The document summarizes water consumption trends and issues in the Southeast region of the United States, with a focus on South Carolina's implementation of a surface water permitting program. Key points include: 1) Water consumption grew 15% in the Southeast from 1990-2000, compared to 2% nationwide, and the population of the Piedmont Atlantic region is projected to grow 38% by 2025. 2) South Carolina's new surface water permitting program establishes minimum instream flows and regulates new surface water withdrawals over 3 million gallons per month. 3) South Carolina faces interstate issues around shared water resources with North Carolina and Georgia in river basins like the Catawba/Wateree and Savannah.