NC0061638_Owner (Affiliation Change)_20240702

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number:
NCO061638
Permit Type:
Discharging 100% Domestic < 1MGD
Facility Name:
Amherst Subdivision WWTP
Facility Addressl:
4917 Johnston Pond Rd
Facility Address2:
City, State & Zip:
Apex, NC 27539
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:
828-242-7588 Fax:
Email Address:
aary_peacock(o)carolinawaterservicenc.com
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
m
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@carolinaw
aterservicenc.com
Facility Contact Person(s)
Contact Name Title
Address
Phone
Fax
Email
Kerry G Walton Area Manager
315 B Hwy 70 E, Garner, NC 27529
919-662-7007
919-662-7797
[e-mail]
Permit Contact Person(s)
Contact Name Title
Address
Phone
Fax
Email
Permit Billing Contact Person(s)
Contact Name Title
Address
Phone
Fax
Email
Donald Denton
PO Box 240908, Charlotte, NC
704-525-7990
28224-0908
7/1/2024 Page

Permit Number: NCO061638
Permit Type: Discharging 100% Domestic < 1MGD
Facility Name: Amherst Subdivision WWTP
Facility Addressl: 4917 Johnston Pond Rd
Facility Address2:
City, State & Zip: Apex, NC 27539
Persons with Signatory Authority
Type
Contact Name
Title Address
Phone Fax
Email
Permit
Dana Hill
5058 Hwy 70 W W Rdg Ctr
704-319-0503
Dana.Hill@carolinawaters
N2a, Morehead City, NC 28557
ervicenc.com
Owner
Brent Milliron
Regulatory PO Box 240908, Charlotte, NC
704-319-0504
brent.milliron@carolinaw
Compliance Manager 28224-0908
aterservicenc.com
Permit
Tony Konsul
PO Box 240908, Charlotte, NC
704-525-7990
28224-0908
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by a
'Operator Designation Form "(Click Here for ORC Designation Form). P/ease prov/de spec/fic details as to the changes requested, inc/siding th
designated operators For a// other operator questions or issues, please call 919-807-6353,
Facility Classification: WW2
Operator Name
Jeffrey J. Cooke
Role
ORC
Cert Type
WW-2
Cert Status
Active
Cert #
9151
Effective Date
7/23/2015
Brandon Dale Baldwin
Backup
WW-3
Active
1000627
8/1/2019
Anthony Michael Caddiell
Backup
WW-3
Active
1012880
12/8/2022
Ronnie E. Dickens
Backup
WW-2
Active
9153
8/1/2019
Christopher Lee -Aaron Godfrey
Backup
WW-1
Active
1008027
7/1/2019
Stephen Boyd Harrell
Backup
WW-3.
Active
25543
7/21/2015
John Eric Johansen
Backup
WW-2
Invalid
11805
8/1/2019
Donald Wayne Leary
Backup
WW-3.
Active
988335
12/8/2005
Dean Ray Miller
Backup
WW-4
Active
1008143
8/1/2019
David R Ryniak
Backup
WW-2
Active
987900
7/1/2019
7/1/2024