
2. Does this project comply with the minimum separation requirements for water mains? ® Yes [—]No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes [:]No ❑ N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stornwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
);;, If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

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Water Quality Regional Upeiation:
Asheville Regional Offir.s

Carolina Water Service
'.VM of North Carolina"
April 9, 2021
NCDEQ-DWR
Water Quality Permitting Section
PERCS Unit
Attention: PERCS Unit Supervisor
Collection System Renewal
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Sugar Mountain Collection System
Permit # WQCS00174
Renewal Request
Dear Sir/Madame:
Water Quality Regional Operations
Asheville Regional Office
RECEIVED
A H? 2 9 2021
NCDEQ/DWR/NPDES
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,
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

DWR
DIvIslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0400 — SYSTEM -WIDE WASTERWATER COLLECTION SYSTEMS
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
® Submit a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required
➢ 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
❑ 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.
® 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 1.4 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 I of 5

E. Summary of Attachments Required:
®
Instruction A:
Cover Letter
®
Instruction C:
Application
®
Instruction C:
Ownership Documentation (i.e. CPCN) (If necessary)
•
Instruction D:
Delegation Letter (If necessary for signing official) Already on rile
®
Section IV.3
Pump Station List
®
Section IVA
High Priority Lines List
®
Section VA
Annual Budget for Collection System (Updated and Approved)
®
Section V.6
Capital Improvement Plan (Updated and Approved)
®
Section VI.2
Response Action Plan
®
Section VIA
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:
Attn: PERCS Unit Supervisor
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST. Suite 925
RALEIGH, NORTH CAROLINA 27604
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: Sugar Mountain Collection System Permit No.: WQCS00174
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: Tony.Konsul(a?carolinawaterservicenc.com
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: (7"4 319-0523 Fax number:
III. GENERAL REQUIREMENTS:
Email address: [e-mail]
1. New Permit or Permit Renewal? ❑ New ® Renewal
2. County System is located in: Avery 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): NCO022900
5. What is the wastewater type? 100 % Domestic Ior % Industrial (See 15A NCAC 02T .0103(20))
�i Is there a Pretreatment Program in effect? ❑ Yes or ® No
6. Wastewater flow: 0.208 MGD (Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 0_5 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: 2700 = (1080 connections x 2.5)
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description
Length
Gravity Sewer
5.6 miles
Force Main
2.0 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
9
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: Cody Marlowe
Certification Number: 1006967
Back -Up ORC Name: Ronnie Reece
Certification Number: 1005849
See the " %VQCS 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: $ 31K approximately
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budge for the collection system only: $ 250K approximately
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 ❑ 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.
Permit Condition
Current
Compliance?
If no, Indicate a
Compliance
Date
Typical
Compliance
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.
1(6) — Three to five year current Capital Improvement Plan.
® Yes ❑ No
12 — 18 mo.
I(8) — Pump station contingency plan
® Yes ❑ No
3 mo.
1(9) — Pump station identification signs.
® Yes ❑ No
3 mo.
I(11) — Functional and conspicuous audible and visual alarms.
® Yes ❑ No
3 — 6 mo.
H(5) — Spare pumps for any station where one pump cannot
handle peak flows alone (in a duplex station, the 21 pump is
the spare if pump reliability is met).
® Yes ❑ No
6 — 9 mo.
H(7) — Accessible rights -of -way 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):
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 1.4)
(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
wi II 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.
Tony Konsul
Signature: Date:
APPLICATION CSA 04-16 Page 5 of 5

nId
NORTH CAlROLINA
PUBLIC STAFF -
UTILITIES COMMISSION
October 4, I995
Carolina Water Service of N. C,
5701 Westpark Drive, Suite 101
Charlotte, North Carolina 28224
Re_ Sugar Mountain
Avery County
Dear Sir:
This letter is to certify that Carolina Water Service of North Carolina
has been granted a Certificate or Public Convenience and Necessity to provide
water and sewer utility service in the above subdivision under Docket No. 9-
482, Sub 1, This utility company is under the jurisdiction of and subject to
the requirements of the Borth Carolina Utilities Commission.
If we can be of further assistance to you, please do not hesitate to
contract this office,
Sincerely,
Andy L0ef Trector
Public Staff - rater Division
AL:sw
Executive nirecror Communications Economic Research
733-2435
Legal Transportation
733-2810 733-2902
733-6110 733-7766
Accounting Consumer Services Electric
733-4279 733 -9277
Natural Gas Water
j. 7367
733-4326 733 5610
PO- Box 29520 a Raleigh, North Carolina 27626-0520 o Fax [phone]
An Equal Opportunity E AfrwMatNe Aethm
p"' Yei`

Carolina Water Service
of North Carolina'''
Sugar Mountain — Pumping Stations
Permit - WQCS00174
Condition 11.6.
• Sugar Mountain Pump Station # 1— Located at 4196 NC Highway, Seven Devils, NC 28604.
Station has (2) 25hp pumps with a capacity of 180 gallons per minute each. Station equipped
with audio, visual and telemetry alarms. Portable generators available if needed.
• Sugar Mountain Pump Station # 2 —Located at 4246 Tynecastle Highway, Banner Elk, NC 28604.
Station has (2) 30hp pumps with a capacity of 250 gallons per minute each. Station equipped
with audio, visual and telemetry alarms. Portable generators available if needed.
• Sugar Mountain Pump Station # 3 —Located at 3943 Tynecastle Highway, Banner Elk, NC 28604.
Station has (2) 15hp pumps with a capacity of 400 gallons each. Station equipped with audio,
visual and telemetry alarms. Portable generators available if needed.
• Sugar Mountain Pump Station #4— Located at 1667 Grouse Moor Drive, Banner Elk, NC 28604.
Station has (2) 3hp pumps with a capacity of 60 gallons per gallon each. Station equipped with
audio, visual and telemetry alarms. Portable generators available if needed.
• Sugar Mountain Pump Station #5 — Located at 185 Norwood Hollow Road, Banner Elk, NC
28604. Station has (2) Shp pumps with a capacity of 100 gallons per minute each. Station
equipped with audio, visual and telemetry alarms. Station has stationary emergency back-up
generator.
• Sugar Mountain WWTP Influent Pump Station #6— Located at 291 Norwood Hollow Road,
Banner Elk, NC 28604. Station has (2) 20hp pumps with a capacity of 600 gallons each. Station
equipped with audio, visual and telemetry alarms. Station has stationary emergency back-up
generator.
is 4944 Parkway Plaza Blvd. Ste 375 9 Charlotte, North Carolina 28217 9 800-525-7990

• Sugar Mountain Pump Station #7 —Located at 181 Wildflower Ridge, Banner Elk, NC 28604.
Station has (2) 2hp pumps with a capacity of 20 gallons per minute. Station equipped with
audio, visual and telemetry alarms. Station has stationary emergency back-up generator.
Sugar Mountain Pump Station #8 — Located at 178 Paddock Lane, Banner Elk, NC 28604. Station
has (2) 30hp pumps with a capacity of 180 gallon per minute each. Station equipped with
audio, visual and telemetry alarms. Station has stationary emergency back-up generator.
• Sugar Mountain Pump Station #9 — Located at 266 Grandfather Lane, Linville, NC. Station has
(2) 5hp pumps with a capacity of 170 gallon per minute each. Station equipped with audio,
visual and telemetry alarms. Station has stationary emergency back-up generator.

Carolina Water Service
VOW of North CarolinaTM
Sugar Mountain — High Priority Lines
Permit - WQCS00174
Attachment "A" for condition V4
• The Glen to Golf course — Manhole # 1081 through 1084 (Stream Bank)
• Highlands Circle to Ragan Park — Manhole # 1101 through 1128 (Stream Bank)
9 4944 Parkway Plaza Blvd. Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

44'�, �3_� BUSINESS CORPORATION ANNUAL REPORT
0
NAME OF BUSINESS CORPORATION: Carolina Water Service, Inc. of North Carolina
SECRETARY OF STATE ID NUMBER: 0023927 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2019
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
- Filed Annual Report
03:00
❑X Changes
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/Sewer Utilitv
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
500 W. Monroe St. STE 3600
Chicago, IL 60661
5. PRINCIPAL OFFICE MAILING ADDRESS
500 W. Monroe St. STE 3600
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
TITLE: Vice President
ADDRESS:
5701 Westpark Drive, Suite 101
Charlotte, NC 28217
NAME: Amy Robinson
TITLE: Assistant Secretary
ADDRESS:
2335 Sanders Road
Northbrook, IL 60062
NAME: Allen wilt
TITLE: Secretary
ADDRESS:
500 W. Monroe St. STE 3600
Chicago, IL 60661
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entiA.
my 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
TITLE: Treasurer TITLE: President
ADDRESS: ADDRESS:
500 W. Monroe St STE 3600 5701 Westpark Drive, Suite 101
Chicago, IL 60661 Charlotte, NC 28217
NAME:
TITLE:
ADDRESS:
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Carolina Water Service
rAlftV014690of North Carolina''`
Sugar Mountain
Capital Improvement Plan
Sanitary Sewer Collection System Permit WQCS00174
Mission Statement
Carolina Water Service Inc. of NC (CWSNC) owns, operates, and maintains the sanitary sewer collection
system serving the Sugar Mountain residential communities outside Banner Elk in Avery 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
The service area currently is comprised of 1098 residential sewer customers. Growth has been
somewhat stagnant in recent years. The system is comprised of approximately 5.6 miles of gravity
sewer collection mains; 2.0 miles of pressure force main, (9) duplex pump stations and a 0.5 MGD
extended aeration wastewater treatment plant.
Ill. 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.
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.
CWSNC 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 4/06/2021, the following projects have been identified for 2021 budget or later.
NC - 2021 - Sugar Mountain - Auger and new headworks at Sugar wastewater plant
234,004.00
NC - 2022 - Sugar Mountain - WWCS Improvements (Rehab - Clean, CCTV, CIPP,
$
Replacement)
238,500.00
NC - 2024 - Sugar Mountain - Sewer LS Rehab (3) - piping, rails, pumps, control panel
238,500.00
NC - 2024 - Sugar Mountain - WWCS Improvements (Rehab - Clean, CCTV, CIPP,
$
Replacement)
265,000.00

Carolina Water Service
of North Carolinas"
SANITARY SEWER OVERFLOW AND SPILL RESPONSE ACTION PLAN
Sugar Mountain Sanitary Sewer Collection System
WQCS00174
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 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.
. 4944 Parkway Plaza Blvd. Ste 375 e Charlotte, North Carolina 28217 9 800-525-7990

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.
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
sewage 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
Sugar Mountain Sanitary Sewer Collection System
WQCS00174
Portable trailer mounted generators to operate pump stations and/or electrical equipment in
the event of power loss or in remote locations. These will be always kept in good running order
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 Sugar Mountain WWTP and can be always accessed by a
supervisor.
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
Rain for Rent — 704-393-3345
Emergency portable pump rental and pump supplies (hoses etc.)
W&S Maintenance — 828-216-8998
Underground repairs, facility and building repairs. Pumper truck / vac truck and main cleaning.
Appalachian Pumping - 828-265-6540
Pumper truck / vac truck.
Highland Electrical Solutions — 828-260-6807
Electrical and equipment repair work.

Carolina Water Service
14� of North Carolina"`
Sugar Mountain
Lift station Pump Failure Contingency Plan
Sanitary Sewer Collection System Permit WQCS00174
Mission Statement
Carolina Water Service Inc. of NC (CWSNC) owns, operates, and maintains the
sanitary sewer collection system serving the Sugar Mountain communities
located in Avery 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 1098 sewer residential customers. The
system is comprised of approximately S.6 miles of gravity sewer collection
mains; 2.0 miles of pressure force main, (9) pump stations and a 0.5 MGD
extended aeration wastewater treatment plant.
Objective of Plan
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
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 (9) 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.

,. y., _ _ {'+ £.•�, fir.
7,�-w

Carolina Water Service
of North Carolina -
Potential Compliance Issues
Section VII
Re: Sugar Mountain Collection System
Permit # WQCS00174
Renewal Request
Dear Sir/Madame:
There are no known compliance issues within the Sugar Mountain 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.
9 4944 Parkway Plaza Blvd. Ste 375 • Charlotte, North Carolina 28217 • 800-525-7990

R
.I 59TA
n
•�P.aV'VA ��
Nowm CAROLINA
PUBLIC STAFF
UTILITIES COMMISSION
October 4, 1995
Carolina Water Service of N. C.
5701 Westpark Drive, Suite 101
Charlotte, North Carolina 28224
Re: Sugar Mountain
Avery County
Dear Sir:
MAY us aBa �--%
Water (duality Regional Operations
Asheville Regional Office
This letter is to certify that Carolina Water Service of North Carolina
has been granted a Certificate or Public Convenience and Necessity to provide
water and sewer utility service in the above subdivision under Docket No. W-
482, Sub 1. This utility company is under the jurisdiction of and subject to
the requirements of the North Carolina Utilities Commission.
If we can be of further assistance to you, please do not hesitate to
contract this office.
Sincerely,
Andy L e, eirector
Public Staff - Water Division
AL:sw
Executive Director Communications Economic Research Legal Transportation J
733-2435 733-2810 733.2902 733-6110 733-7766
Accounting Consumer Services Elearic Natural Gas Water
? 733-4279 733.9277 733-2267 733-4326 733-5610
P.O. Box 29520 ^ Raleigh, North Carolina 27626-0520 ^ Fax [phone]
An Equal Opportunity / Affirmativc Action Employer �`

7 J� 3 'er. wp ,wx t� i • o
tt,��
SEP I S 1879 �Kawy
R& HGW1S0 1 x NO. W--354, Still 5
BUORE THE NORTH CAROLINA UTILIftES COMMISSION
In the Matter of
Application by Carolina Water Service, Z ORDER
Inc, of north Carolina, 2335 Saunders 1 t�NG
Read, Northbrookp Illi,nios, for a FRMCUS-B
Certificate of Public Convenience and )M —
Necessity to Furnish Water Utility WROVXNG
Service in Slue fridge Racquet Club I UTES
subdivision, Watauga County, North � — -
Carolina,, &nd for Approval of Rates �
by THZ COMMtSGIONt. Carolina Water Service, Ina. of
North Carolina seeks a franchise to furn.isb water utility
service. In U14e Ridge Racquet Subdivision in Watauga County,
North Carolina. Carolina Water Service presently owns and
aperates osLher water systems servi.nq approximately 1.250
customary in Buncombe, Carteret and Moore Counties, and is
a wholly owned subsidiary of Utilities, Inc. Utilities, inc.
also owns Sugar Mountain Utility Company, whose pexsonnel
will operate and maintain the water system in Blue Ridge
Racquet Club Subdivision. The rates requested for blue Ridge
Rabquet Club Subdivision are .the same as these previously
approved for Sugar Mountain Utility Company.
By order issued duly 11, 1979, the Commission required
that public notice be given specifying that if no protests
Were received within .30 mays, the matter may be determines"
without public hear:.ng.
Public notice has been Viven as required, and no pretests
have been received.
Carolina Water Service, Ino. of North Carolina has
demonstrated its ability to provide adequate utility service
in Buncombe, Carteret and Moore Counties, and the Division
of Health Services has approved the plans and speci.ficati.ons for
the waiver system in Blue Ridge Racquet Club Subdivision. The
cOmmission is of the opinion that public convenience and nacessa.t•
will require the franchise sought by the Applicant.
IT IS, THEREFORE, ORDERED AS FOLLOWS:
1.. That the Certificate of publi.a Convenience and Necessity
to furni.uh water utility service in Blue Ridge Racquet Club
Subdi.visian, Watauga CciQnty, North Carolina is hereby granted
to C(oDlina Water 'Servioe, Inc. of North Carolina.

..2-
i
2. That this order in itself shall constitute the
Certificate of Public Convenietce and Neeensity. i
3. That the Schedule of Rates attached hereto as
Appendix "A" is hereby approved and that said Schedule of
Rates is hereby deemed to be filed with the Commission
pursuant to G. S. 62-1.38.
ISSUED BY ORDER OP THE COMMISSION.
This the f2' ` day of September,. 1979.
NORTH CAROT_ 1NA UT2LxTIES COMMISSTaN
San x'a J. Welyster, Chief Cler
3
csi

ti r
STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEI6H
APPENDIX A
-DOCKET NO. WN 364, SUS 298
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
CAROLINA WATER SERVICE,fNG. OF NORTH CAROLINA
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
THE RESERVE 11 AT SUGAR MOUNTAIN
Avery County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
r
ISSUED BY ORDER OF THE COMMISSION.
This the Vt� day of 2009.
NORTH CAROLINA UTILITIES COMMISSION
jl�il` �,
Mwod—
Gail L. Mount, Deputy Clerk

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALE16H
APPENDIX A
-DOCKET NO. W 364, SUB 296
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
CAROLINA WATER SERVICE• JNC. OF NORTH CAROLINA
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
THE RESERVE II AT SUGAR MOUNTAIN
Avery County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION,
Thls the h-� day of _. � v1� 2009.
NORTH CAROLINA, UTILITIES COMMISSION
j ! , L � ,, , s
Gail L. Mount, Deputy Clerk