NC0033111_Owner (Affiliation Change)_20240702

North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number:
NCO033111
Permit Type:
Discharging 100% Domestic < 1MGD
Facility Name:
Fairfield Harbour S/D WWTP
Facility Addressl:
200 Broad Creek Rd
Facility Address2:
City, State & Zip:
New Bern, NC 28560
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
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name Title Address Phone Fax Email
Tony Konsul PO Box 240908, Charlotte, NC 704-319-0523 704-525-8174 [e-mail]
28224-0908
7/1/2024 Page 1

Permit Number: NCO033111
Permit Type: Discharging 100% Domestic < 1MGD
Facility Name: Fairfield Harbour S/D WWTP
Facility Addressl: 200 Broad Creek Rd
Facility Address2:
City, State & Zip: New Bern, NC 28560
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
Gary Mack
State Operations
PO Box 240908, Charlotte, NC
828-242-7588
gary.peacook@carolina
Peacock
Director
28224-0908
waterservicenc.com
Designated Operators W
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by e
"Operator Designation Form" (Click Here for ORC Designation Form). P/ease provide specific details as to the changes requested, including th
designated operators. For al/ other operator questions or issues, please call 919-807-6353.
Facility Classification: WW3.
Operator Name Role Cert Type Cert Status Cert # Effective Date
Mathew Golden ORC WW-3 Active 1004073 2/1/2019
Samuel Marcus Cox
Backup
WW-2
Active
1011296
12/1/2021
Anthony Garland Futrell
Backup
WW-4
Active
1013266
3/1/2023
Stacy Allen Goff
Backup
WW-4
Active
998882
2/1/2019
7/1/2024 Page 2