This paper identifies opportunities to enhance management capacity for small community water systems through cooperative (shared) management. This paper provides a background on various aspects of small water systems, performance, and regionalization in North Carolina, before exploring the shared management regionalization alternative. We identify opportunities for cost savings through capturing economies of scale in this unique regionalization alternative by recognizing the tasks and duties of running a water system that would be affected by consolidation of management and operations. Finally, the feasibility of implementing a shared management regionalization effort is explored.