WQCS00149_Enforcement_20160913

Water- Res©
!ENVIRONMENTAL (UUAL.IT B'
October 28, 6
laid Chamblee, Director of Public Works
coin County Water & Sewer Dist.
115 W.. Main St.
Lincolnton, NC 28092
SUBJECT: Payment Ack to vlerlgtzxent
1 Penalty Assessment
ncoln County Collection System
coln County
Permit No. WQCS00149
I)V-2016-0082
Dear Mr. Cha.inblee,
PAT MCCRORY
4 t`c5+ad'1n7
DONALD R., VAN DER VAART
S. JAY ZIMMERMAN
This letter is to acknowledge receipt of check No. 00365442 in the amount of $ 1, l
from you dated 10/1 3/2016. This payment satisfies in full the civil assessment levierl aLainst the
subject facility and this case has been closed. Payment of this penalty in no way preciudes future
action by this Division for additional violations of the applicable statutes, re ulations, or permits.
If you h
estions, please call. Steve Lewis at 91.9 807-6 308..
S. Jay i x mer°cx a x, P.G.
Director, Division of Water Resources
cc: Enforcement File 4 DV-2016-0082
Corey Basinger, Mooresville Regional Office Supervisor
Lon Snider, MRO
Central Files
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Certified Mail # 7015 1520 0002 8386 8134
Return Receipt Requested
September 13, 2016
Donald V. Chamblee, Public Works Director
East Lincoln County Water & Sewer District
115 W Main St
Lincolnton, NC 28092
CnInte MOP'
DONALD R. VAN DER VAART
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-21.5.1(a(6)
and Collection System Permit No. WQCS00149
East Lincoln County Water & Sewer District
E Lincoln County Collection System
Case No, DV-2016-0082
Lincoln County
Dear Mr. Chamblee:
S. JAY ZIMI1RMAN
Director
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of 1,118,12 ($1,000.00 civil penalty
+ $11.8.12 enforcement costs) against East Lincoln County Water & Sewer District.
This assessment is based upon the following facts: a review has been conducted of the Sanitary Sewer Overflow (SSO)
5-Day Report submitted by East Lincoln County Water & Sewer District. This review has shown the subject facility to be in
violation of the requirements found in Collection System Permit No. WQCS00149 and G.S. 143-215.1(a)(1). The
violation(s) that occurred are summarized in Attaclunent A to this letter.
Based upon the above facts, I conclude as a matter of law that East Lincoln County Water & Sewer District violated the
terms, conditions or requirements of Collection System Permit No. WQCS00149 and G.S. 143-215.1(a)(1) in the manner
and extent shown in. Attachment A. In accordance with the maximums established by G.S. 143-215.6A(aX2), a civil
penalty may be assessed against any person who violates the terms, conditions or requirements of a permit required by G.S.
143-215 1(a).
Based upon the above Endings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, 1, W. Corey Basinger,
Regional Supervisor, Mooresville Regional Office hereby make the following civil penalty assessment against East Lincoln
County Water & Sewer District:
State of Nortfi Carolina 1 Environmental Quality 1 water Resources
610 East Center Avenue, Suite 301, Mooresville, hre 28115
704-663-1699

$1,000.00 For 1 of the 1 other violations of Collection System Permit No. WQCS00149.
1900.00 TOTAL CIVIL PENALTY
$118.12 Enforcement Costs
$1,118.12 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty 1 have taken into account the Findings of Fact and
Conclusions ofLaw and the factors set forth at G.S. 143B-282.1(b), which are:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
The duration and gravity of the violation;
The effect on ground or surface water quantity or quality or on air quality;
The cost of rectifying the damage;
The amount of money saved by noncompliance;
Whether the violation was committed willfully or intentionally;
The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
forin). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Steven Lewis
PERCS Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

prPir Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below,
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions,
Please note that all evidence presented in support of your request for remission must be submitted in writing, The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission,
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty (30) days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Steven Lewis
PERCS Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
AND
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
610 East Center Avenue, Suite 301
Suite 301, Mooresville, NC 28115

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearines:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (30) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours, The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a,m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS §150B-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee andfor the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as 'follows:
Office of .Administrative Hearings
6714 Mail Service Center.
Raleigh., NC 2.7699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment
If you have any questions, please contact Lon Snider with the Division of Water Resources staff of the Mooresville
Regional Office at [phone] or via email at lon,[e-mail].
Sincerely,
W. Corey Basinger, Regional Sus rvisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Mooresville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File

JUSTIFICATION FOR R :1 ISSION R1 OUEST
Case Number: DV-2016-0082
Assessed. Party: East. Lincoln County
Permit No.: WQCSOO 149
r & Sewer .District.
County: Lincoln
Amount Assessed: ,118W12
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant. to N.C.G.S. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly' abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
n
oidable or
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance),
ANATION:

STATE OF NORTH CAR LI A
COUNTY OF Lt1COLN
IN T ITER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
DEPARTMENT OF ENV ION 1 lEI TAL QUALITY
East Lincoln County Water & Sewer District
Lincoln County Collection System
PERMIT NO. WQC OO 149
WAIVER OF RIGHT TO AN
HE G AND
STEFULA OF FACTS
CASE 1. V-01-0
Having been assessed civil penalties totaling $1,118.12 for violations) as set forth in the assessment document of the
Division of Water Resources dated September 13,2016„ the undersigned, desiring to seek remission of the civil penalty,
does hereby waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as
alleged in the assessment document, The undersigned further understands that all evidence presented in support of
remission of this civil penalty must he submitted to the Director of the Division of Water Resources "Within thirty (30) days
of receipt of the notice of assessment, No new evidence in support of a remission request will be allowed after (30) days
from the receipt of the notice of assessment
This the day of
St NATURE
ADDRESS
TELEPHONE

PERMIT NO: WQCS0014.9
ATTACHMENT A
East Lincoln County Water & Sewer Do id
CASE NUMBER:DV-201E-0082
FACILITY: E Lincoln County Collection System
Other Violations
INCIDENT VIOLATION
NUMBER DATE VIOLATION TYPE
201601287
7l;1016 OSO/SSO(Sewer Overl10
REGION: + ooresvllle
COUNTY: Lincoln
VIOLATION DESCRIPTION
Discharge without valid
PENAL
AMOUNT

SSO Evaluation Routing Sl°up

COUNTY OF LINCOLN, NORTH CAROLINA
II 5 WEST MAIN STREET, 2ND FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA 28092
DEPARTMENT OF PUB
PHONE [phone]
FAX [phone]
WWW.LINCOLNCOUNTYS)RG
August 26, 2016
ORKS
NCDEQ Mooresville Regional Office
Water Quality Regional Operations Section
Cfo W. Corey Basinger, Regional Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Subject: NOV-2016-DV-0256 LS :#28 - 4474 Burton Lane
Dear Mr. Basinger:
PECEIVE,01SCOENRITYV)11:1
„S1111)
WOR S
MOO RESV U.E REGAONAL OVFICE
On Wednesday July 20, 2016 at 6:02 pm Lincoln County Public Works had a reported sewer spill (SSC) at Lift
.Station 428 located at 4474 Burton Lane in Denver, NC. The following is a brief explanation of events and
justifications of the event:
1,, On July 20, 2016 Public Works Personnel arrived on -site at 6:30 pm to assess the incident and to make
immediate repairs. This is a response time of 28 minutes for our on -call personnel„
2. On July 20, 2016 Public Works Personnel discovered immediately that the pump run and the auto -dialer alarm
switch were in the "off' position and reset both to the 'on" position, At 6:48. pm Public Works Personnel had
stopped the lift station overflow and commenced site rernediation operations, assessed the exposed area to a
cove in Lake Norman, NCDEQ Notifications (8:51 prn), and Public Notifications and "No Swim Advisory.'"
(9:30 pin). This is a response, remediation, and NCDEQ reporting compliance. time of three (3) hours,
3. Lincoln County Public Works also expended the following to provide immediate response and mitigation For
the spill:
a. Emergency, after hours pumping services thru Lake Norman Sewer and Septic (see attached Lake Norman
Sewer & Septic Invoice).
b. All available Lincoln County Public Works Sewer Personnel (7 total personnel) were dispatched to the
scene for site rernediation, in an overtime condition, from 6:00 pm to 10:00 pm (total of 28 hours),
c. KCWWTP Lab Personnel (2 total personnel) were dispatched after hours to begin sampling immediately.
d. Lincoln County Public Works purchased Public Sewage Spill Notification in the Lincoln Times -News
(published: Friday July 22, 2016) and the Charlotte Observer (published: July 24, 2016) (see attached Spill
Notification invoices).
4. On Thursday July 21, 2016 at 8:30 am all Public Works Sewer Personnel were required to attend a. training
refresher meeting concerning the July 20, 2016 incident on the following subjects:
a. Review of the Duties and Responsibilities of all Sewer Personnel concerning SS0's and the eiwiro „ent,
b. Lift. Station Inspection Report and Procedures (see attached Training Attendance Record),
c. Public Works Spill Response Plan (see attached Training Attendance Record):
d. Review of the. NCDEQ Requirements of Collection's Permit. WQCS00149 (see artached Training
Attendance Record).
e. Review of the NCDEQ CS-SSO Form (see attached Training Attendance Record),
5.. On Saturday July 22, 2016 at 1:53 pm two (2) consecutive samples below the maximum contamination level
were received thereby showing that the immediate and timely actions of the Public Works Department
mitigated the potential environmental consequences.

Letter Dated: August 26, 2016
Page Tww o
On August Ol, 2016 a memorandum of Additional Actions to Prevent Sanitary Sewer Overflows (SSO) was
issued, to the Operator of Responsible Charge (ORC), Michael P. ;Simmons, and to the Back -Up ORC, Jeffrey
A. Dean, which established a NEW procedure that ALL lift stations with auto -dialer alarms are to be polled by
telephone, AFTER weekly station checks are complete, for proper operation (see attached memorandums
dated: August 01, 2016),
7. After careful investigation and interviews of all Public Works Personnel involved it was determined that
Public Works Employee was conducting their weekly Lift Station 428 Checks on July 18, 2016 and failed to
reset the pump run and auto -dialer alarm switchs. As of August 01, 2016 the employee responsible for creating
the July 20, 2016 SSO at Lift Station 428 is NO longer employed, by Lincoln County Public Works,
In closing. Lincoln County Public Works had no intention of creating or causing the SSO on. July 20, 2016 at Lift
Station 428 and would hope that our past record of strict adherence to the rules and regulations set forth by our
NCDEQ Collections System Pernut (#WQCSOOI49) would be considered in any further actions taken by NCDEQ,
Please let me know if you require any further information or clarifications concerning this or any other matter.
Sincerely.
Donald V. Chant
Director of Public Works
Attachments: Lake Norman Sewer & Septic invoice
Public Sewage Spill Notification in the Lincoln Times -News (published: Friday July 22, 2016)
Public Sewage Spill Notification. in the Charlotte Observer (published: July 24, 2016)
Lincoln County Lift Station Inspection Report Training Attendance Record
Lincoln County Sewer Spill Response Plan Training Attendance Record
NCDEQ Collections Permit 41A QCS00149 Training Attendance Record
NCDEQ Sanitary .Sewer Overflow FOTM (SSO) Training Attendance Record
Michael P. Simmons August 01, 2016 Additional Maintenance Memorandum
Jeffrey A. Dean August 01, 2016 Additional Maintenance Memorandum

LAKE NOR AN
C
DATE: 7
Professional Experts in the Sewer & Septic Industry
3405 Denver Drive • Denver, NC 28037
Phone: [phone] • Fax: [phone]
[e-mail]
CUSTOMER NAME:
DRESS:
FILE #
TECHNICIAN:
NG ADDRESS:
PHONE:
E-MAIL:
WORK TO BE PERFOR
unad sec ank
Pump G
Tank! T
ED:
Gallons
Pump - tl Leach System s! Basin
Two Compairtrnents: EJ Single Coo
Outlet Filter 1-1 Outlet Tee EDCast Out
Di in feet: Inlet: Outlet:
S
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a
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Type IV
# Ho
Lid Type:.
PHONE:
Solids Botto
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Feet away from house
High Pressure
Cattle Snake. Lines
Toilet Snake
Soil Frac urin I Rejuvenate Leach Ar
D acnos lc Service Ca
Applied Roo
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a
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0
Notes & Recommendations
Payment Options (Circle One): Cash
Credit Card # —
Security Code #
Bil
Checks #
nca Addre
0
Credit Card
Exp. Date:
PAY FROM THIS INVOICE
TERMS: NET DUE ON COMPLETION
NOT RESPONSIBLE FOR ANY DAMAGE BEYOND THE CURB LINE
Customer Signature . 4'
Customer Email Address
SUBTOTAL
SALES T
TOTAL
' In case of lawsuit for non-payment, attorney
fees will be requested. Said parts and equipment
shall at all times remain personal property and the
title thereto shall remain with the seller until payment
is received. Buyer hereby agrees that all parts and
equipment may be repossessed.

Lakeloman
U A G Z h4 E
MEMO INVOICE
Advertising Dept
"LINO Revco'
08102/2016
Qije it Obstrue
charlotteobserver.com
Cairolina B:ii€
PA A
34062
534842
I TOTAL AMOUNT DUE
5247.59
LINCOLN COUNTY PUBLIC WORKS
LINCOLN COUNTY PUBLIC WORKS
115 W MAIN ST
LINCOLNTON, NC 28092
r/ 17 NEWSPAPER
START STOP REFERENCE
07124 07124 000257984E Natiae of Discharge of Untreated Sewage Charialte Observer
07124 07/24 0002579946
Notice of Discharge of Untreated Sewage CO.cam
1P21L
1x21L
MAKE CHECKS PAYABLE TO
The Charlotte Observer
P O Boat 3026
Livonia, MI 48151
Questions? Billing: 704-358-583ti. Cruet
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Payment is due upon receipt.
4/ BILLEF) 1i TS, ra
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21 1 $0.0
invoice Total
$0.00
THIS IS A MEMO INVOICE AND MAY OR MAY NOT REFLECT ALL CHARGES OR CHANGES `7HiAT OCCUR ON THE FINAL INVOICE,
flit Charlotte + lbseruer
c hartatteobserver„ee+m
LakeNorinai
P 0 Box 3026
Livonia, MI 48151
Ir•
*** MEMO INVOICE***
The Charlotte Observer
P 0 Box 3026
Livonia, MI 48151
P
TOTAL AMOUNT tit7E
$247.59
UNCOLN COU
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PUBLIC WORKS
7Eet/ o/ MINIM
Upon Receipt
PACE
$247,59
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08/0212018
534862

PO Box 40
Lincolnton NC 28093
Bill To
coin Co Public Wo
W 1vlain St
column, NC 28092
Invoice
Date
7/22/2016
Invoice #
1015-A4-SF
P.O. Number
Payment Terms
Due Date
Sales Rep
Account #
Billing Period
Net 15
Date
Trans Co..
Description
8/6/2016
SF
01-2460
JULY 2016
Insertion „
Dimensio.,
Units Billed
lJ/M
Rate
Amount
7/22/2016
Display Advertising- SEWAGE
SPILL NOTICE
Ven
Acc
-5
Acct #:
Acct
anager:
07/22/2016
X3
PO #
Phone #
Fax #
6
in
10,00
60.00
Total
$60.00
Payments/Credits
$0.00
Balance Due
$60,00
[phone]
(704) 7
5
7

Lincoln County Public Works
pir Training Attend
Subject: L` 5-4 i _ '+ '_e"�-t
Instructor:
Date:
7
Print N
9
10
12
13
14
15
16
17
18
19
20
Instructor's Signature:
Signature:

Condition of Station
a) Grass Condition
b) Cleanliness
c) Fencing Intact Locked
Lift S
a) Cleanliness
b) Wet Well Level
ion
c) Float Switch Operation
d) No Debris in Wet Well
e No Sins of Infiltration
f) Test High Level Alarm
Valve Vault
a) No Signs of Flooding
b) Check Valve operation
c) Cleanliness
Control Panel
a Test Phase Monitor
b) Cleanliness
c) No Leakage (rainwater)
d) Phone Line Fault Alarm
e) Check Phone Line
f) Pump 1 Operation
g) Pump 2 Operation
'h) Pump 1 Hour Meter
%F'urnp 2 Hour Meter
Generator
a) Run Hour Meter
b) Cleanliness
c) No Leakage (rain
d) Oil Level
e) Radiat
Level
f) Diesel Fue
evel
Bette Check
h) Block Heater
nspectar Initials:
Irate
Co
ion if2 Station
Lincoln County
ft Station Report
s
Station #" Station #tl St an ilft S

Lincoln County
ft Station Report
Condition of Station
a) Grass Condition
b) Cleanliness
Station #
Station #12 Station #13 'Station #14 Station #15 S
I I
on
Station #17 Station #18 Station #19 Station #20
c Fencing Intact & Locked
Lift Station
a) Cleanliness
b) Wet Well Level
c) Float Switch Operation
Id) No Debris in Wet Well
e) No Sins of Infiltration
f Test High Level Alarm
Valve Vault
a) No Signs of Flooding
b) Check Valve Operation
c) Cleanliness
Control Panel
a) Test Phase Monitor
b) Cleanliness
c) No Leakage (rainwater)
d) Phone Line Fault Alarm
e) Check Phone Line
f) Pump 1 Operation
1' g) Pump 2 Operation
h) Pump 1 Hour Meter
i Puma 2 Hour Meter
Generator
Run Hour Meter
1111111111111111111111111111111111111111111111111111111111111111
Bette Check
h) Block Heater
Inspector Initials:
Date:
Comments
isor's Signature:

a) Grass Condition
Lincoln County
Lift Station Report
Station #25 Station #n #3 t
Condition of Siation Station #21 ;Station #22 Station #23 Station #24 26 Station 27 Station #28 Station #29 Statio
b) Cleanliness
c) Fencing Intact & Locked
Lift Station
a) Cleanliness
b) Wet Well Level
c) Float Switch Operation
d) No Debris in Wet Well
e) No Signs of infiltration
f) Test High Level Alarm
Valve Vault
a) No Signs of Flooding
b) Check Valve Operation
c) Cleanliness
Control Panel
a Test Phase Monitor
b) Cleanliness
c) No Leakage (rainwater)
d Phone Line Fault Alarm
e) Check Phone Line
f) Pump 1 Operation
g) Pump 2 Operation
h) Pump 1 Hour Meter
i) Pump 2 Hour Meter
Generator
h) Block Heater
inspector Initials:
©ate:
Cormnents:
isar's Signature:

Lincoln County
ift Station Report
Condition of Station Station #31 Station #32
Station 3 Station #34 Station #35
Station
6
Station #7 Station #3S Station #3 Statio
Grass Condition
b) CleanlInes
Fencing Intact Locked
Station
Cleanline
b) We
ve
Float Switch Operation
d) No Debris in Wet e
e) No Signs of Infiltration
Test High Level Alarm
Valy
Vau
a) No Signs of Floodin
b) Check. Valve Operation
c) Cleanliness
Control Panel
Test Ph
0
eanline
No
eak
e trainwate
d) Phone Line Fault Al
9
h Pu
Check Phone Lin
Pump '1 Operati
Pump 2 Operation
P
Hour Mete
Pu ra+ 2 Hour Mete
Generate
a Run Hour t lete
b Cleaniines
c) No Leakage (rainwater'
d Oil Level
ei Radiator Level
Diesel Fuel Level
g) Battery Check
h) Block Heater
Inspector Initials:

Lincoln County Public Works
Training Attendance Record
Subject:
Instructor:
Date:
Print Name:
4
T. s+0;,e.
5
10
11
12
14
15
16
17
18
19
20
Instructor's Signature:

Lincoln County Public Works
Wastewater Spill Response Plan
(Updated: 10/07/2015)
24 Hour Contact List:
Personnel:
Sewer Crew Office Telephone:
Sewer "On -Call" Crewman Pager:
Sewer Plant Office Telephone:
Sewer Plant "On -Call" Pager:
Employee Contact List:
Donald V. Chamblee
Director of Public Works:
Chris Henderson:
Engineering Associate
Tommy Drum:
WWTP Superintendent/
ORC WWII)
Mike Simmons:
Utility Operations Superintendent/
ORC Collections
Jeff Dean:
WW Collections Supervisor/
Back-up ORC Collections
Contractors:
Atlantic Coast Contractor's:
Contacts/After Hours it's:
Stanley Septic 'Tank Service:
Lake Norman Sewer & Septic:
704-748-1510
704-736-2459
704-748-2314
704-736-2298
Additional Contacts:
Communications Center:
Emergency Management (Lincoln County):
Regulatory Agency:
NCDENR Mooresville Regional Office:
NCDENR After Hours (Raleigh, NC):
Environmental Health (Lincoln County):
Mobile: [phone]
Home: 239-823-8964
Mobile: [phone]
Home: 704-732-8668
Home: 704-735-2319
Mobile: [phone]
Mobile: [phone]
Home: 980-241-2424
Home: 980-241-4397
Mobile: [phone]
Justin Tucker:
Jerry Eagle:
John Butler:
Office: 704-732-9014
Office: 704-736-8500
Pager: 704-736-2510
Office: 704-748-2314
Office: 704-736-8730
Office: 704-748-1510
Office:
Pager:
Home:
Home:
Office:
Pager:
Horne:
704-483-7120
704-582-763'7
704-483-9297
704-892-3901
704-732-3422
704-673-2249/673-2247
704-263-0826
Office: 704-483-5125
Office. 704-735-8202
Office: 704-736-8660
Office: 704-663-1699
Office: 800-858-0368
Office: 704-736-8426

Equipment List
Equipment
Loader/Backhoe, 'Full -Size (4)
Mini Excavator, Small
1,000 Gallon Pumper/Jetter Truck
300 Gallon Low Pressure Sewer Cleaning Trailer
Color Sewer Portable Camera Trailer
Collections Crew C
(includes hand tools
e Truck
small parts)
Safety Equipment:
Gas Monitors (3)
Blowers
Confined Space Entry Hoist
Personal Portable Ambient Air Pump
Chemical/Spill Protection Suits
Disinfection Chemicals
(Pulverized lime, Chlorox, etc.)
5000 watt Portable Generator
500 watt Tandem Light Set (2)
Location
330 West Church St„ Lincolnton
330 West Church St., Lincolnton
330 West Church St., Lincolnton
330 West Church St., Lincolnton
330 West Church St,, Lincolnton
Killian Creek WWTP or
with Sewer "On -Call" Personnel
330 West Church St,, Lincolnton
Killian Creek WWTP
Killian Creek WWTP
Killian Creek WWTP
Killian Creek WWTP
Killian Creek WWTP
Killian Creek WWTP Collections Crew `ruc'k
330 West Church St., Lincolnton.
330 West Church St., Lincolnton.
Site Assessment
The Collections "On -Call" Employee is required to respond to iJtLL calls as soon as possible. In the event
of a spill or overflow the Collections "On -Call" Employee is required to be on -site assessing the severity of
the incident as soon as possible within 30 minutes of notification of a spill.
Spill Response Standard Procedure
1. "On -Call" Employee responds immediately to assess the situation within 30 minutes.
2. Additional employees/contractors are called to assist (if needed).
3. Stop spilL'overflow as soon as possible.
4. Remove all visible debris.
5. Remove all visibly ponded wastewater..
b. Disinfect the affected area (NO CHEMICALS ADDED TO SURFACE WATERS).
7. Barriers (i,e. colored tape) utilized to prohibit public access fora minimum of 24 hours.
8. Site restoration: Immediate stabilization and reseeding if disturbed area is in close proximity
to stream banks or if erosion is imminent, otherwise area is lobe restored within 48 hours,
weather permitting.
q, Notify NCDENR Mooresville Regional Office within 24 hours if the spillioverfow is m
than 1000 gallons or if any spill/overflow reaches surface waters,
10. Notify the Public of any health hazards if overflow/spill reaches any surface waters.
ore

Lincoln County Public Works
Training Attendance Record
Subjec
Instructor: C._ b�� \4011 c
Date: JJ
Print Name:
10
11
12
3
4
16
17
18
9
20
Instructor's Signature:

NCDER COtilo
North Carolina Department of Environment and Natural Resou es nue totom:,;
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John Slwarla,111
Governor Director Secretary
February 12, 2013
Donald V. Chamblee, Director of Public Works
East Lincoln Water & Sewer District
115 W Main St
Lincolnton, NC 28092
Subject: Permit No. WQCSOO149
East Lincoln County Water & Sewer Dist
East Lincoln County Collection System
Lincoln County
Dear Mr. Chamblee:
In accordance with your application received July 5th, 2012, and additional information received
January 28th, 2013 and February 1 1th, 2013, we are forwarding herewith Permit No.
WQCS00149, dated February 12, 2013, to the East Lincoln County Water & Sewer District for
the operation and maintenance of the subject wastewater collection system.
This permit shall be effective from March Is", 2013 until February 28th, 2018 and shall be subject
to the conditions and limitations specified herein. It is your responsibility to thoroughly review
this permit. Please pay particular attention to the monitoring and repotting requirements in this
permit and any compliance schedules shown in bold.
For purposes of permitting, the collection system is considered to be any existing or newly
installed system extension up to the wastewater treatment facility property or point of connection
with a separately owned sewer system. The collection system is considered all gravity lines,
pump stations, force mains, low pressure sewer systems, STEP systems, vacuum systems, etc.
and associated piping, valves and appurtenances that help to collect, manage and transport
wastewater to a wastewater treatment plant under the Permittee's ownership or maintained and
operated by the Perrnittee through a perpetual legal agreement Satellite systems are systems
tributary to the Permittee's collection system but those collection systems are not owned or
maintained by the Permittee. The system description provided on Page 1 of this permit is meant
to provide a general idea about the size of the system and may not be all inclusive of the
collection system at the time of permit issuance or afterward.
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary
Sewer Overflow (SSO), The evaluation of enforcement options after an SSO will be determined
1617 1 Service Center, Raleigh, North Carolina 27699-1617
Location" 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX: 919-607r-6492
Internet wirmstcoratarotralitv.org
An Equal Opparlunity Aflirmalnce Action Employer

Donald V. Chamblee, Director of Public Works
February 12, 2013
Page 2 of 3
considering the criteria listed in condition 1(2)(a) and I(2)(b) of the permit and all other relevant
information available or requested of the Permittee. Compliance with all conditions of the
permit as well as all statutes and regulations pertaining to the collection system must be
maintained or appropriate enforcement actions may be taken as noted in Condition VI(2).
A reportable SSO is an SSO greater than 1,000 gallons to the ground or an SSO of any amount
that reaches surface water (including through ditches, storm drains, etc.) Below is the procedure
to use for reporting SSOs to the Division:
I. Report by telephone to a Division of Water Quality (DWQ) staff member (not email,
facsimile, or voicemail) at your regional DWQ office during regular business hours
(Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more than 24 hours
after the SSO is known or discovered. To report outside of regular business hours, call
[phone].
2. Follow up the verbal report by sending a completed written report on the most current
Division approved form within five days.
To provide a uniform method for all systems covered under this permit and to provide useful and
consistent information pertaining to SSOs, please utilize form CS-SSO consisting of two parts.
Part I serves to provide to the Division the required information that has always been necessary.
Part Il serves as an area to provide a justification for the spill, as optional under Condition I(2) of
your permit. Form CS-SSO can be downloaded from the SSO Reporting area at
http://portal.ncdentorg/web/wq/swpipsicsissoreport.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be
issued if adequate justification for an SSO is NOT submitted to the regional office. In order to
submit a claim for justification of an SSO, you must use Form CS-SSO with additional
documentation as necessary. DWQ staff will review the justification claim and determine if
enforcement action is appropriate. Please be advised that the information need to justify a spill
is very comprehensive. Begin using this form immediately to report SSOs from the collection
system. Continue to use our old form for reporting bypasses at the wastewater treatment plant
until further notice. The time frame for submittal of both Part I and Part II, if pertinent, is five
days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty days following the
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made,
this permit shall be final and binding.

Donald V. Ch blee, Director of Public Works
febniary 12, 2013
Page 3 of 3
If you have questions regari tg compffi cc contact your regional office or the Pretreatment,
Emergency Response ; id Collection Systems Unit of the North Carolina Division of Water
Q ; ity at [phone]. If you need additional info ation concerning this pe it, please
contact Michael Leggett at [phone].
Sincerely,
for Charles W Id, P.R., Director
Division of Water $ ty
by Deborah Gore, Su rvisor
tment, Emergency Response, Collection System Unit
enclosure: Pe t t No. WQCS00149
Lincoln C ty Health Del); ant
Mooresville ' ona Office,. S ce Water Protection Section
Water :lity C al Files - WQCS00149
Steve Reid, NPDES - Colleen; e & E ited Pertaining Unit (electronic)
PERCS Files (electronic)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO THE
East Lincoln County Water & Sewer District
Lincoln County
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit
issuance, approximately 59.7 miles of gravity sewer, approximately 58,4 miles of pressure
sewer, approximately 52.5 miles of force main, 38 simplex pump stations that discharge to a
pressure sewer and serve a single building, 23 duplex pumpstations, and all associated piping,
valves, and appurtenances required to make a complete and operational wastewater collection
system to serve the East Lincoln County Water & Sewer District and any deemed permitted
satellite communities, pursuant to the application received July 5th, 2012, and the additional
information received January 28t'', 2013 and February 11th, 2013, and in conformity with the
documents referenced therein and other supporting data subsequently filed and approved by
the Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the March 18°, 2013 until February 28th, 2018, and shall be
subject to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Forney
Creek Wastewater Treatment Facility (NC0074012), Killian Creek Wastewater
Treatment Facility (NC0088722), and the City of Lincolnton Wastewater Treatment
Facility (NC0025496) prior to being disposed into their respected receiving stream.
This collection system permit will be referenced upon renewal or modification of your
NPDES permit(s).
2. The wastewater collection system shall be effectively managed, maintained and
operated at all times so that there is no SSO to land or surface waters, nor any
contamination of groundwater. In the event that the wastewater collection system fails
to perform satisfactorily, including the creation of nuisance conditions, the Permittee
shall take immediate corrective actions, including actions that may be required by the

Division of Water Quality (Division), such as the construction of additional or
replacement sewer lines and/or equipment.
3. The Director may take enforcement action against the Permittee for SSOs that must
be reported to the Division as stipulated in Condition 1V(2). This includes SSOs that
were caused by severe natural conditions or exceptional events unless the Permittee
demonstrates through properly signed, contemporaneous operating logs, or other
relevant evidence that:
a, The SSO was caused by severe natural conditions; there were no feasible
alternatives to the SSO, such as the use of auxiliary treatment facilities, retention
of untreated wastewater, reduction of inflow and infiltration, use of adequate
back-up equipment, or an increase in the capacity of the system. This provision
is not satisfied if, in the exercise of reasonable engineering judgment, the
Permittee should have installed auxiliary or additional collection system
components, wastewater retention or treatment facilities, adequate back-up
equipment or should have reduced inflow and infiltration; or
b. The SSO was exceptional, unintentional, temporary and caused by factors
beyond the reasonable control of the Permittee; the SSO could not have been
prevented by the exercise of reasonable control, such as proper management,
operation and maintenance; adequate treatment facilities or collection system
facilities or components (e.g., adequately enlarging treatment or collection
facilities to accommodate growth or adequately controlling and preventing
infiltration and inflow); preventive maintenance; or installation of adequate back-
up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets
the criteria of this condition, The Permittee has the option of submitting this claim along
with the spill report required by Condition IV(2) (Le., within five days) in order to be
considered for immunity from enforcement action. Form CS-SSO Part 11, or most
current Division approved form, shall be used for any claims, The Permittee has the
burden of proof that the above criteria have been met.
4. The Permittee shall establish by ordinance its legal authority to require new sewers be
properly constructed; to ensure proper inspection and testing of sewer mains and
service laterals; to address flows from satellite systems and to take enforcement action
as required by Condition 1(5),
5. The Permittee shall develop and implement an educational fats, oils and grease
program that shall include at least bi-annual distribution of educational material
targeted at both residential and non-residential users. The Permittee shall also develop
and implement an enforceable fats, oils and grease program for non-
residential users under which the Permittee can take enforcement against users who
have not properly installed, operated and maintained grease traps or grease
interceptors as directed or otherwise violated the terms of the local ordinance
pertaining to fats, oils and grease,
6, The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to
designate funding for reinvestment into the wastewater collection system
infrastructure. The CIP should address the short-term needs and long-term "master
plan" concepts. The CIP should typically cover a three to five year period and include
a goal statement, description of the project area, description of the existing facilities,

known deficiencies (over a reasonable period) and forecasted future needs. Cost
analysis is integral to the CIP,
7. Existing overflow piping from manholes and pump stations, excluding piping to
approved equalization structures, known or discovered after permit issuance shall be
immediately removed or permanently capped. Plugged emergency pumping
connections are allowable for portable pumping or rerouting without intentionally
bypassing the wastewater treatment facility.
8 The Permittee shall maintain a contingency plan for pump failure at each pump station.
If one of the pumps in a pump station containing multiple pumps fails, the process of
repairing or replacing the pump shall be initiated immediately and the new parts or
pump shall be installed as soon as possible. If the pump in a simplex pump station
fails, it shall be replaced immediately.
9. Each pump station shall be clearly and conspicuously posted with a pump station
identifier and an emergency contact telephone number at which an individual who can
initiate or perform emergency service for the wastewater collection system 24 hours
per day, seven days per week can be contacted. This emergency contact telephone
number shall be coupled with instructions that the emergency contact should be called
if the visual alarm illuminates, if the audible alarm sounds, or if an emergency is
apparent.
10. Pump station sites, equipment and components shall have restricted access, per 15A
NCAC 02T ,305(h)(4).
11, Pump stations that do not employ an automatic polling feature (i.e. routine contact with
pump stations from a central location to check operational status of the communication
system) shall have both audible and visual high water alarms. The alarms shall be
weather-proof and placed in a clear and conspicuous location. Permits issued for the
construction of pump stations that included high water alarms in the description must
maintain the alarms even if simple telemetry (i.e. notification of an alarm condition
initiated by the pump station control feature) is installed.
12. For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant and
components in close proximity of the pump station shall be sealed within a corrosion -
resistant coating or encasement.
13. Al construction and rehabilitation of the wastewater collection system (i.e., permitted
or deemed permitted) shall be scheduled to minimize the interruption of service by the
existing utilities. Construction and rehabilitation shalt not result in the violation of
Condition (t)(2) of this permit.
14. The Permittee shall develop and maintain a detailed action plan indicating how the
Permittee will communicate the required plans and specifications for simplex pump
systems to the lot owner / builder / plumber. This includes all simplex pump systems
discharging to the system regardless of ownership.
15. The Permittee shall develop and implement an educational program for the existing
and proposed simplex pumps within the service area that shall include distribution of
educational material targeted to individuals (residential and commercial) that own and

maintain the subject systems. This prograrn shalt include, but not be limit d to, the
following items:
a. General Low Pressure Sewer System Information
b. Installation FAQs
c. Operation and Maintenance FAQs
d. Installation checklists
e. Maintenance checklists
f. Approved grinder pumps and certified installers
g, Emergency contact information
This progam shall include a hardcopy distribution to all new users for the subject
systems. Existing users shall be notified at least annually and maybe notified in
conjunction with the fats, oils, and grease educational material distribution schedule.
16. The Permittee shall develop and maintain and detailed response action plan for
privately owned simplex systems, under which the Permittee can take enforcement
action against users who have not properly installed, operated and maintained simplex
pumps and associated appurtenances as directed or otherwise violated the terms of
the sewer use ordinance or any applicable state statue, standard, or rule. The
Permittee shall take immediate actions against violators in the event the system fails to
permform satisfactorily, including the creation of a nuisance condition. The response
action plan should address the following minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays
b. Response time
c. Contact information
d. Standard operating procedure (Due to user inaction/refusal)
e. Legal authority citations
II. OPERATION AND MAINTENANCE REQUIREMENTS
Upon classification of the collection system by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Perrnittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified
operator(s) to be back-up ORC(s) of the facilities in accordance with 15A NCAC 8G
.0201. The ORC shall visit the system within 24 hours of knowledge of a bypass, spill,
or overflow of wastewater from the system, unless visited by the Back -Up ORC, and
shall comply with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the
identification of any recurring problem in the wastewater collection system that cannot be
resolved in a short time period, the Permittee shall establish a plan for addressing the
problem(s),
3. The Permittee shall develop and adhere to a schedule for testing emergency and
standby equipment.

4, The Permittee shall develop and implement a routine pump station inspection and
maintenance program, which shall include, but not be limited to, the following
maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter,
and wet well;
b. Inspecting and exercising all valves;
c. Inspecting and llubricating pumps and other mechanical equipment according to
the manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary
equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more
than a single building or pump stations not capable of pumping at a rate of 2.5 times the
average daily flow rate with the largest pump out of service), at least one fully
operational spare pump capable of pumping peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps
installed, but no less than two pumps, that discharge to a pressure sewer and serve a
single building, unless the Permittee has the ability to purchase and install a
replacement pump within 24 hours of first knowledge of the simplex pump failure or
within the storage capacity provided in any sewer line extension permit.
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not
allow the establishment and maintenance of permanent access. In this case, the
Permittee shall continue to observe the lines visually,utilize remote inspection methods
(e.g. CCTV) and use the opportunity of drier conditions to perform further inspections
and necessary maintenance.
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At
least 10 percent of the wastewater collection system, selected at the discretion of the
ORC, shall be cleaned each year, Preventative cleaning is not required for sewer lines
less than five years old unless inspection otherwise reveals the need for cleaning or
cleaning is required by a sewer line extension permit.
9. Adequate measures shall be taken to contain and properly dispose of materials
associated with SSOs. The Permittee shall maintain a Response Action Plan that
addresses the following minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers';
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
hd Post-SSO assessment.

10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for
all SSOs as soon as possible, but no more than two hours after first knowledge of the
SSO
11. In the event of an SSO or blockage within the wastewater collection system, the
Permittee shall restore the system operation, remove visible solids and paper, sanitize
any ground area and restore the surroundings,
111. RECORDS
Records shall be maintained to document compliance with Conditions 1(5), 11(2) - 11(4),
11(7) - 11(8), IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three
years.
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
a. Date of SSO or complaint;
b. Volume of wastewater released as a result of the SSO and/or nature of
complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint,
when applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its
wastewater collection system that also notes the locations where other wastewater
collection systems become tributary. If a comprehensive map of the collection system
has not been established, a rough sketch shall be drawn. The Permittee shall map
approximately 10 percent of its existing collection system each year for the next ten
years beginning at the original permit issuance date, or until complete, whichever is
sooner. The comprehensive map shall include, but is not limited to: pipe size, pipe
material, pipe location, flow direction, approximate pipe age, number of active service
taps, and each pump station identlfication, location and capacity.
The Permittee shall maintain records of all of the modifications and extensions to the
collection system permitted herein. The Permittee shall maintain a copy of the
construction record drawings and specifications for modification/extensions to the
wastewater collection system for the life of the modification/extension. Information
concerning the extension shall be incorporated into the map of the wastewater collection
system within one year of the completion of construction. The system description
contained within this permit shall be updated to include this modification/extension
information upon permit renewal.

IV. MONITORING AND REPORTING REQUIREMENTS
1 Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater,
surface water, soil or plant tissue analyses) deemed necessary by the Division to ensure
surface water and groundwater protection will be established, and an acceptable
sampling and reporting schedule shall be followed.
2. The Permittee shall verbally report to, a Division of Water Quality staff member at the
Mooresville Regional Office, at telephone number 704 3-16 9 as soon as possible,
but in no case more than 24 hours following the occurrence or first knowledge of the
occurrence of either of the following:
a, Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal
report. SSOs (and other types of spills) occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800)
858-0368 or [phone]. Persons reporting any of the above occurrences shall file
a spill report by completing Part I of Form CS-SSO (or the most current Division
approved form), within five days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to ensure that the problem does not recur.
Per Condition 1(2), Part II of Form CS-SSO (or the most current Division approved form)
can also be completed to show that the SSO was beyond control.
3. The Permittee shall meet the annual reporting and notification requirements provided in
North Carolina General Statute §143-215.1C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection
system regularly to reduce the risk of malfunctions and deterioration, operator errors,
and other issues that may cause or lead to the release of wastes to the environment,
threaten human health or create nuisance conditions. The Permittee shall keep an
inspection log or summary including, at a minimum, the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken by the
Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or
telemetry shall be inspected everyday (i.e. 365 days per year). Pump stations equipped
with SCADA systems or telemetry shall be inspected at least once per week.
3. A general observation of the entire collection system shall be performed throughout
course of every year.
4 Inspections of all high priority lines (Le. aerial line, sub -waterway crossing, tine
contacting surface waters, siphon, line positioned parallel to stream banks that are
subject to eroding in such a manner that may threaten the sewer line, or line designated
as high -priority in a permit) shall be performed at least once per every six-month period
of time. A list of high -priority lines is presented as Attachment A and is hereby
incorporated into this permit condition. New high priority lines installed or identified after

permit issuance are incorporated by reference and subject to this permit condition until
permit renewal where they shall be referenced in writing in Attachment A.
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer
ownership of the wastewater collection system or there is a name change of the
Permittee, a formal permit modification request shall be submitted to the Division. The
request shall be accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. Such request will be considered on its
merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, and a sewer moratorium may be
established,
3. The issuance of this permit does not exempt the Permittee from complying with any and
all statutes, rules, regulations, or ordinances that may be imposed by other government
agencies (i.e,, local, state, and federal) having jurisdiction, including but not limited to
applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation
control requirements in 15A NCAC Chapter 4 and under the Division's General Permit
NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B 01200
and t5A NCAC 02T .0100 and all applicable North Carolina Occupational Safety and
Health Act health and safety standards.
4. The issuance of this permit does not prohibit the Division from reopening and modifying
the permit, revoking and reissuing the permit or terminating the permit as allowed by the
laws, rules, and regulations contained in 15A NCAC 02T .0100 and North Carolina
General Statute §143-215.1et. aL, or as needed to address changes in federal regulations
with respect to the wastewater collection system.
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the
Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit as specified by 15A NCAC 02T .0110(4).
6. The Permittee shall request renewal of this permit at least six months prior to the
expiration of this permit. Upon receipt of the request, the Commission will review the
adequacy of the wastewater collection system described therein, and if warranted, will
extend the permit for a period of time and under such conditions and limitations, as the
Commission may deem appropriate.
7. The Permittee shall notify the Division's Pretreatment, Emergency Response and
Collection Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina
27699-1617 of any changes to the name and/or address of the responsible party (i.e.
mayor, city/town manager) of the wastewater collection system.
8. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises or place on or
related to the collection system at any reasonable time for the purpose of determining
compliance with this permit, may inspect or copy any records that must be maintained

under the terms and conditions of this permit, and may obtain samples of wastewater,
groundwater, surface water, soil, or plant tissue.
9. The Permittee will develop and maintain a detailed list of all satellite systems currently
tributary to its system. This list must contain information related to the satellite system,
including but not limited to the following items:
a. Current contact information for the Permittee (Authorized Official)
b. Contact Person (Name, Address, & Phone Number)
c. Operator (if Applicable)
This list should be maintained at a central location and will be provided as requested to
the Mooresville Regional Office. The list should be developed and maintained as new
systems become tributary to the system.
Permit issued this the 12h of February, 2013
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles akild, PE,, Directo
Division of Water Quality
By Authority of the Environmental Management Commission
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
Permit Number WQCS00149

FACIUUTY ID
101
10100
101001
10100191
10100200
/0100206,
10100207
10100212
10100390
10100407
10100488
10100494
10100523
10100527
10100621
10100656
10100723
DIAMETER
East Linc
n County Water and Sewer District
6raarIty Sewer High Priority Lines
Permit 4 WQCS00149
Attachment A for Condition V(4)
VWATERTYPE Letli is line CR
Sewage
Semite 246.51
Sewage 66.71
Sewage
Sewage 304.76
Sewage 314.79
Sewage 116.41
Sewer 324.63
255.14
Yes
Yes
639233,5116
636575.5401
Yes 637786.0151
Yes 638092.504
Yes, 636345,4307
Sewage 130«64
Yes
�� 110 23 Yes
a.
Sewage
Sewa:
0100734 15 5e
7
7
Yes
Ya
21.94 Yd
110.27
650621.8402
639305.2372
229
Yes 622574.5739
Yes 6
.969
4947.425
1395681.272
1395753,067
1395271.03 Stream
1399066.92 Stream
Stream
Stream
ea
5
.627 5
412291.289 Strea
412902,749
94727.98
Yes 655:36.54,
Yes 6
214,747 Stye;
Strea
Yes 627
059
91342,
Yes 659023,573 1394362.819 Stream
Yes 6515 6 3 ! 13 004094 St
era 4 1 Sewa a 311.64 Yes 629334,189 9.99
41 8 Sewage 307.98 Yes 629632.1656 13'.744.64 - Stream
u � .- .... e 232.69 - Yes 627. 75 Stream
0101029 8 Sewage 183.80 Yes 661196.1628 1335019.487 Stream
08 Sewage 182.76 Yes 661068.2202 13 51 1.442
10101056 15 Sewage 295s82 , Yes 632734.4307 1395004.398 St
... - �.-
10101057 15 Sewage 61052 Yes
10101074 15 Snrage 321.32 Yes
101010991 12 5erna 27.38 Yes
1
10101118 0 Sewage r91.67 Yes
1010
209.02 Yes
41 259.92
0101142, 8 Sewa: 271,.14
t12i111R1 24 5e 150,25
010Y182 24 Sewage 199.43 Yes
0101183 24 SFewa.+ 208.45 r
0101217 24 Swage 242
0101218 24 Sew 156$8
69�,5
0101219 24 Sewage
49
0101227 1 25 Sewage, 14.31
0101229 24 Sewage 214.19
10101234
0101264 24 ew4 338.49
0101276 0 Senta8e
0101292 30 Sewa
0101307 30 5ewag
10101492 8 Sew�e
10101498 8 Sewage
10101501. 8 Sewage
10101502 8 Sewage
10101523 8 Se
7
6!
202,42
206.91
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
638611.7979
623556.3254
6371919872 1401755.887
637177,4314 76.127
622660.5129 1413245.762
622486.2836 1413438.636
628664,661 1403096.252
629874.0519
659630.5078 1336985.007 str
624882.7778 1401623.951 Strearrr 'Arias
634414,2719 1395339.573 5treamr
621252.8874 1394341.697 Stream&
618837.2 1395562.575 Stream
615916.3128 1407017.579 Axial
621909.5383 1351781.967
622796.0618 1352525.4
.424
1402990.887
1403013.863
5
5
4.655 Stream
7.661 Stream
623253,3536
623451.2702
658531.8722
2726.498
.946 Stream
.666 5trea Al

East linco(n County Water mar his
Pressure Sewer High Priority Lines
Permit M WQCS00149
Attachment A for Condition V(4)
FACILITY ID 0 A ,4ETER' WATER TYPE
10200046
10200070
102OtIti87
10200092
10200093
10200094 12
10200
1020{i4485 6
11t200489 12
10200491 12
102tii3499 6
1021ii
1.0200510
10200513 !; 6
102000540
10200509
10200498
10200509
4
6
5ewa
Sewage
Sewage
Sewage
Sewage
Sewage
TICAi I PS 8torthing Easting Type of Critical
4 7. Ye N 623769.63 4 ; 14013ti6..666 Stream
7.24 Ye N65#1 05303E
Yes N626616.4619 1396758.238' Stream
655667.3285 1368965,24 STATE REQO
7 Yes N 6,2736 1369132.70c9 STATE RE
2 Y 74
4 Yes 7847,016 139
137.40 Y 651286a8602
Ye N 618356.13ii7'
0 4 Ye N 6234 5836, I396897.0
Yes N647538.9792 1369282.021
6489E 1.72
4.79 Ye
634560.8227
1375710.21
767'
77
1279.64 Yes Y 644136.5805 1413801.237
16634,33 Yes N 647460.5781 1369909,827 STATE REQO
1783.80 Yes N 658071.53161, 13382.13.195 Stream
4624.98 Yes N 627190.3604 1389954.7481 l STATE REQD
STATE REQD
STATE REQD
Yes N 634947.19
794.13 _ Yes N 656792.4702 13242.7STATE REQD
Stream

Subject:
Instructor:
Date:
Print Na
Lincoln County Public Works
Training Attendance Record
ik nue
2
Akc c7,7-,,v1AAem 5
Zac<ii Maw
9
10
12
13
14
15
16
7
18
19
20
Instructor's Signature:
Si ture:

Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
V 112009 PART I
This form shall be submitted to the appropriate DWQ Regional Office within five days of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number
Facility:
Owner:
City:
(VVOCS# if active, otherwise use QCSD#)
Incident #
Region:
County:
Source of SSO (check applicable): 0 Sanitary Sewer 0
Pump Station / Lift Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation -1,e Pump Station 6,
Manhole at Westall & Bragg Street, etc.)
Manhole#
Latitude (degrees/minute/second): Longitucle(degreesiminute/second),
Incident Started Dt: Time: Incident End Dt: Time:
(mm-dd-yyyy) hh:mrn AM/PM (mm-dd-yyyy) hrimm AM/PM
Estimated volume of the SSO: , gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined:
Weather conditions during SSO event:
Did SSO reach surface waters? 0 Yes 0 NoD Unknown Volume reaching surface waters (gallons)
Surface water name:
Did the SSO result in a fish kill? 0 Yes 0 No0 Unknown If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
0 Severe Natural Condition 0 Grease D Roots
0 Inflow and Infiltration 0 Pump Station Equipment Failure 0 Power outage
O Vandalism 0 Debns in line D Other (Please explain in Part li)
E3 Pipe Failure (Break)
24-hour verbal notification (name of person contacted).
DWQ Emergency Mgmt. Date (mm-dd-yyyy):. Time (hh:mm AM/PM)
If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1C(b), the responsible party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a press release within 46-hours of first knowledge to all print and electronic news media providing general
coverage in the county-Wh' r -discharge occurred, When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30 days,
Refer to the referenCed statute for further detail,
The Director, Division
is demons ra e 51-;
Quality, may take enforcement action for SSOs that are_required to be reported to Division unless it
1) the discharge was caused by severe natural conditions and there were no feasible alternatives to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the Pe Mee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control
Part II must be completed to provide a justification claim for either of the above situations, This information will be the basis
for the determination of any enforcement action. Therefore, it is important to be as complete as possible
WHETHER OR NOT PART II IS COMPLETED, A StGNATURE IS REQUIRED AT THE END OF THIS FORM,
CS-SSO Form
Page 1

Form CS-SSO
Collection System Sanitary SewerOvertlo r Reporting Form
PART I I',
ANS R THE FOLLOVVING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART I;OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED R DESIRED
COMPLETE ONLY THOSE SECTIONS PERTAINING TO THE CAUSE OF THE SSC AS CHECKED IN PART I
(In the check boxes below NA Not Applicable and NE b Not Evaluated)
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DVV0 REGIONAL OFFICE
UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH U H THE ONLINE REPORTING SYSTEM
CS-SSO Form Page

Severe Natural Condition (hurricane, tornado, etc
Describe the "severe natural condition" in detail?
How much advance warning did cau have and what actions were taken in preparats'on for the event'?'
Com
CS -SS Form Page

Grease (Documentation such as cleaning, inspections, enforcement aco one pas ee ow eports,
d stion Trnalt ri i an is rt u ion s e> etc. T d upon request)
IfiThen was the last time this specific line (or wet well) was cleaned?
Do you have an enfor able grease ordinance the{
equine
new or retrofit of grease traps/intercalate.
Have there been recent inspections and/or enforcement actions taken on nearby restaurants; or other
nonresidential grease contributors?
Explain,
Have there been other SSOs or blockages 9n this area that were also used by grease?
en
if yes, desdeibe them:
Have cleaning and inspections ever been increased at this local
Explain
Have edu tional materials about g
‘Attien?
n distributed in the
and to whom?
Explain?
if the SSO occurred al a pump station, when was the wet well and pumps last checked for grease
accumulation?
Were the floats clean?
Co
Yet
t Ye
NAD NE
oD NAD NE
NoON NE
No
NA
NE
NE
S-SSO Form
Page

Roots
Do you have an active root control program on the line / area in question',
Describe
Have cleaning and inspections over been increased at this location because of roots?
Explain
0
tt ,
What corrective actions have been accomplished at the SSO location (and surrounding system if
associated with the SSD)?
What corrective actions are planned at the SSO location to reduce root intrusion?
Has the line been smoke tested or videoed within the past year?
If Yes, when?
Comments
NoDNADNE
al
NE
CS-SSO Form Page

Inflow and infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that E Ye No 0 N NE
addresses id?
Explain if Yes:
What corrective actions have been taken to reduce or eliminate & related overflows at this spill location
within the last year?
Has there been any flow studies to determine WI problems in the deflection system at the SSO locat on 0 Ye
If Yes, when was the study completed and what actions did it recommend?
Has the line been smoke tested or videoed yvithin the past year?
If Yes, when and indicate what actions are necessary and the status of such actions
Are there I/I related projects in your Capital Improvement Plan,
If Yes, explain:
Have there been any grant or loan applications for I/I reduction projects?
If Yes, explain
Do you suspect any major sources of inflow or cross connections with storm sewers?
If Yes, explain,
Have all lines contacting surface waters in the SSO location and upstrearn been inspected recently?
f Yes, explain.
What other other corrective act ons are planned to prevent future Id related SSOs at this location')
Comments:
111
NE
NajNAR NE
NE
NA NE
CS-SSO Form
Page 6

Pump Station Equipment Failure (Documentation of testing, records etc., shout be provided upon request.)
Mat kind of notificationialarm systems are present?
Auto-dialer/telemetry (one-way communication)
Audible
Visual
SCADA (two-way communication)
Emergency Contact Signage
Other
Describe the equipment that failed?
What klnd of situations trigger an alarm condition at this station (i.e, pump failure, power failure, high
water, etc,)?
Were notification/alarm systems operable?
If no, explain:
If a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checkedimaintained?
If a valve failed, when was it last exerolsec0
Were all pumps set to alternate?
Did any pump show above normal run times prior to and during the SSO event?
0 Yee
Yes
Et Yes
El Yes
0 Yes
fl Yes
Were adequate spare parts on hand to fix the equipment (switch, fuse, valve, seal, etc)?
Was a spare or portable pump immediately available?
Ye
NI
ea
El Yen
E Yea No
NE
NE
AO NE
NA
NE
NE
CS-SSO Form Page 7

oat problem when were the floats test tested? How?
tf an auto -dialer or SCADA, when was the system test tested? How
Comments:
CS-SSO Form
Page

Power outage ur t nt ti n of testing, records , etc., should be provided of alternative power source
upon request)
at is your alternate power or pumping sour
Chid it function properly?
Descube°
nen
he altern
e power or pumping source as tested under load's
ifcaused by a weather event, how much advance warning did you have and what actions were taken to
prepare for the event'
Cornrnents
CS-SSO Form
Page

Vandalism
Provide police report number
Was the site secured?
If Yes, how?
0 Yew NO NA0 NE
Have there been previous problems with vandalism at the SSC) locaton 0 Yen N
If Yes, explain
What security measures have been put in place to prevent similar occurrences in the future?
Comments:
No r- NA
NE
NE
CS-SSO Form Page 10

Debris in Elne (Rocks, sticks, rags and other Items not allowed In the c UU cti n system, et
debris has been found in the tine`,
Suspected cause or source of debris.
Are nha les in the area secure and intact
When
ea la.
checked/ l aned
Have cleaning and "inspections ever been Increased at this location due to previous problems with debris`
Explain:
Are appropriate educational rr
occurrences"
Comments
being developed
ibuted to prevent future
ca NAi tNE
ri yell No A h
CS-SSO Form Page

Other (Pictures and police report, as applicable, must be available upon request)
' Deschbe
Were adequate equipment and resources available to fix the problem?
If Yes, explain
If the problem could not be immediately repaired, what actions were taken to lessen the impact of the
SSO?
Comments:
CS-SSO Form
flNADNE
Page 12

ine collapsed, what is the condition of the line up and down
hat: type of repair was made?
Is the repair temporary or permanent?
aviary, when is the permanent repair planned?
Have there been °thee (allures of this line in the past Five years
so then describe
ea of the failure
CS-SSO Form Page 1d

System Visitation
Name
Cert#
Date visited'
Time visited'
ORC
Yes
Backup n Yes
How was the SSO remediated (i.e. Stopped and cleaned up)?
As a representative for the responsible party, I certify that the information contained in this report is true and accurate to
e best of my knowledge,
Person submitting claim: Date
Signature:
Title'
Telephone Number.
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SS0 with reference to the incident number (the incident number is only generated when electronic entry of this
form is completed, if used).
CS-SSO Form
Page 15

Pat McCrory
Governor
E R
North Carolina Department of Environment and Natural Resources
October 6, 2014
To: Owners or Operators of Wastewater Treatment or Call 'on Systems
From: Deborah Gore, Supervisor, PERCS Unit
Subject: Reporting Requirements
John E. Skvarla, Ili
Secretary
Senate Bill 729 ratified by the North Carolina General Assembly on August 20th, 2014 and effective
September 20th, 2014 revised reporting requirements for entities that own or operate wastewater
treatment and collection systems. This letter is provided as guidance to assist you in meeting the
revised reporting requirements. This letter also replaces and supersedes the October 19th, 1999
reporting memo issued by the Division of Water Resources (Division).
G.S. 143-215.1C(a): Report to wastewater system customers on system performance.
No changes were made to this reporting requirement. An annual report for wastewater collection
systems or treatment works is still required for systems that have an average annual flow greater
than 200,000 gallons per day. Additional information related to the annu1 report can be found on
the Division's website.
G,S. 143-215.1C(a1): Report discharge of untreated wastewater to the Department
This section was added and requires the owner or operator of any wastewater collection or treatment
works to report a discharge of 1,000 gallons or more of untreated wastewater to the surface waters
of the State to the Department as soon as practicable, but no later than 24 hours after the owner or
operator has determined that the discharge has reached the surface waters,
Note that all System -Wide Collection System permits (both deemed and permitted systems), as per
G.S. 143-215.9B are required to report a discharge to the Division of Water Resources no later than
24 hours following first knowledge of the occurrence of either of the following:
• Any SSO and/or spill over 1,000 gallons or greater to the ground surface
Any SSO and/or spill, regardless of volume that reaches the surface water
The Division will continue to utilize this more stringent reporting requirement in accordance with
15A NCAC 02T .0113(e) & 15A NCAC 0213.0506 and the applicable individual system -wide
collection system permit condition.
Owners or operators of any wastewater collection or treatment works not permitted under the
System -Wide Collection System program must continue to report per any existing permit
requirements.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: www.ncwalergualityorg
An Equal Opoodwily 't Affirmative Action Employer - Mr 4 e in pad by recycled paper

G.S. 143 -215.1C(b)(1): Publication of Notice of Discharge of Untreated Wastewater
This section was modified to require issuance of a press release 24 hours (originally 48 hours) after
the owner or operator has determined that the discharge has reached surface waters of the State,
This applies to a discharge of 1,000 gallons or more of untreated wastewater to the surface waters of
the State. No other modifications were made, For these situations, the owner or operator must:
• Issue a press release to all print and electronic news media that provide general coverage in
the county where discharge occurred
• Set out details of the discharge
• Issue the press release within 24 hours after it has been determined the discharge has
reached the surface waters of the State
• Retain a copy of the press release and a list of the news media it was sent to for at least one
year
• Make the release available to the public upon request
G.S. 143-215.1C b
2):
Publication of Notice of Discharge of Untreated Wastewater
This section was not modified by Senate Bill 729, however the October 19, 1999 memo issued by
the Division allowed the owner or operator to notify the county in which the discharge occurred and
the county immediately downstream for discharges less than 1,000,000 gallons
Effective September 20th, 2014, the Division will require owners or operators to adhere to a more
stringent interpretation of the general statute, In the event of a discharge of 15,000 gallons or more
of untreated wastewater to surface waters of the State, the owner or operator must:
• Publish a notice of the discharge in a newspaper having general circulation in the county in
which the discharge occurs and in each county downstream from the point of discharge that
is significantly affected by the discharge
• The Secretary (or delegated authority) shall determine which counties are significantly
affected by the discharge and shall approve the form and content of the notice and the
newspapers in which the notice is published.
• Publish within 10 days after the Secretary (or delegated authority) has determined the
counties that are affected by the discharge and approved the notice and newspapers in which
the notice is to be published,
• File a copy of the notice and proof of publication with the Division within 30 days after the
notice is published.
• In addition to the Notice, requires a press release per subdivision (1) of this subsection,
G, S. 143-215 .1C(c)(1) & (c)(2): Publication of Notice of Discharge of Untreated Wastewater
These sections, applicable to the owner or operator of a non -municipal, non -domestic wastewater
collection or treatment works, were modified in the same manner as G.S. 143-215.1C (b) (1) and (b)
(2), above and the same notification procedures are required.

Press Release Format
General Statute 143-215. It requires that the owner or operator of any wastewater collection or
treatment works to issue a press release when an untreated wastewater discharge of 1,000 gallons or
more reaches surface waters.
In accordance with that regulation, the following news release has been prepared and issued to
media in the affected county:
The (Utility, Municipality, District, etc.) had a discharge of untreated wastewater on (date) of an
estimated (amount) gallons at (location). The untreated wastewater was discharged into (creek,
river, unnamed tributary) in the (Name) River Basin.
The Division of Water Resources was notified of the event on (date) and is reviewing the matter.
For more information contact (Utility, Municipality, District, etc.) at (Phone Number).
Example Press Release:
Notification of Discharge of Untreated Wastewater
General Statute 143-215.1C requires that the owner or operator of any wastewater collection or
treatment works to issue a press release when an untreated wastewater discharge of 1,000 gallons or
more reaches surface waters.
In accordance with that regulation, the
media in the affected county (ies):
0
g news release has been prepared and issued to
The Town of Greenwood Valley had a discharge of untreated wastewater on July 1, 2014 of an
estimated 15,000 gallons at Pump Station # 1, located near the intersection of First Street and
Broadway Boulevard. The untreated wastewater was discharged into Turner's Creek in the
Savannah River Basin,
The Division of Water Resources was notified of the event on July ], 2014 and is reviewing the
matter. For more information contact the Town of Greenwood Valley at [phone].

Public Notice Format
Minimum content for public notice:
• Caption must be: "Notice of Discharge of Untreated Sewage"
• Name of the facility (treatment facility, collection system component, outfall, etc.)
• Location of discharge
• Estimated volume of untreated wastewater discharged to surface water
• Time and date discharge occurred
• Duration of discharge
• Water body that was discharged into
• Action taken to prevent further discharge
• Contact person and phone number
NOTICE OF DISCHARGED OF UNTREATED SEWAGE
The (Utility, Municipality, District, etc,) had a discharge of untreated wastewater from our
(collection system, treatment facility, pump station, etc.) located at street/highway of approximately
(amount) gallons. The discharge occurred on (date) for approximately (amount) hours. The
untreated wastewater entered into (creek, river, unnamed tributary) in the (Name) River Basin. The
(list action taken) to prevent further discharge. This notice was required by North Carolina General
Statutes Article 21, Chapter 143.215C For more information contact (Name, Title) at (Phone
Number),
Example. Public Notice:
NOTICE OF DISCHARGED OF UNTREATED SEWAGE
The Town of Greenwood Valley had a discharge of untreated wastewater from our wastewater
collection system at Pump Station # 1 located at the intersection of First Street and Broadway
Boulevard of approximately 15,000 gallons. The discharge occurred on July 1, 2014 for
approximately 5 hours. The untreated wastewater entered into Tuner's Creek in the Savannah River
Basin. The pump station was repaired and placed back into serve by replacement of a pump to
prevent further discharge. This notice was required by North Carolina General Statutes Article 21,
Chapter 143.215C, For more information contact John Doe, Public Information Officer at (754)
833-9276.

COUNTY OF LINCOLN, NORTH CAROLINNA.
1 1 5WEST MAIN STREET, 2ND FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA 28092
DEPARTMENT OF PUBLIC WORKS
PHONE [phone]
FAX [phone]
W WW. LINC©LNCOUNTY. oRc
MEMORANDUM
To: Mike Simmons
Utility Maintenance Serintendent
From: Chris Henderson
Engineering Associate
Date: August 01, 2016
Subj.: Additional Maintenance Actions to Preve
S
ary Sewer Overflows (SSO)
On July 20, 2016.at approximately there was a Sewer Overflow Incident (SSO) at PS #28
.- 4474 Burton Lane. After a thorough investigation of the SSO at the above location and several
other pump stations it has been determined that additional measures are required to assure proper
maintenance and operations of all pump stations. The following are additional weekly
requirements for completing the NCDEQ Permit Required weekly operational checks of ALL
sewer pump stations:
1. The Utility Supervisor (sewer) or the Utility Maintenance Superintendent is required
to telephone ALL Sewer Pump Stations on a weekly basis AFTER the pump stations
have had their NCDEQ Permit Required Sewer Pump Station Inspection Report
completed and submitted.
2, The above weekly telephone of the auto -dialer alarm system at ALL sewer pump
stations is to be conducted no later than the close of business at the end of each week.
Any deficiencies or failures will be repaired immediately by the appropriate agency or
utility.
4. If the deficiency cannot be repaired immediately then the sewer pump station must be
checked daily until ful➢y functional by on -call personnel.
The above additional maintenance requirements are to be initiated immediately. If you
have any questions or comments please feel free to contact me.
Cc: Donald V. Chamblee, PE — Director of Public Works
Personnel File

COUNTY OF LINCOLN, NORTH CAROLINA
I I 5 WEST MAIN STREET, 2N0 FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA 28092
DEPARTMENT OF PUBLIC WORKS
PHONE [phone]
FAX [phone]
WWW,UNCOLNCOUNTY.ORG
MEMORANDUM
To: JeffDean
Utility Supervisor
From: Chris Henderson
Engineering Associate
Date: August 01, 2016
Subj.: Additional Maintenance Actions to Prevent Sanitary Sewer Overflows (SSO)
On July 20, 2016 at approximately there was a Sewer Overflow Incident (SSO) at PS 428
- 4474 Burton Lane. After a thorough investigation of the SSO at the above location and several
other pump stations it has been determined that additional measures are required to assure proper
maintenance and operations of all pump stations. The following are additional weekly
requirements for completing the NCDEQ Permit Required weekly operational checks of ALL
sewer pump stations:
1. The Utility Supervisor (sewer) or the Utility Maintenance Superintendent is required
to telephone ALL Sewer Pump Stations on a weekly basis AFTER the pump stations
have had their NCDEQ Permit Required Sewer Pump Station Inspection Report
completed and submitted.
2. The above weekly telephone of the auto -dialer alarm system at ALL sewer pump
stations is to be conducted no later than the close of business at the end of each week.
Any deficiencies or failures will be repaired immediately by the appropriate agency or
utility.
4. If the deficiency cannot be repaired immediately then the sewer pump station must be
checked daily until fully functional by on -call personnel.
The above additional maintenance requirements are to be initiated immediately. If you
have any questions or comments please feel free to contact me.
Cc Donald V. Chamblee, PE - Director of Public Works
Personnel File

CERTIFIED MAIL: 7015 1520 0002 8386 8097
RETURN RECEIPT REQUESTED
August 23, 2016
Donald V Chamblee, Public Works Director
East Lincoln County Water & Sewer District
115 W Main St
Lincolnton, NC 28092
SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY
Tracking No.: NOV-2016-DV-0256
Sanitary Sewer Overflows - July 2016
Collection System Permit No. WQCS00149
E Lincoln County Collection System
Lincoln County
Dear Mr. Chamblee:
A review has been conducted of the self reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by
East Lincoln County Water & Sewer Dist. The Division's Mooresville Regional Office concludes that the East Lincoln
County Water & Sewer Dist violated Permit Condition I (2) of Permit No. WQCSO0149 by failing to effectively
manage, maintain, and operate their collection system so that there is no SSO (Sanitary Sewer Overflow) to the
land or surface waters and the SSO constituted making an outlet to waters of the State for purposes of G.S.
143-215.1(a)(1), for which a permit is required by G.S. 143-215.1.
The Mooresville Regional Office is providing the East Lincoln County Water & Sewer Dist an opportunity to provide
evidence and justification as to why the East Lincoln County Water & Sewer Dist should not be assessed a civil
penalty for the violation(s) that are summarized below:
Incident Start Duration
Number Date (Mins) Location
Cause
Total Vol
Total Surface
Vol Water
(Gals) (Gals) DWR. Action
201601287 7/20/2016 46 Lift Station 28 4474 Other, Pump station 20,000 15,000 Notice of intent
Burton Ln equipment failure
201601291 7/22/2016 54 6541 Denver industrial Debris in line 100 100 No Action
Drive
State of North Carolina l Environmental Quality l Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
'7lld_F,41_1 AGO

This Notice of Violation / Notice of Intent to Enforce (NOV/NOI) is being issued for the noted violation.
to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be as
against any person who violates or fails to act in accordance with the terms, conditions, or requirements of a
permit issued pursuant to G.S. 143-215.1.
This office requests that you respond to this Notice, in writing, within 10 business days of its
receipt. In your response, you should address the causes of non-compliance, remedial actions, and all other
actions taken to prevent the recurrence of similar situations. The response to this correspondence will be
considered in this process. Enforcement decisions will also be based on volume spilled, volume reaching surface
waters, duration and gravity, impacts to public health, fish kills or recreational area closures. Other factors
considered in determining the amount of the civil penalty are the violator's history of non-compliance, the cost of
rectifying the damage, whether the spill was intentional and whether money was saved by non-compliance.
If you have any questions, please do not hesitate to contact Lon Snider with the Water Quality Section in the
Mooresville Regional Office at 704-663-1699 or via email at [e-mail].
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Cc: Mooresville Regional Office - WQS File
Central Files, Water Quality Section
State of North Carolina i Environmental Quality I Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
704-663-1699

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Form CS-SSO
PART I:
This form shall be submitted to the appropriate DWC) Regional Office within five day of the first knowledge of the sanitary sewer
overflow (SSO),
Permit Number: WQCS00149
QCS# if active, otherwise use WQCSD#)
Facility: E Lincoln County Collection System Incident : 201601287
Owner: East Lincoln County Water & Sewer Dist
City: Denver County: Lincoln
Source of SSO (check applicable):
Region: Mooresville
0 Sanitary Sewer 2 Pump Station / Lift Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - Le. Pump Station 6,
Manhole at Westall & Bragg Street, etc); Lift Station 28 4474 Burton Ln
Manhole #:
Latitude (degrees/minute/second): Longitude (degrees/minute/second):
Incident Started Dt: 07/20/2016 Time: 6:02 pm Incident End Dt: 07/20/2016 Time: 06:48 pm
(rnm-dd-yyyy) (hh:mm AM/PM)
Estimated Volume of the SSO: 20,000
Describe how the volume was determined:
Weather conditions during the SSO event:
Did SSO reach surface waters? J Yes
(mm-dd-yyyy)
gallons Estimated Duration (Round to nearest hour):
Estimation of Pump Run Times
(hh:mm AM/PM)
0:46 hours
Clear and Dry
No 0 Unknown Volume reaching surface waters (gals): 15000
Surface water name: CATAWBA RIVER (Lake Norman below elevation 760)
Did the SSO result in a fish kill? 0 Yes No 0 Unknown tf Yes, what is the estimated number of fish killed? 0
SPECIFIC cause(s) of the SSO:
El Pump Station Equipme Other (Please explain i
24 hour verbal notification (name of person contacted ): George Jones
0 DWR jJ Emergency Mgmt Date (mm-ddityy): 2016/07/20 Time (hh:mm AM/PM): 08:51:00 pm
If an SSO is ongoing, please notify the appropriate Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1C(b), the responsible party of a discharge of 1„000 or more of untreated wastewater to surface waters
shall issue a press release within 48-hours of first knowledge to all print and electronic news media providing general
coverage in the county where the discharge occurred, When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30
days. Refer to the reference statute for further detail,
The Director, Division of Water Resources, may take enforcement action for SSOs that are required to be reported, to
Division unless it is demonstrated that:
1) the discharge was cause by sever natural conditions and there were no feasible alternative to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the
Perrnittee and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part li must be completed to provide a justification claim for either of the above situations. This information will be the basis
WHETHER OR NOT PART III IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM
CS-SSO Form
Page:

PART 11:
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART I OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART
(In the check boxes below, NA = Not Applicable and NE = Not Evaluated}
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS IS
Pump Station Equipment Failure
What kind of notification/alarm systems are present?
Auto-dialer/telemetry (one-way communication) [71 Yes
Audible f4 Yes
Visual pi Yes
SCADA (two-way communication) n Yes
Emergency Contact Signage
Other
Describe the equipment that failed?
The pump and auto -dialer were left off by an employee doing weekly inspection
What kind of situations trigger an alarm condition at this station (Le, pump failure,
power failure, high water, etc.)?
High wet well level
Were notification/alarm systems operable?
If no, explain;
The auto -dialer r sas left in the off position during +tveeklyinspection,
If a pump failed, when was the last maintenance and/or inspection performed?
07/18/2016
What specifically was checked/maintained?
Pump operation, alarm operation, cleanliness, odor control and security.
If a valve failed, when was it last exercised?
Were all pumps .set to alternate?
Did any pump show above normal run limes prior to and during the SSO event?
R1 Yes
n Yes
n Yes n NA n NE
El Yes .0 NNo n NA n NE
El Yes No fl NA n NE
CS-S St' Form Page: 2

Were adequate spare parts on hand to fix the equipment (switch, fuse, valve, seal,
etc.)?
Was a spare or portable pump immediately available?
If a float problem, when were the floats last tested? How?
NA
If an auto -dialer or SCADA, when was the system last tested? How?
07/18/2016 tested for an active dial tone
Comments:
n Yes n No (71 NA n NE
n Yes fl No NA n NE
Althou h_tt this station was inspected, the employee left the pump and auto -dialer in the off position..
Other (Please explain in Part II)
Describe:
On Monday 07/18/2016 an employee conducte d he weekly inspection and inadvertently left the auto -dialer and pump in the
off position resulting in a sewer spill,
Were adequate equipment and resources available to fix tine problem? WI Yes n No n NA n NE
If Yes, explain:
The pump and auto -dialer were turned on anda pumper truck was used to remove surface spill,
If the problem could not be immediately repaired, what actions were taken to lessen
the impact of the SSO?
NA
Comments:
NA
System Visitation
ORC
Backup
Name:
Michael Paul Simrncrns
Cert#
997855
ited:
07/20/2016
Time visited:
7:ti(➢ pm
How was the SSO remediated (Le. Stopped and cleaned up)?
The pump and auto -dialer were turned ©nand a pumper truck was used to re
distrilbuted an dirt only,
v
pi Yes
rf( Yes
urface spilt. 880Ibs of li
e was
CS-SSO Form
Page:

As a representative for the responsible party, 1 certify that the information contained in thi
best of my knowledge,
eport is trt
and accurate to the
Person submitting claim: IllchaelP rns Date; 07/22116 02:34 pm
Signature;
Telephone Number;
T�tfe
Any addition information desired to be submitted should be sent to the appropriate Division Regional 4tflce within five days of
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry 0
form is completed, if used),
SO Form Page:

North Carolina Ern
gency tal
M4 1 eporting Pa ,e 1 or4
EM43 Reporting
EM Level:
4
Taken by:
(L Jones
Reported by:
Mike Simmons
County:
Lincoln
Street Address:
4477 Burton 1,11 (lift station 28)
Type: Wastewater
Animal Disease Event Type:
Complaint Event Type:
FNF Event Type:
HazMat Event Type:
Homeland Security Event:
Other Event Type:
Transportation Event Type:
Weather Event Type:
State Resource Request
NCEM Edited:
Yes
Date/Time Reported:
07/20/2016 20:51:43
Agency:
Lincoln Cour°ity Utility
City:
Denver
EVENT TYPE
Bomb Threat Event Type:
Fire Event Type:
FNF Class:
HazMat Class:
Non-FNF Event:
SAR Type:
Wastewater Event Type:
Sewage
Weather Event Name:
ao
Include in Report:
Yes
Date/Time Occurred:
07/20/2016 1 02::4 3
Phone:
704-240-1422
Area:
13
Zip Code:
HazMat Mode:
Non-FNF Event Type:
WMD Event Type:
httpsa,ww .respartamet, c71°1 oards'`1 oarclrlat�reasl `:'crfn
d DAT: , :dataid 4 06c i,.. 7/21/2016

Evert Description;
Local utility° reported 20M00 s of sewage released from lift station a cove of'`Lake
Norman due to operator error. The c v° of Lake Norman is not drinking water source, o fish k
was noted, and cleanup operations Weiere conducted. NC DEQ DWQ was notified.
Deaths: Injuries:
0
Responsible Party
Point of Contact:
Latitude.
00.000000
RRT Request:
RRT Approved:
Evacuation:
0
Responsible Party Phone:
Point of Contact Phone:
Radius:
0
of 4
Longitude:
0(). 0 00
RRT Team Number: RRT isior Number.
'par ec7/ c rds/boarddata. sh ?coin a d- A`I A dat id— 46 :i,.. 7121

arolia a I aaaerge ICY Man .:gen
Report
e 4 of4
LEMC:
PD:
Health:
PWRK:
AC:
Advised
ENV GMT:
WATER:
CAP:
DOT:
NOTIFICATIONS
SO:
LED:
Sewer:..
Other Lac al Agencies:
SHP/SWP:
DRP;
Other State Agencies:
Not s
2121 - J. Ram: and NC I) Q DWtaaailcd - tJ
2200 - J. Ramsey ackn Ji
DWQ paged - GGJ`
9 S. Bass WQ) advised is phone - GJ
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
ATTACHMENTS
re e7/huar si°"board
4 06&i... ?'`

97_22. , 16 i6 4 FROM-L1 CO Public Works 704--736-8499
T-786 P0016/0017 F-699

07-22-^16 16'04 FROM-LI0 CO Public Works 704-736-8499 T-786 F0015/0017 F-699
°

07-22-'16 16:05 FROM-LI CO Public Works 704-736µ8499
T-786 P0017/0017 F-699

@7-22-'16 16 @9 FFOM-LIN CO Public Works 709-7 6-8499 T-786 P
9
17 F-699

07-22-16 16 03 F.
CO Public Works 704-736-8499 T-786. P0013/0017 F-699
Administrative Assistant
[phone]
DISCLAIMER: Pursuant to the Freedom of Information -Privacy Acts (FOIPA)
and North Carolina General Statutes Chapter 132, Public Records, this electronic
mail message and any attachments hereto, as well as any electronic mail message(s)
sent in response to it may be considered public record and as such subject to
request and review by anyone at any time.
Thank you,
Susan Farmer
704-735-3031 Office
980-241-2882 Cell
"Treasure eac h day for tomorrow they will be your memories"
This email and any attachments contain information from the Lincoln Times -
News which may be confidential, privileged and/or protected by other legal rules.
If you are not the intended recipient, you are hereby advised that any disclosure,
copying, distribution or use of the contents of this email is prohibited. If you have
received this email in error, please notify us by reply email immediately and then
delete the email and your reply from your email system. NOTE: Lincoln Times -
News accepts no liability for the contents of this email. This email shall not
operate to bind the Lincoln Times -News to any contract, order or other obligation.
DISCLAIMER: Pursuant to the Freedom of Inforniation-Privacy Acts (FOIPA)
and North Carolina General Statutes Chapter 132, Public Records, this electronic
rnail message and any attachments hereto, as well as any electronic mail message(s)
sent in response to it may be considered public record and as such subject to
request and review by anyone at any time
2

7-22-'16. 1603 FROM-LIN CO Public Works 704-736-8499 T-786 F0012J0017 F-699
Mike Si oils
Fr m:
Sent:
To:
Cct
Subject:
Attachments:
McBryde, Laura <Irricbryde@lincolncountyong>
Thursday, July 21, 2016 2:56 PM
Michael Simmons
Chris Henderson
FW: Item for publication
A4-1015 7-22-16,pdf
From: McBryde, Laura Imailto:Imcbrydeqpiincolncounty.org]
Sent: Thursday, July 21, 2016 2:37 PM
To: 'Susan Farmer'
Subject: RE: Item for publication
This looks great Is this going to be able to be published on Friday, or will it be Monday?
-Laura McBryde
From: Susan Farmer [inailto:susanfarnrwrAllAntirnesnewscom]
Sent: Thursday, July 21, 2016 2:02 PM
To: McBryde, Laura
Subject: Re: Item for publication
The ad size is a 2x3 and the price will be $60. Please let me know of any corrections or your approval by 4 p.m,
today
On Thu, Jul 21, 2016 at 11:43 AM, McBryde, Laura <Irnobryd iico1ncountyqg> wrote:
Ms. Farrier,
Attached is an item that Lincoln County Public Works needs to place in the Lincoln Times -News in your next
publication. It is the Notice of Discharge of Untreated Sewage regarding the sewer spill that occurred on July
20,2016. It only needs to run one time.
Also, I need an affidavit and a tear sheet sent to the Public Works Department so we can send a copy to the
State, per regulations. Please feel free to contact me with any questions or issues. Thank you!
-Laura McBryde
Lincoln County Public Works

NOTICE OF DISCHARGE OF
UNTREATED S AGE
Lincoln County had a discharge of untreated waste-
water from our wastewater collection system at
Pump Station #28 located at 4477 Burton Lane in
Denver, NC of approximately 20,000 gallons, The
discharge occurred on July 20, 2016 for appr
mately 46 minutes. The untreated wastewater
entered a cove of Lake Norman in the Lakewood
Subdivision. The pump station was repaired and
placed back into service. This notice was required by
North Carolina General Statutes Article 21, Chapter
1 4121 5 C. For more information, contact Lincoln
County Public Works at [phone].
`o-c-Lqnd- -- RII
—
�
`__ __--_`.--_

Tiler* You for Payment
Friday,, July 2 i►16
Tr Type: .Payment
Order Nur. er;' 0002579846
Payment Mewl: Credit Card
Head Debt:
Crud, Nur Cee:
Credit Card Expire Date: 11128/2017
Payrrailit Amount
Reference Numbers 066229
Charge to Campy: Charlotte
Category: Classified
Trap actitxra Nurttber, P13087558
Credit to Ttan4.aetior Ntutt er. PI30 758
nvoiee Notes:
247.59
CustonerTy e: Commercial
Customer Category' 'Miscellaneous
Cnstomer Sratus:
Customer Gmvp Local
Customer Trade- None
Aceount Number: 534862
Phone Nimrber. 7047368498
Company 1 lrxiivirlia: Company
Customer Name LINCOLN COUNTY PUBLIC WORKS
Customer 115 W MLAIi'l ST
LINCOLNTON, NC 28092 USA
Chock Number:
of ring Number;

P2-1009/0017 F-699
7134-736-8499
NOTICE OF DISCHARGE OF
LINTR TED SE AGE
Lincoln County haci a discharge of untreated waste-
' water from our vvastewater collection system at
Pump Station #28 located at 4477 Burton Lane in
Denver, NC of approximately 20,000 gallons. The
discharge occurred on July 20, 2016 for approxi-
mately 46 minutes. The untreated wastewater
entered a cove of Lake Norman in the Lakewood
Subdivision. The pump station was repaired and
placed back into service. This notice was required by
North Carolina General Statutes Article 21, Chapter
143215Ci For more information, contact Lincoln
County Public Works at (704) 736-849T

07-22-' 16 1 : 2 FROM-LIN CO Public W
704-736-8499 T-786 P0002,, 7 F-699
Mike Simmons
From: McBryde, Laura <Imcbryde@Iincoincountyurg>
Sent; Thursday, July 21, 2016 5:05 PM
To: [e-mail]
Cc: Chris Henderson, Michael ,Simmons
Subject: Lincoln County Public Works - Notice of Discharge of Sew
Attachments: 2016-07m21_Lincoln County Sewage Spill Notice.doc
Attached is an item that Lincoln County Public Works needs to place in the Chad()t
the Notice of Discharge of Untreated Sewage regarding the sewer spill that occurr
run one time.
Observer as soon as possible. It is
on July 20, 2016. It only needs to
Also, I need an affidavit and a tear sheet sent to the Public Works Department so we can send a copy to the State, per
regulations, Please feel free to contact me with any questions or issues. Thank you!
-Laura, McBryde
Lincoln County Public Works
Administrative Assistant
{704) 736-8498
DISCLAIMER: Pursuant to the Freedom of In
tvacy Acts (F0 A)
and North Carolina. General Statutes Chapter I ,Public lords, this electronic
mail rnessage and any attachments hereto, as well as any electronic mail message(s)
sent in response to it may be considered public record and as such subject to
request and review by anyone at any time,

07-22 - ° 16 16: 02 FROM-LTN ' 1 Public 4a'arks
v-outi ty 41t L.i1t1LUttt, 4Y1. - '47tl111121,1. W Ct1SttC
704-736-8499
T-786 PO 07/0 17 P-699
rii+ie 1 UL
MERGENCY AIERT
tet� �r've4
You arc here: New, P61:+1
01Public Works
hind us on:
c=bt `w2 iv,tter
Iwo co 1Ury .d, 015
PUBLIC NOTICE - Sewer Spill at 4477 Burton Lane, Lakewood
Subdivision
A no•swim advisory has been issued by the Lincoln Cor,nty iealth Uepaitntent and
Lu1CoIn County Public WOrkS is teSLin,g the affected area until samples return to normal
levels in accordance with NC t Q standards,
On Wednesday, )u!y 20r :2016 at 6:02 p,nl. Lincoln (;'runty Public Works Pnad a sewer
spill at lift station a 2B located at 4477 Burton Land in Denver, NC. Approximately
20,000 gallons of raw sewage spilled into a cove in the Lakewood Subdivision, Public
Works personnel Stopped and repaired the sewage leak at 6:48 p.m- A no-sw m
advisory has been issued by the Lincoln County Health Department 4n4 Lincoln County
Public Warki is testing the affected area until samples return to nrinai levels in
accordance with NC DEQ standards. The Mooresville Regional Wice of the NO DEQ has
been notified, Please check our website at wwiv,llrrcaIrcounty,org for additional
information and updates crr call our office at [phone].
4.• P6eui605
s'kIG4�4�u.yli,. .,.. ra. :n$=6;: try $✓'!
✓fur ,r t Lent,
Other News in 01Public Works
Pt1BLIC NOTICE - Sewer Spill at 7477 Burton Lane, Lakewood Subdivision
Petted 6.6: July 21, 2016
Seauch
�Rrl categor oe
r",i6t r. ,_s.=[y , F,q-1.. v'r{„E, I
Select Language If
http://www,lin
tt.cr
/CivicAierts.aspx?AfD=742 7/2; . t l6

07-22-'16 16:02 FROM-LIN CO Public Works 704-786-8499
T-786 P0006/0017 F°-699
DOWNSTREAM SAMPLE
SSO on 7/20/2016 at LS-28
Date: 7/22/2016
Author: JDH
1 inch = 500 feet
Legend.
l SAMPLE LOCATION ! SSO
bodies ----- Waterlines
parcels

07-22-'16 16.01 FROM-LIN CO Public Works 704-736-8499 T-786 P0005/0017 F-699
As a representative for the responsible party, I certify that the information contained in this report is true and accurate to the
best of my knowledge
Person submitting claim
Signature:
Telephone Writer:
Micritael P Simmons
Date, 07122/16 02 34 prn
Title:
111;41 0 retP445
5' itiffirsd#ffiti
Any ,addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this
form is oompleted, if used),
CSSO Form
Page: 4

07- '-16 16 ° 1 FROM
equate spare parts on hand to fix
he equtpm nt
spare ar portable pure trnrnsdlateiy
problem, when
NA
ut+-dirler or
07/18r2018 l
Comments
Althoueh a
thl
ire the float
ADA. when eras
d for an active di,
How
74-86-8499
h, fuse, valve, seal,
ation was inspected, the employee Ieft the »r
Other.1Pl ase explain 1n P4
Describe
ndav
77181 016 an any
off poamon resulting in a sewer s
rdue tei the kt
Were adequate equipment and resources available to fret the probtt
s} explain
The pump and euto�-dialer were turned on and a flu
if the problem could not be immediately repaired,
the impact of the SSO
NA
fts,
Str t m Visitation
ORC
p
Name
heel Paut
997856
Date visited,
01/20/20
et
Ott pm
How +as the' S0 remediated (i.e. Stopped and cleaned up)
T-786 F417 F-699
11 Yes Li No WI NA ri NE
used to remove surface p
taken to lessen
Yes n N. NA E
on,
Yea
Yes
CA Yes
rid aIt
ri NA NE
T'hp pon1A and auto -dialer ware turned on and a pumper true was used to remove surface sral. tubs of titres was
distributed on dirt only,
SO Form
Page

67- --a 16 6:0 I CO P b. is arks 704-736-8499
T-786 POa' 17 -699
PART 11
AN
Eltt TI
LLOVVING QUESTIONS FOR EACH RELATED CAUSE CHECK D IN PART t OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
ifd Pl—ET, ONLY THOSE SECTONS PERTAINING TO THE CAUSE SO AS CHECKED 'IN DART I
In the check boxes below, NA Not Appficak3le and NE Not Evaluated)
A IIARDGOPY OF THIS FORM SHOULD RE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESStE
Pum
ion Egttiittt
t Failure
What kind of n tifi 'on arm systems a
ay n3unic
Audible
Visual
SCADA (two-way csrttrraunictis n)
Emergency Contact Sgna
Other
the equipment that faI
dia
What kind of situations trigger
power failure, high water, etc )
High wet well level
p
Yes
Yes
91 Yes
El Yes
FO Yes
Yes
rally inspstion
condition at this station (ioe. pump falitare,
e notification/alarm system operable"
explain:
The auto -dialer wa
in the off position during weekly inspection:
failed, when was the last tt7aintenance and/ tnspoctitan performed
8/2016
speoiticaily was checked/maintaind
imp 000ration, alarm operation clean
a valve fatted; when was It Last exercised?"
II
o alternate
tic any pump shshow above no at roan tirrio prior
and
ri Yes- No NA NE
Yos E.A. No Fj NA NE
Irt the EEO event? 'Yes No n NA NE
SO Form
Page:.

07-22-16 15:59 FROM-LIN CO Public Works 704-736-8499 T-786 F0002/0017 F-699
Dhision of Wier Resources
PART
This form shall be submitted to the apprraft
i
overflow (SSO),
Permit Number WCIC$00149
n County CollectionCHecon System
Owner: East Lincoln County Water & Sewer Dist
State of North Carolina
Department of Environment and Natural Resources
Division of —Water Resources
Collection System Sanitary' Sewer Overflow Reporting Form
Form CS-SSO
City: Denver
County: Lincoln
n f
otherwse use WQCSD#)
e of the sanitary sewer
Incident #: 201601287
Region: Mooresville
Source of SSO (check applicable), Sanitary Sewer El Purnp Station 1 Lift Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - Le, Pump Station 6,
Manhole at Westall & Bragg Street, etc):
Manhole #
Lift Station 28 4474 Durten Ln
Latitude (degrees/minute/second):
Incident Started Dt: 07/20/2016
Time: 602 prn
(llrn-dd-WYY)
Estimated Volume uf the SSO: 20,000
Longitude (degreesiminute/second)
Incident End Dt: 20/2016 Time: 06:48 pm
(hh:mm AM/PM) Kici-YYYY) (hh:mm AMJPM)
gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined -
Estimation of Pump Run Times
Weather conditions during the SSO event: Clear and Dry
hour
Did SSO reach surface waters?
Yes 0 No ij Unknown
Surface water name CATAW A RIVER (Lake Norrnan below elevation 780
Did the SSO result in a fish kill? El Yes El No Unknown If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the $$0:
El Pump Station Equipm Other (Please explain i
24 hour verbal notification (name of person contacted ) George Jones
Volume reaching surface waters (gals):
DWFt Et Emergency Mgmt Dote (mm-dd-yyy): 2016/07/2
Time (hh:mm A
IP ):
15000
08:61:00 pm
If an SSO is ongoing, please net' he appropriate Regional Office on a daily basis until SSO can be stopperl
Per G.S. 143-215,1C(b), the responsible party of a discharge of 1,000 or more of untreated wastewater to surface waters
shall issue a press release within 48-hours of first Knowledge to all print and electronic news media providing general
coverage in the county where the discharge occurred. When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30
days. Refer to the reference statute for further detail,
The Director, Division of Water Resources, may tak en
Division unless it is demonstrated that:
c
0
red to h
to
the discharge was cause by sever natural conditions and there were no feasible alternative to the discharge; or
2 the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the
Permittee and/or owner, and the discharge could not have been prevented by the exercise of reasonable control
be completed to provide a justification claim for either of the above situations: This information will be the basis
WHETHER OR NOT PART III IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM
CS-SSO Form
Page: 1

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499
T-786 PO 1 017 F-699

Violator:
Case #:
SSO Date:
Incident #:
ASSESSMENT FACTORS G. "643B-282
1. Harm:
2. Duration and Gravity of the Violation
3. Effect on Water Quantity or Quality:
4. Cost of Rectifying Damage:
5. Amount saved by Noncompliance:
6. Violation was committed willfully or
intentionally:
7. Prior record of failing to comply with
Sanitary Sewer Overflows:
Enforcement Costs:
PENALTY AMOUNT:
Comments:
NCDEQ Division of Water Resources
Surface Water Protection Section
Sanitary Sewer Overflow Penalty Matrix
61S172.4c Assessor:
Date: