WQ0007569_Owner (Affiliation Change)_20240702

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQ0007569
Permit Type: Reclaimed Water
Facility Name: Brandywine Bay WWTP
Facility Addressi: 200 Horton Dr
Facility Address2:
City, State & Zip: Morehead City, NC 28557
Owner Information Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click here for "Change of Name/Ownership " form)
Owner Name: Carolina Water Service Inc of North Carolina
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Gary Mack Peacock Title: Director of Operations
Addressl: PO Box 240908
Address2:
City, State & Zip: Charlotte, NC 28224-0908
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: July
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2024PR005763 6/6/2024 7/6/2024 $1,760.00 Open
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Travis Dupree VP Project 130 S Main St, Ste 800, Greenville, SC 864-203-0233 Travis. [e-mail]
Management & 29601
Engineering
Tony Konsul Operations Director 4944 Parkawy Plaza Blvd Ste 375, 704-319-0523 704-525-8174 tony.konsul@carolinawat
Charlotte, NC 28224-0908 erservicenc.com
Donna Stegall Admin. Assistant PO Box 240908, Charlotte, NC 28224 704-319-0506 donna.stegall@carolinawa
terservicenc.com
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Contact Person(s)
Contact Name Title
Tony Konsul Regional Manager
Address
PO Box 240908, Charlotte, NC
28224-0908
Phone
704-319-0523
Fax Email
704-525-8174 Tony.Konsul@carolinawa
terservicenc.com
Permit Billing Contact Person(s)
Contact Name Title
Address
Phone
Fax Email
Carolina Water
5821 Fairview Rd Ste 302, Charlotte,
704-319-0506
Donna.Stegall@carolinaw
Service Inc of
NC 28209
aterservicenc.com
North Carolina
7/1/2024 Page 1

Permit Number: WQ0007569
Permit Type: Reclaimed Water
Facility Name: Brandywine Bay WWTP
Facility Addressl: 200 Horton Dr
Facility Address2:
City, State & Zip: Morehead City, NC 28557
Persons with Signatory Authority
Type Contact Name Title
Address
Phone
Fax Email
Permit Dana Hill Regional Manager
5058 Hwy 70 W W Rdg Ctr
704-319-0503
Dana.Hill@carolinawaters
N2a, Morehead City, NC 28557
ervicenc.com
Owner Brent Milliron
PO Box 240908, Charlotte, NC
704-319-0504
brent.milliron@carolinaw
28224-0908
aterservicenc.com
Permit Tony Konsul
PO Box 240908, Charlotte, NC
704-525-7990
28224-0908
Permit Gary Mack
PO Box 240908, Charlotte, NC
828-242-7588
gary.peacook@carolinaw
Peacock
28224-0908
aterservicenc.com
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by su
a completed 'Operator Designation Form lick Here for ORC Designation Form).
Please provide specific details as to the changes requested,,
the addition/removal of designated operators For all other operator questions or
issues, please call 919-807-6353,
Facility Classification: SI
Operator Name Role
Cert Type Cert Status
Cert #
Effective Date
Stacy Allen Goff ORC
SI Active
1000417
9/1/2019
Gregory D Spillman Backup
SI Active
1008006
9/1/2019
Facility Classification: WW3
Operator Name Role
Cert Type Cert Status
Cert #
Effective Date
Anthony Garland Futrell Backup
WW-4 Active
1013266
3/9/2023
Mathew Golden Backup
WW-3 Active
1004073
3/17/2021
Gregory D Spillman Backup
WW-4 Active
1004824
3/17/2021
7/1/2024 Page 2