WQ0004967_Owner (Name Change)_20240702

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number:
NCO038831
Permit Type:
Discharging 100% Domestic < 1MGD
Facility Name:
Carolina Trace WWTP
Facility Addressi:
5448 Cox Mill Rd
Facility Address2:
City, State & Zip:
Sanford, NC 27332
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
Addressi:
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
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name Title Address Phone Fax Email
Brent Milliron PO Box 240908, Charlotte, NC 704-319-0504 brent.milliron@carolinawa
28224-0908 terservicenc.com
7/1/2024 Page 1

Permit Number: NCO038831
Permit Type: Discharging 100% Domestic < 1MGD
Facility Name: Carolina Trace WWTP
Facility Addressl: 5448 Cox Mill Rd
Facility Address2:
City, State & Zip: Sanford, NC 27332
Persons with Signatory Authority
Type
Contact Name
Title
Address
Phone
Fax Email
Permit
Tony Konsul
PO Box 240908, Charlotte, NC
704-525-7990
704-525-8174 [e-mail]
28224-0908
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
J Bryce
5701 Westpark Dr, Charlotte,
704-319-0517
bryce. mendenha I I @carol
Mendenhall
NC 28224
inawaterservicenc.om
Permit
Gary Mack
State Operations
PO Box 240908, Charlotte, NC
828-242-7588
gary.peacook@carolina
Peacock
Director
28224-0908
waterservicenc.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 a
"Operator Designation Form "(Click Here for ORC Designation Form). P/ease prov/de specific details as to the changes requested, including th
designated operators For a// other operator questions or issues, please call 919-807-6353,
Facilitv Classification: WW2
Operator Name Role Cert Type Cert Status Cert # Effective Date
Anthony Michael Caddiell Backup WW-3 Active 1012880 12/8/2022
Facility Classification: WW3
Operator Name Role Cert Type Cert Status Cert # Effective Date
Dean Ray Miller
ORC
WW-4
Active
1008143
6/13/2019
Brandon Dale Baldwin
Backup
WW-3
Active
1000627
8/1/2019
Jeffrey J. Cooke
Backup
WW-2
Active
9151
7/1/2019
Ronnie E. Dickens
Backup
WW-2
Active
9153
8/1/2019
Stephen Boyd Harrell
Backup
WW-3.
Active
25543
8/1/2016
John Eric Johansen Backup WW-2 Invalid 11805 8/1/2019
Donald Wayne Leary Backup WW-3. Active 988335 8/1/2019
David R Ryniak Backup WW-2 Active 987900 8/1/2019
7/1/2024 Page 2