WQCS00325_Regional Office Historical File Pre 2018 (2)

Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
16 June 2008
Mr. Kevin Barbee, Mayor
P.O. Box 699
Stanfield, NC 28163
Subject: Compliance Evaluation Inspection
Town of Stanfield Wastewater Collection System,
Deemed Permitted
Stanly County
Dear Mr. Barbee:
1. Mr. Ron Boone and Ms. Barbara Sifford of the NC Division of Water Quality (DWQ), Mooresville Regional Office
(MRO) conducted a compliance evaluation inspection (CEI) of the Town of Stanfield's wastewater collection system
(WWCS) on 4 June 2008. The assistance and cooperation provided during the CEI by Mr. Tom Tucker, system
operator in responsible charge (ORC) and Mr. Steve Hinson, system backup ORC, was helpful and appreciated. An
inspection report is attached for your records.
DOCUMENTATION REVIEW
2. Stanfield's WWCS is currently deemed permitted pursuant to NC Administrative Code 15A NCAC 02T.0403. This
rule includes several requirements with which the owners of deemed permitted WWCSs must comply. These
requirements are detailed below along with Stanfield's compliance status with each.
A. 15A NCAC 02T.0403(a)(1): The sewer system is effectively maintained and operated at all times to prevent
discharge to land or surface waters, and to prevent any contravention of groundwater standards or surface water
standards.
Stanfield has only one sanitary sewer overflow (SSO) currently on record with DWQ, indicating that the system is
effectively operated/maintained. Inspection of the system revealed it to be in good condition and the management
practices of the operators are sound and effective. The town is currently compliant with this requirement.
B. 15A NCAC 02T.0403(a)(2): A map of the sewer system has been developed and is actively maintained.
Stanfield has a map of the collection system. The town should consider gathering some of the following
information for inclusion on the map or within a system specifications manual: 1.) Pipe sizes, 2.) Pipe locations,
3.) Pipe materials, 4.) Pipe slope, 5.) Pipe age, 6.) Flow direction, 7.) Pump station locations, 8.) Pump station
capacities, 9.) Pump station identifiers, 10.) Manhole locations, 11.) Manhole identifiers, 12.) Locations of valves
and other appurtenances and 13.) Number of active service taps in the system. The gathering/upkeep of this data
increases the town's ability to effectively operate/maintain the system. The town is currently compliant with this
requirement.
C. 15A NCAC 02T.0403(a)(3): An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
NorthCarolina
Naturally
North Carolina Division of Water Quality Mooresville Regional Office Surface Water Protection Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 610 East Center Avenue, Suite 301 Mooresville, NC 28115 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Deemed Permitted, Compliance Evaluation Inspection Page 2 of 5 •
Stanfield's operation/maintenance plan is not fully documented. Some operation/maintenance practices are done
simply from memory and/or habit. The town should fully document the plan as specified above to ensure
continuous proper operation/maintenance. The town is partially compliant with this requirement.
D. 15A NCAC 02T.0403(a)(4): Pump stations that are not connected to a telemetry system (i.e., remote alarm
system) are inspected by the permittee or its representative every day (i.e., 365 days per year). Pump stations that
are connected to a telemetry system are inspected at least once per week.
Stanfield's pump stations are equipped with telemetry and the town is inspecting them at least once per week.
Documentation of the inspections is also satisfactory. The town is currently compliant with this requirement.
E. 15A NCAC 02T.0403(a)(5): High -priority sewers are inspected by the permittee or its representative at least once
every six -months and inspections are documented.
Mr. Tucker stated during the CEI that there are no High -priority sewers (HPS) identified in the system. The town
is advised to reevaluate the WWCS for the presence of HPSs. HPSs are defined as aerial lines, sub -waterway
crossings, lines contacting surface waters, siphons, lines positioned parallel to stream banks that are subject to
erosion that could threaten the sewer lines, or lines designated as high -priority in a permit. Towns can also define
their own HPSs based upon their own judgment and/or experience. The town is currently compliant with this
requirement.
F. 15A NCAC 02T.0403(a)(6): A general observation by the permittee or its representative of the entire sewer
system is conducted at least once per year.
This requirement applies to the parts of the system that are off-street or otherwise obscured to a point where a
malfunction of that part of the system would not be immediately noticeable to the city's utility staff or a member
of the general public. Mr. Tucker stated during the CEI that there are no such parts of the system currently
identified. Due to the small size of the Stanfield system there may be very few, if any such areas. Nevertheless,
the town is advised reevaluate the WWCS for such areas, inspect them once per year and record the inspections.
The town is currently compliant with this requirement.
G. 15A NCAC 02T.0403(a)(7): Overflows and bypasses are reported to the appropriate Division regional office in
accordance with 15A NCAC 02B .0506(a), and public notice is provided as required by G.S. 143-215.1C.
As stated earlier, Stanfield has only one SSO on record with the Division and it was handled in accordance with
these requirements. The town is currently compliant with this requirement.
H. 15A NCAC 02T.0403(a)(8): A Grease Control Program is in place as follows:
1. For publicly owned collection systems, the Grease Control Program shall include at least bi-annual
distribution of educational materials for both commercial and residential users and the legal means to
require grease interceptors for new construction and retrofit, if necessary, of grease interceptors at existing
establishments. The plan shall also include legal means for inspections of the grease interceptors,
enforcement for violators and the legal means to control grease entering the system from other public and
private satellite sewer systems.
2. Grease education materials shall be distributed more often than required above if necessary to prevent
grease -related sanitary sewer overflows.
Stanfield currently does not have a Grease Control Program as described above. The town is currently non-
compliant with this requirement.

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I. 15A NCAC 02T.0403(a)(9): Right-of-ways (ROW) and easements are maintained in the full easement width for
personnel and equipment accessibility.
All ROWs inspected during the CEI were satisfactorily maintained to allow for the required access. However,
ROW maintenance must be better documented. The town is partially compliant with this requirement.
J. 15A NCAC 02T.0403(a)(10): Documentation shall be kept for all items required in 15A NCAC 02T.0403(a)(1)
through 15A NCAC 02T.0403(a)(9) for a minimum of three years with exception of the map, which shall be
maintained for the life of the system.
Documentation reviewed during the inspection was readily available and met requirements. However, not all
required documentation is currently being completed. The town should review in detail the documentation
requirements specified above and immediately initiate any documentation not currently being completed. The
town may consult with Mr. Boone or Ms. Sifford on any questions about documentation. Overall, the town is
partially compliant with this requirement.
3. There are other WWCS management tools that Stanfield may want to consider investing in. These tools are typically
requirements of standard individual NC WWCS permits or are simply standard tools typically employed in larger
utility systems to facilitate improved operation and maintenance of the systems. These tools include but are not
limited to: 1.) Root control program, 2.) Line cleaning program, 3.) Spill response action plan (SRAP), 4.) Capital
improvement plan (CIP), 5.) Contingency plan for pump station failure, 6.) Complaint log and 7.) Schedule for the
testing of emergency and/or standby equipment.
FIELD REVIEW
4. Pump Stations: Stanfield has one lift station and one pump/vacuum station. Both were inspected during the CEI.
A. Hwy 200 Pump/Vacuum Station: This is the system's main pump/vacuum station. It is located on the east side
of NC Hwy 200 about 0.2 miles south of the intersection of NC Hwy 200 and Big Lick Road. This station
collects all the town's wastewater. The majority of the WWCS is vacuum, but with some smaller tributary
sections of gravity sewer, low-pressure sewer and force main from the town's only other lift station (Willow Street
lift station). This station pumps the town's wastewater into a force main, which then combines with another force
main from the Town of Locust, at the intersection of Big Lick Road and Elm Street. All wastewater then flows to
the Town of Oakboro for treatment and disposal.
The station is well maintained and fully operational. The wastewater is pulled from the WWCS through three
vacuum pumps into a 3,000-gallon vacuum tank and is then pumped to Oakboro through two centrifugal pumps.
The small size of the vacuum tank provides for very little storage capacity (about three hours worth). The town
installed an emergency pumper connection on the force main on the discharge side of the centrifugal pumps, but
has not purchased an emergency pump to use in the event that the power and generator or the centrifugal pumps
fail. The town should consider purchasing an emergency portable pump that is configured for quick connection to
the emergency pumper connection.
The station is equipped with audible and visual alarms, as well as telemetry and an emergency generator. All
equipment was operational. The station is normally checked every day and the emergency generator runs
automatically under load once per week. The generator was tested during the CEI and performed without error.
The station is well secured and an emergency notification sign with all the required information is posted on the
gate. All required documentation was on site at the pump station.
B. Willow Street Lift Station: This station collects wastewater from Hilbert's mobile home park and the western
part of town and pumps it into the town's vacuum system. It is located on the south side of the mobile home park,

immediately south of Circle Drive. It too has both audible and visual alarms, telemetry and a generator. It has
two submersible centrifugal pumps. The generator was not tested during the CEI but the alarms and telemetry
were. They were fully operational. The station is well secured and an emergency notification sign with all the
required information is posted on the gate. The station is well maintained and was fully operational during the
CEI. The only discrepancy noted was a considerable amount of grease and debris in the wet well. This is
indicative of the town's failure to develop and implement an effective grease education program as mentioned
above in paragraph 2(H) and required by 15A NCAC 02T.0403(a)(8). Although no SSOs have yet been reported
at this station failure the properly control and/or remove the grease may eventually lead to an SSO. Mr. Tucker
stated that this station is the worst spot in town for grease. As such, the town may wish to concentrate its initial
effort in developing its grease control program at this mobile home park.
5. Manholes:
A. Manhole at East End of Willow Street: There was no flow in this manhole at the time of the inspection. There
was some evidence of infiltration at the seam of the upper and lower concrete manhole rings. The seam should be
properly sealed to prevent infiltration. There were no sinkholes or depressions and the inverts and flow channel
were in good condition. There was no standing water or solids in the manhole.
6. Vacuum Buffer Pits:
A. Vacuum Buffer Pit in Front of Police/Utility Department Building, Concord Street: This pit has one vacuum
valve in it and appeared to be in good condition. The only discrepancy noted was that the pit was about half full
of water and the valve was submerged. Mr. Tucker stated that the water was the result of direct inflow off the
parking lot for the building. He also stated that the vacuum buffer pits are the worst location for inflow in the
system and that they often have to pump water out of the pits.
B Vacuum Buffer Pit at Northwest Corner of West Stanly Road and North Love Chapel Road: This pit has
two vacuum valves in it. The vacuum operated during the inspection and everything appeared to function
normally. Mr. Tucker stated that one of the valves was inoperable and was scheduled for repair. The extended
vent for this pit should be screened to prevent critters from entering the vent and reducing its efficiency or
completely obstructing it.
C. Vacuum Buffer Pit in Front of Wayside Restaurant on Southeast Corner of Rig Lick Road and NC Hwy
200: This pit has a single vacuum valve in it. Mr. Tucker manually tested the valve during the CEI and it
functioned correctly. The extended vent for this pit should be screened to prevent critters from entering the vent
and reducing its efficiency or completely obstructing it.
D. Vacuum Buffer Pit at Northeast Corner of the Old Dixie Yarns Plant: This pit has two vacuum valves in it,
both of which operated properly during the CEI. This pit receives all of its flow from the ground water
remediation system for the old Dixie Yarns Plant. Total flow through this pit is about 10,000 gallons per day
(GPD), which is approximately one -quarter of the town's total flow of 40,000 GPD. This is essentially clean
ground water. The extended vent for this pit should be screened to prevent critters from entering the vent and
reducing its efficiency or completely obstructing it.
E. Vacuum Buffer Pit in Front of 119 Oak Lane in the Austin Oaks Subdivision: This pit has a single vacuum
valve in it. The extended vent for this pit should be screened to prevent critters from entering the vent and
reducing its efficiency or completely obstructing it. Mr. Tucker stated that this was one of the pits that receives
considerable inflow/infiltration (I&I). There was water stain on the walls of the pit indicating a considerable
amount of I&I. The town should consider a project to seal all vacuum pits properly to prevent the I&I
CONCLUSION

Deemed Permitted, Compliance Evaluation Inspection
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7. Please note that the Director of DWQ can require the Town of Stanfield to obtain an individual NC WWCS permit if
she determines that it is necessary based on the existing or projected environmental impacts of the Stanfield WWCS
or if the town fails to comply with the conditions of 15A NCAC 02T.0403. Also, the town should understand that
15A NCAC 02T.0403 implements NC General Statute (NCGS) 143-215.1 with regards to WWCSs with flows of less
than 200,000 GPD. Failure to comply with any condition of 15A NCAC 02T.0403 is also a failure to comply with
NCGS 143-215.1, for which the Department has been delegated the authority to assess civil penalties not to exceed
$25,000 per day in accordance with NCGS 143-215.6A.
8. Overall, Stanfield is currently considered compliant. However, we ask that you reply to this letter within 30 days of
receiving it to provide any additional information and respond to the observations listed above in paragraphs 2(C),
2(H) through 2(J), 4(A) and 4(B), 5(A) and 6(A) through 6(E). Please provide narrative corrective actions as well as
an implementation timelines with estimated completion dates for each item. Should you have any questions about the
inspection, this report or the required response, please contact Mr. Boone at 704-663-1699.
Sincerely,
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office
Attachments:
1. BIMS Compliance Inspection Report
2. Copy of NC Individual WWCS Permit Shell
3. Copy of 15A NCAC 02T.0403
CC: System ORC — Thomas Tucker
Stanfield Utility Commissioner — Terry Williams
PERCS Unit Files
4.7411MR-Sules

Compliance Inspection Report
Permit: WQCS00325
SOC:
County: Stanly
Region: Mooresville
Effective:
Effective:
Contact Person: Kevin Barbee
Directions to Facility:
System Classifications:
Primary ORC: Thomas M Tucker
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On -site representative
Related Permits:
Inspection Date: 06/04/2008
Expiration:
Expiration:
Owner: Town of Stanfield
Facility: Stanfield Collection System
Title: Mayor Phone: [phone]
Certification: 990224 Phone: [phone]
Thomas M Tucker Phone: [phone]
Thomas M Tucker Phone: [phone]
Primary Inspector: Ron Boone
Secondary Inspector(s):
Barbara Sifford
Entry Time: 08:00 AM Exit Time: 12:00 PM
Phone: [phone]
Ext.2202
Phone: [phone] Ext.2196
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Collection system management and operation
Facility Status: • Compliant D Not Compliant
Question Areas:
■ Miscellaneous Questions
Monitoring & Rpting
Reqmts
■ Lines
■ Performance Standards
111 Inspections
(See attachment summary)
■ Operation & Maint Reqmts ■ Records
II Pump Station • Manhole
Page: 1

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
See attached letter. The towns of Locust and Stanfield share a common force main through which both towns pump all of
their wastewater to the town or Oakboro for treatment. The force main was built around 1998. Both towns paid Stanly
County approximately $50K/year for ten years to finance the line. The line is approximately 22.5K feet of 12" pipe. The
force main is actually permitted to the town of Locust but there is an intergovernmental agreement between the two towns
to share use, operation and maintenance of the line. Town of Locust just recently installed a new flow meter in the line just
before flow combines with that from Stanfield. The new meter is located on the east side of the Elm Street about halfway
between Hwy 200 and Big Lick Road. The Town of Stanfield also has a meter installed on their main before it combines
with flow from Locust. It is located on Big Lick Road.
Page: 2

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Performance Standards
Is Public Education Program for grease established and documented?
What educational tools are used?
No program has been established or implemented.
Is Sewer Use Ordinance/Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced?
Is Grease Trap Ordinance available?
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
List enforcement actions by permittee, if any, in the last 12 months
Not evaluated due to time constraints.
Has an acceptable Capital Improvement Plan (CIP) been implemented?
Does CIP address short term needs and long term \"master plank" concepts?
Does CIP cover three to five year period?
Does CIP include Goal Statement?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Is CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Town is not permitted and CIP is not required.
Is system free of known points of bypass?
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
Yes No NA NE
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Page: 3

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program?
# If yes, date implemented?
Describe:
Comment: No root control program established.
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
Comment: Town has not identified all high priority lines and has not developed system
to inspect them semi annually.
Operation & Maintenance Requirements
Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment?
What is the schedule for testing emergency/standby equipment?
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Page: 4

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
Inspecting alarms, telemetry and auxiliary equipment?
Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of an emergency?
Are system cleaning records available?
Has at least 10% of system been cleaned annually?
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
Comment: Town should begin maintenance records of right-of-ways and should
develop and implement a line cleaning program. The town currently does not have a
Spill Response Action Plan (SRAP).
Records
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
If yes, is there a corrective action plan?
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Page: 5

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is a map of the system available?
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
# Does the permittee have a copy of their permit?
Comment: System map was not reviewed in detail. Town is not currently permitted.
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1C?
# Is permittee compliant with all compliance schedules in the perrhits?
If no, which one(s)?
Comment: Town is not yet permitted.
HWY 200 PS - Approximately 0.2 miles SE of
Big Lick Rd/East Stanly Street
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
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Duplex
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Page: 6

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
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Yes
Page: 7

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: Station is actually a vacuum/pump station and provides vacuum for the
collection system as well as pumps the wastewater received to Oakboro. The vacuum
tank at this station is 3K gallons which Mr. Tucker stated was only about 3 hours of
storage capacity should something go wrong with the pumps that pump the wastewater
to Oakboro. The town has installed an emergency pumper connection on the line in the
pump room, however they do not have a pump on hand that quickly connects to the
pumper connection. It may be wise for the town to consider buying an emergency back
up pump and have it configured to connect quickly to the emergency pumper
connection.
MANHOLE #1 - Located on Willow Street (dirt
portion) about 100' north of the Willows Str PS
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: There was no flow at the time of inspection but the MH seemed clean and
in good repair. There was some evidence of infiltration at the seam of the upper and
lower MH rings. The seams should be properly sealed/repaired to prevent I&I.
VACUUM BUFFER PIT #1 - In parking lot in
front of Police Dept/Utility Dept Bldg on
Concord Street
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Yes No NA NE
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Yes No NA NE
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Page: 8

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is the manhole free of visible signs of overflow? ■ n n n
Is the manhole free of sinkholes and depressions? ■ ❑ ❑
11
Is manhole cover present? ■ ❑ n n
# Is manhole properly seated? ■ n n n
# Is manhole in good condition? ■ n n n
# Is invert in good condition? ■ n n n
Is line free -flowing and unrestricted in manhole? • n n n
Is manhole free of excessive amounts of grease? ■ ❑ ❑ ❑
Is manhole free of excessive roots? ■ n n n
Is manhole free of excessive sand? ■ n n n
Is manhole's extended vent screened? n n • n
Are vents free of submergence? ❑ ❑ • ❑
Are manholes free of bypass structures or pipes? ■ n n n
Comment: Manhole is actually a vacuum buffer pit. Vacuum valve, pit and other
components all appeared to be in good condition. Pit was about half full of clean water
which Mr. Tucker said was inflow from precipitation on the parking lot. Mr. Tucker stated
that the vacuum buffer pits are typically the town's worst location for inflow and that they
often have to pump the pits out. No other problems were noted at this buffer pit.
VACUUM BUFFER PIT #2 - NW corner of West
Stanly Road and North Love Chapel Road
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Yes No NA NE
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Page: 9

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: This is actually a vacuum buffer pit with two vacuum valves in it. The
extended vent should be screened to prevent critters from entering the vents. One of
the vacuum valves was inoperable at the time of the inspection and Mr. Tucker stated
that they would repair it soon. The vacuum operated during the inspection and
everything seemed to be operating just fine.
VACUUM BUFFER PIT #3 - In front of the
Wayside Restaurant on St corner of Big Lick
Rd and Hwy 200
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: This is actually a vacuum buffer pit. This buffer pit had a single vacuum
valve that Mr. Tucker manually tested. The valve functioned properly. The extended
vent on this buffer pit should be properly screened to prevent critters from entering and
possibly clogging the vents or reducing the vent's efficiency.
VACUUM BUFFER PIT #4 - At the NE corner of
the old Dixie Yarns Pit, just otf of Hwy 200
■ nnn
n■nn
■ nnn
■ nnn
Yes No NA NE
■ nnn
■ nnn
■ nnn
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■ nnn
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■ nnn
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■ nnn
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non El
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Page: 10

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: This is actually a vacuum buffer pit. This buffer pit has two vacuum valves.
The valves operated and functioned properly during the inspection. The extended vent
on this buffer pit should be properly screened to prevent critters from entering and
possibly clogging the vents or reducing the vent's efficiency. All flow through this buffer
pit comes from the ground water remediation (GWR) plant for the old Dixie Yarn plant
(plant effluent). There is a flow meter in line just before the buffer pit. The water is very
clean. The GWR plant pumps about 10K gallons per day (GPD) into the collection
system, which is about 1/4 of the approximate 40K GPD that Stanfield pumps to
Oakboro.
VACUUM BUFFER PIT #5 - In front of 119 Water
Oak Lane in the Austin Oaks Subdivision
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
Yes No NA NE
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
n■nn
■ nnn
■ nnn
Yes No NA NE
■ nnn
■ nnn
■ nnn
■ nnn
■ nnn
■ npn
Page: 11

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: This is actually a vacuum buffer pit. This buffer pit has a single vacuum
valve. The extended vent on this buffer pit should be properly screened to prevent
critters from entering and possibly clogging the vents or reducing the vent's efficiency.
WILLOW STREET PS - At south end of Willow
Street, on south side of Hilbert's mobile home
park
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
® nnn
■ nnn
■ nnn
■ nnn
■ nnn
anon
n ■nn
■ nnn
■ nnn
Yes No NA NE
Duplex
■ nnn
■ nnn
■ nnn
■ n❑n
■ nnn
n ■nn
• 000
■ nnn
n ■nn
n n■n
® nnn
■ nnn
■ nnn
■ 000
■ nnn
Page: 12

Permit: WQCS00325 Owner - Facility: Town of Stanfield
Inspection Date: 06/04/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: Considerable amount of grease in wet well. Pumps run approximately 3/10
hour per day. PS inspected weekly. Generators runs automatically under load once per
week. Station is permitted at 49K GPD, a bit over half of the town's overall permitted
flow of 89K GPD.
■ nnn
■ nnn
■ nnn
,■nnn
■ nnn
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■ nnn
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■ nnn
■ nnn
■ 000
■ nnn
■ nnn
■ nnn
■ n n n
■ nnn
■ 000
Yes, approximately 300
hour difference.
Page: 13

of WAT9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Issue Date
«Owner_Affiliation», «Owner_Affiliation_Title>
«Owner_Name»
«Owner Affiliation Mail Addressl»
«Owner_Affiliation_City», «Owner_Affiliation_State» «Owner_Affiliation_Zip»
Subject: DRAFT Permit No. «Perrnit_Number»
«Owner_Name»
«Facility_Name»
«Facility_County» County
Dear «Owner Honorific»:
In accordance with your application received on «Application_Received», as well as the additional
information received on Date, we are forwarding herewith Permit No. «Permit_Numbern, dated Date,
to «Owner_Name» for the operation and maintenance of the subject wastewater collection system.
This permit shall be effective from the date of issuance until Date (renewal date - no more than 5 years
from permit issuance). This permit 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
reporting requirements in this permit. Compliance schedules requiring action and regional office
notification are shown in bold. A summary of your schedules are presented below:
Permit Condition
Activity
Compliance Date
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 Permittee 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 a SSO will be determined 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).
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

«Owner_ Honorific»
DATE
Page 2
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a 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:
1. Report by telephone to a Division of Water Quality staff member (not 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 theS SO is known or discovered. To report
outside of regular business hours, call [phone]/
2. Follow up the verbal report by sending a complet d written'report on the most current Division
approved form within five days.
To provide a uniform method for all systems coverer des permi .nd to provide useful and
consistent information pertaining to SSOs, a newsill rep, ting forme as b: en developed (October
2003). Form CS-SSO consists of two parts. Part I serves to rovide to the sivisi... the required information
that has always been necessary. Part II serves as.., n a a,t/ ovide a ju ` ficahi.n for the spill, as
optional under Condition 1(2) of your permit. Form SS cane downloa:- from
http://h2o.enr.state.nc.us/percs from the ollection Sy ems o ea.
thee
An NOV, civil penalty, and/or a moratoria o
adequate justification for an SSO is NOT sub
justification of an SSO, you mu0--
DWQ staff will review the justif'
be advised that the inform a Pion n
immediately to report SSOs '.m t
bypasses at the wastewater tre.tme
Part I and Part II, ifp i t, is five
Failure to abide the ¢E
parts, requirements, .r liri't1 ati
request an adjudicate
permit. This request must`"
Carolina General Statutes, c d
Raleigh, NC 27699-6714. Unless,
he Form
im an
justify
a� 'c
Ilecion syst
plar`rt \ urt h� Lice. The time frame for submittal of both
ays. \\
,ma 'subject the Permittee to enforcement action. If any
s permit are unacceptable, you have the right to
on:,written quest within thirty days following the receipt of this
e,\f)orm` f a written petition, conforming to Chapter 150B of the North
fil d with the Office of Administrative Hearings, 6714 Mail Service Center,
uch de' ands are made, this permit shall be final and binding.
` ddition
to t':.regio
ith ditio
-rmineif e
spiki eve
e to the system may be issued if
e. In order to submit a claim for
documentation as necessary.
rcement action is appropriate. Please
omprehensive. Begin using this form
ontinue to use our old form for reporting
If you have questions regarding compliance contact your regional office or Jeff Poupart of the
Pretreatment, Emergency Response and Collection Systems Unit of the North Carolina Division of Water
Quality at [phone] extension 527. If you need additional information concerning this permit,
please contact REVIEWER in the Pretreatment, Emergency Response and Collection Systems Unit at
[phone] extension xxx.
Sincerely,
DRAFT
Alan W. Klimek, P.E.
cc: «Facility_County» County Health Department
Wastewater Collection System ORC/PUD, «Owner_Name»
«Adrnin_Region» Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit
Water Quality Central Files
PERCS Files
2 DRAFT PERMIT NUMBER«Permit_Number»
11/06

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 14q, ener Statutes of North Carolina as
amended, and other applicable Laws, R /es, andX egulations
PERMISSION IS HEREBY
« caner
/
l /
«Facility] cunt
operation and maintenance of a wastewater col
issuance, approximately Number rn` s of
approximately Number miles of pr/ssure sew
simplex pump stations that disch{ rge t
simplex pump stations without per
duplex pump stations, and.all asssocia
ater
complete and operation`
permitted satellite co
Name/s subject to thei
on c(Application_Receivec%,;1an
supporting data subsequent' ,file
Resources and considered a p
avity se
appro
esslre sewn
mp'r_eliability"� hat�serve more than one building, Number
d piping, va� and c� purtenances required to make a
IIecf Qr ystem` serve the ccOwner_Name» and any deemed
as er collection system serving the Enter Satellite
m permit, pursuant to the application received
documents referenced therein and other
the Department of Environment and Natural
onsis�ti >cof, at the time of permit
proximly Number miles of vacuum sewer,
imately,,' -.mb' r miles of force main, Number
an sere a single building and Number
This permit shall be effective from the ate,issuance until Date (renewal date- no more than 5 years
from permit issuance) and shall be subje' o the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Waste Facility
Name Wastewater Treatment Facility (Permit Number) prior to being disposed into the receiving
stream/spray irrigation system/drip irrigation system/rotary distribution system/reclaimed water
utilization system. This collection system permit will be referenced upon renewal or modification
of your NPDES permit(s).
1 DRAFT PERMIT NUMBERccPermit_Number»
11/06

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.
The Director may take enforcement action against the Permittee for SSOs that must be reported
to the Division as stipulated in Condition IV(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; t�
the SSO, such as the use of auxiliary treatment faci
wastewater, reduction of inflow and infiltratiory
an increase in the capacity of the system. This
of reasonable engineering judgment, they
additional collection system component: was water re
adequate back-up equipment or sho �d hay, reduced inflo
b) the SSO was exceptional, unintentional, ThempOrgy cand caused
were no feasible alternatives to
ntion of untreated
equate back-up equipment, or
of satisfied if, in the exercise
ve installed auxiliary or
or treatment facilities,
•nfiltration; or
tors beyond the
reasonable control of the Perm ttee; the SSc could nyt have been vented by the
ement, operation and
system facilities or components
s to accommodate growth or
); preventive maintenance;
exercise of reasonable control` suckas prope an
maintenance; adequate treat
(e.g., adequately enlarging trea
adequately controlling and preve
or installation of ade, ate ck-up
The Permittee can submit clai
of this condition. The Per)#;tee F
required by Condition IV(2) (t
enforcement actin CS -
for any claims. T, Permit�tpeehas t
3. The Permittee sPr 11 es
constructed; to en
address flows from sa
1(4)
The Permittee shall develop
months of permit issuance. A c
«Admin_Region» Regional Office,
condition.
ent fa .ties or c ecti
e rtor c ection'
ing7rfitrat
cilit
ands
ent; �~\
the,Divisior`` Regio ce that the SSO meets the criteria
e option oft bMi ing this claim along with the spill report
in five ys) in rde to be considered for immunity from
Partll`o �mo -cur nt Division approved form, shall be used
,f pro f that the above criteria have been met.
dinan e its gal authority to require new sewers be properly
tion d• esting of sewer mains and service laterals; to
d to to e enforcement action as required by Condition
an ordinance meeting this permit condition within 12
the adopted ordinance shall be provided to the
urface Water Protection Section to show compliance with this
4. The Permittee shall develop and implement an educational fats, oils and grease program
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.
The Permittee shall develop and implement an inspection and enforcement program for fats, oils
and grease within 12 months of permit issuance. A copy of the program materials shall be
provided to the «Admin_Region» Regional Office, Surface Water Protection Section to show
compliance with this condition. This schedule does not include the educational component of
the program. Educational materials shall be distributed at least annually, with increasing
frequency and targeted areas as grease related blockages are noted.
5. 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
2 DRAFT PERMIT NUMBER«Permit_Number»
11/06

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.
The Permittee shall develop and present a Capital Improvement Plan meeting this permit
condition for adoption within 12 months of a permit issuance. A copy of the Capital
Improvement Plan shall be provided to the «Admin_Region» Regional Office, Surface Water
Protection Section to show compliance with this condition.
6. 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 p • ng connections are allowable for
portable pumping or rerouting without intentionally bypq ing th wastewater treatment facility.
7. The Permittee shall maintain a contingency plan for p mp failur at each pump station. If one
of the pumps in a pump station containing multipl uth rocess of repairing or
replacing the pump shall be initiated immediate.) an ,thy new arts` .r pump shall be installed
as soon as possible. If the pump in a simplex p' p stq 'on fails, it s aII b replaced immediately.
8. Each pump station shall be clearly and consp sous po 1 with a p p s tion identifier and
an emergency contact telephone number at m wh h a divi ual who c ,i itiate or perform
rs
emergency service for the wastewate' jlectioniyst m 24„hSours per day, seven days per week
can be contacted. This emergency v' chtelephon um er shall be coupled with
instructions that the emergency contat should b calle `i the isual alarm illuminates, if the
audible alarm sounds, or if an emergenc'is Cibp
The Permittee shall a post sig age' all pug s ibns meeting this permit condition within 3
Adm months of permit issuance: he «i Regio Region • .Offi%e, Surface Water Protection
Section shall be notified 'pon ca:06han
e with this c ditio \
9. Pump station sites, equipmen an omp nts shd I h e restricted access, per 15A NCAC 2T
.0305(h) (4).
The Permittee sttbII restrict ac
Minimum restri?'ted a ss�h�al�'ke loc
although fencing i 'deco me de „The «
Protection Section sh the . otifi ,d upon
p ' ti ns within one month of permit issuance.
et well access covers and all control panels
Region» Regional Office, Surface Water
compliance with this condition.
10. Pump stations that do no mp an ' utomatic polling feature (i.e. routine contact with pump
stations from a central location to chef k operational status of the communication system) shall
have both audible and visual h, ater alarms. The alarms shall be weather-proof and placed
in a clear and conspicuous locati n. 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.
11 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.
12. All 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 shall not result in the violation of Condition (I) (2) of this
permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the collection system by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified
3 DRAFT PERMIT NUMBER«Permit_Number»
11/06

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 can not 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 pu stdf' n inspection and maintenance
program, which shall include, but not be limited to, the,: 'lowing maintenance activities:
a. Cleaning and removing debris from the pump s ation\strueture, outside perimeter, and
wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and her` ec"ducal equip is enf`'according to the
manufacturer's recommendations; and \_
d. Verifying the proper operation' fie alarms, tem system and auxiliary equipment.
5. For each pump station without pump re[iab�ity simple ?u stations serving more than a
single building or pump stations not cap le�~t,pum "ng at date; f 2.5 times the average daily
flow rate with the largest pum t of service), t`feast o>'ne fully erational spare pump
capable of pumping peak/f w sha ' _e main ain d on hands,
6. The Permittee shall maint in on;' at' east tw per¢ent the number of pumps installed, but
no less than two pumps, th dis ' .ar e t _a pressures er and serve a single building, unless
the Permittee has the_.ability to urchase an install`dtr lacement pump within 24 hours of first
knowledge of the/ imple`'-ump ilure` thin e torage capacity provided in any sewer line
extension perm.
7. Rights -of -way an ore se nts all b ` rop rly maintained to allow accessibility to the
wastewater collects syst m ` gess\the Pe tee can demonstrate the ability to gain
temporary access in a` em e y situation where existing land -use conditions do not allow the
establishment and maint ickdncf pe manent access. In this case, the Permittee shall continue
to observe the lines visually, 'lize rerpl to inspection methods (e.g. CCTV) and use the
opportunity of drier conditions p' orm 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
4 DRAFT PERMIT NUMBER«Permit_Numben>
11/06

h. 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 a 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.
III. RECORDS
1. Records shall be maintained to document compliance wit
IV(3) and V(1) -V(4). Records shall be kept on file fora m." imum
2. The Permittee shall maintain adequate records pertai"` ing to SS� , and complaints for a
minimum of three years. These records shall includes b arej>it li ited to, the following
information:
a. Date of SSO or complaint; /
/
b. Volume of wastewater released as a resultkpf the
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO; / `-
e. Individual from the Division who l.as nfor+ed abo
applicable;\\`
f. Final destination of the SSO; \.
g. Corrective actions; ,�.._ _. \ .
h. Known environmental/ " uman h` Ith im
i. How the SSO was dis
3. The Permittee shall maintain i tr
collection system
become tributa
rough sketch s
collection system
comprehensive ma
flow direction, approxi
identification, location an
t
note
ditions 1(4), 11(2) - 11(4), 11(7) - 11(8),
f three years.
d/or natu
resulting)
mplaint;
SO and/or complaint, when
the SSO; and
mprehensive map of its wastewater
ther wastewater collection systems
ollection system has not been established,
allfap approximately 10 percent of its existing
next k n y ars, or until complete, whichever is sooner. The
but is no ' iced to: pipe size, pipe material, pipe location,
e; ge \number of active service taps, and each pump station
cap {city.
he locations
ehen`i:`e 'fthe,
re
4. The Permittee shall maintain re•ords f all of the modifications and extensions to the collection
system permitted herein. The Per tf tee shall maintain a copy of the construction record
drawings and specifications for modifications/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.
a
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
«Admin_Region» Regional Office, at telephone number «Regional_Phone» 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:
5 DRAFT PERMIT NUMBER«Permit_Number»
11/06

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 [phone] 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 notific- on requirements provided in North
Carolina General Statute § 143-215.1 C. /
V. INSPECTIONS
The Permittee or the Permittee's designee shaWinspe,
regularly to reduce the risk of malfunctions a4clete7
that may cause or lead to the release of wastes t the
create nuisance conditions. The Permi ` shall kee a
a minimum, the date and time of inspection` gzservati
repairs, or corrective actions taken by tine P rmit
2. Pump stations without Supervisory„ Control
days p
inspecte l„at leas
en`fire Rolle
shall be inspected everyday/ ..e.
systems or telemetry shank
3. A general observation of f
of every year.
4. Inspections of all,.-
waters, siphon4,k
manner that m
performed at least
presented as Attach
priority lines installed or i
subject to this permit co
Attachment A.
er eery`six mo
andF(s hereby incorporated into this permit condition. New high
ntifi:d`.fter:permit issuance are incorporated by reference and
ndi n until pe mit renewal where they shall be referenced in writing in
/i
the wastewa
o operator
n ins/
ection system
rrorrs�',and other issues
human health or
ection log or summary including, at
e, and any maintenance,
a: a Aquisitiot S ADA) systems or telemetry
Pump stations equipped with SCADA
once p*w
l
m s'hall be performed throughout the course
tion sys
`"?ra�Jine, / -waterway crossing, line contacting surface
arall .to s't.ea?i b.nks that are subject to eroding in such a
wer li oar t+ie designated as high -priority in a permit) shall be
aeriod of time. A list of high -priority lines is
6 DRAFT PERMIT NUMBER«Permit_Numben)
11/06

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 fr
statutes, rules, regulations, or ordinances that may be imp
(i.e., local, state, and federal) having jurisdiction, includi'
buffer rules in 15A NCAC 2B .0200, soil erosion and se
NCAC Chapter 4 and under the Division's General,
pertaining to wetlands under 15A NCAC 2B .020 , nd 5A
North Carolina Occupational Safety and Heat
4. The issuance of this permit does not prohibit th
permit, revoking and reissuing the permit or termini
and regulations contained in I5A NCA, hapter 2T
et. al., or as needed to address chan es int'"eral reg
collection system.
5. The Permittee shall pay the annual fee wit
Failure to pay the fee accor
as specified by 15A NCAC
nglyi ay caus th
T .0)e1 l') . -c/\
6. The Permittee shall requesNen
permit. Upon receipt of the r
wastewater collet +>sytem d
period of time a' d under s
appropriate.
7. The Permittee shalt\ otif
Systems Unit in writing
complying with any and all
other government agencies
limited to applicable river
control requirements in 15A
0, and any requirements
CA.2H 00and all applicable
nd sa :.ty s ndards.
reopenin nd : odifying the
mit as alto by the laws, rules,
Carolina General Statute §143-215.1
with respect to the wastewater
ays a rreing billed by the Division.
ivision :nitiate action to revoke this permit
al f t }s permit at least six months prior to the expiration of this
, the missiow,i review the adequacy of the
cribed herein nzdf warranted, will extend the permit for a
ion '''snstfirrions, as the Commission may deem
`isior�s Pre'tt 9 nent, Emergency Response and Collection
1;Z Md)I Service Center, Raleigh, North Carolina 27699-1617 of any
changes to the name ai/or ress ,•f the responsible party (i.e. mayor, city/town manager)
of the wastewater collectio system. )
8. Any duly authorized officer, emoy e, 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.
The following condition will be used in permits for collections systems that are tributary to a
collection system under separate ownership:
9. This permit shall become voidable unless the agreement between «Owner_Name» and Waste
Facility Name for the collection and final treatment of wastewater is in full force and effect.
7 DRAFT PERMIT NUMBER«Permit_Number»
11/06

The following condition will be used in permits for private collection systems that are required to
execute an Operation Agreement in accordance with 15A NCAC 2T.0115:
10. The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and is a condition of this permit.
Noncompliance with the lerms of the Operational Agreement shall subject the Permittee to all
sanctions provided by North Carolina General Statute § 143-215.6A through § 143-215.6C for
violation of or failure to act in accordance with the terms and conditions of this permit.
Permit issued this the Date day of Date, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DRAFT
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Com Sion/2
<,\N
Permit Number «Permit_ Number»
8 DRAFT PERMIT NUMBER«Permit_Number»
11/06

SECTION .0400 — SYSTEM -WIDE COLLECTION SYSTEM PERMITTING
15A NCAC 02T .0401 SCOPE
The rules of this Section apply to system -wide collection systems pursuant to G.S. 143-215.9B, where the
Director may issue system -wide permits for collection systems relating to operation and maintenance of
sewers, pump stations, force mains and all appurtenances.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B;
Eff. September 1, 2006.
15A NCAC 02T .0402 DEFINITIONS
The following definitions are used in this Section:
(1) "Collection system" means a public or private sewer system, consisting of sewer lines,
force mains, pump stations or any combination thereof that conveys wastewater to a
designated wastewater treatment facility or separately -owned sewer system. 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.
(2) "High -priority sewer" means any aerial sewer, sewer contacting surface waters, siphon,
sewer positioned parallel to streambanks that is subject to erosion that undermines or
deteriorates the sewer, or sewer designated as high priority in a Division issued permit
where the sewer does not meet minimum design requirements.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B;
Eff. September 1, 2006.
15A NCAC 02T .0403 PERMITTING BY REGULATION
(a) Collection systems having an actual, permitted or Division approved average daily flow less than
200,000 gallons per day are deemed permitted pursuant to Rule .0113 of this Subchapter provided the
system meets the criteria in Rule .0113 of this Subchapter and all specific criteria required in this Rule:
(1) The sewer system is effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
(2) A map of the sewer system has been developed and is actively maintained.
(3) An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory and overflow response has been
developed and implemented.
(4) Pump stations that are not connected to a telemetry system (i.e., remote alarm system)
are inspected by the permittee or its representative every day (i.e., 365 days per year).
Pump stations that are connected to a telemetry system are inspected at least once per
week.
(5) High -priority sewers are inspected by the permittee or its representative at least once
every six -months and inspections are documented.
(6) A general observation by the permittee or its representative of the entire sewer system is
conducted at least once per year.
(7) Overflows and bypasses are reported to the appropriate Division regional office in
accordance with 15A NCAC 02B .0506(a), and public notice is provided as required by
G.S. 143-215.1C.
(8) A Grease Control Program is in place as follows:
(A) For publicly owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of educational materials for both
commercial and residential users and the legal means to require grease
interceptors for new construction and retrofit, if necessary, of grease interceptors
at existing establishments. The plan shall also include legal means for
inspections of the grease interceptors, enforcement for violators and the legal

means to control grease entering the system from other public and private
satellite sewer systems.
(B) For privately owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of grease education materials to users of
the collection system by the permittee or its representative.
(C) Grease education materials shall be distributed more often than required in
Parts (A) and (B) of this Subparagraph if necessary to prevent grease -related
sanitary sewer overflows.
(9) Right-of-ways and easements are maintained in the full easement width for personnel
and equipment accessibility.
(10) Documentation shall be kept for Subparagraphs (a)(1) through (a)(9) of this Rule for a
minimum of three years with exception of the map, which shall be maintained for the life
of the system.
(b) Private collection systems on a single property serving an, industrial facility where the domestic
wastewater contribution is less than 200,000 gallons per day shall be deemed permitted.
(c) The Director may determine that a collection system should not be deemed to be permitted in
accordance with this Rule and Rule .0113 of this Subchapter. This determination shall be made in
accordance with Rule .0113(e) of this Subchapter.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B;
Eff. September 1, 2006.
15A NCAC 02T .0404 MULTIPLE COLLECTION SYSTEMS UNDER COMMON
OWNERSHIP
If a public entity owns multiple but separate collection systems (i.e., tributary to separate plants) and any
one is subject to an individual permit, all collection systems shall be covered under one permit. This shall
not be applicable to public utilities authorized to operate by the North Carolina Utilities Commission who
own several individual systems within the state.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B;
Eff. September 1, 2006.
15A NCAC 02T .0405 IMPLEMENTATION
(a) Permit applications for the initial issuance of a collection system permit shall be completed and
submitted to the Division within 60 days of the collection system owner's certified mail receipt of the
Division's request for application submittal. Permit renewal requests shall be submitted to the Director at
least 180 days prior to expiration, unless the permit has been revoked in accordance with 15A NCAC 02T
.0110. All applications must be submitted in duplicate, completed on official forms, and fully executed.
(b) Collection systems subject to an individual permit shall comply with the standards in Rule .0403 of this
Section until such time as their individual permit is issued.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B;
Eff. September 1, 2006.

Collection System SSO 24-Hour Notification
Collection System: Number and Name
Incident Number from BIMS
Incident Reviewed (Date):
Incident Action Taken: . BPJ
0c7 '
.„9.00 Ka 339 2
NOV-200-DV — 00 VV(.
Spill Date — /a ( Time — //- 69 pm
Reported Date — /p d$ Time — Al?. r ,_ am
Reported To SWP Staff or EM Staff — 1//' —.
Reported By —
cJoele
Phone
Address of Spill — 44,4, ��S � //�<�
County31-&--4t City GLG(/-'d-,
(/
Cause of Spill — Ft,/ '1' % — //no.-,,,- r
" a p�ie-�� 66 —
Tota
l Estimated Gallons J-" Est. Gal to Stream
Stream Fish Kill: Yes No Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
‘a(--(6 TCZ/ ( See.:u n20)-it a Cdtce.2

/LAG boC¢�t,t�uabY� e ol`c
v
k�ade wc�c�

Form CS-SSO
Z)Sirleao9n § 'aem Sanitary Sewer Overflow Reporting Form
PART I
•
Asa 6mk via id ite:
This form shall be submitted to the appro r, terOcW egi �h 0...� •within fiue,�c ys of the first knowledge of
the sanitary sewer overflow (SSO). VAS ."�Dv. Y ito)itAriivi
Permit Number ' V VQ ()Sall 25' (WQCS# if active, otherwise use WQCSD#)( J ®0 I No 87-PlEss. MILL)
Facility 5 U LL. S Itl J i (3A) Incident #
Owner:TOWN) O STMWIE > Region
City: 5TAt4 Ft EU), (V% 28163 County STAN Lti
Source of SSO (check applicable) : V Sanitary Sewer ❑ Pump Station / Lift Station
SPECIFIC location .of the SSO (be consistent in description`from past reports or documentation -i.i.e.. Pump Station 6,
Manhole at Westall & Bragg Street, etc) • ILItiAV(stiAM" u- Q STAR- AA lAnt GX 00
NIA
Manhole#
Latitude (degrees/minute/second): Longitude(degrees/minute/second)
Incident Started Dt: 24Z2)AM oB Time: 1100 Incident End Dt: I2I274a8
(mm-dd-yyyy) hh:mm AM/PM (mm-dd-yyyy) hh:mm AM/PM
Estimated volume of the SSO: +0•—1`4gallons Estimated Duration (Round to nearest hour): 7'D`1E.
Describe how the volume was determined 1 ▪ L • U MEWL
E �,�y+JL . JL $
Weather conditions during SSO event* 4'444) VOT
Time 1900 ?M
Did SSO reach surface waters? ❑ Yes Vrlori Unknown Volume reaching surface waters (gallons):
Surface water name*
Did the SSO result in a fish kill? ❑ Yes N(o❑ Unknown If Yes, what is the estimated number of fish killed? Ak"
SPECIFIC cause(s) of the SSO:
❑ Severe Natural Condition ❑ Grease ❑ Roots
❑ Inflow and Infiltration ❑ Pump Station Equipment Failure ❑ Power outage
❑ Vandalism ❑ Debris in line ❑ Other (Please explain in Part II)
Kipe Failure (Break) 1
24�ou-hour verbal notification (name of person contacted) MS • A • SI F6it N IJ 11( E.
DWQ n Emergency Mgmt. Date (mm-dd-yyyy)i 2.2-7v' Time (hh:mm AM/PM) • 31: 'M
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 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 referenced statute for further detail.
The Director, Division of Water Quality, may take enforcement action for SSOs that are required to be reported to Division unless it
is demonstrated that:
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 Permittee
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 SIGNATURE IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form Page 1

Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
PART I I
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 SECTIONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I
(In the check boxes below, NA = Not Applicable and NE = Not Evaluated)
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWQ REGIONAL OFFICE
UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
CS-SSO Form Page 2

Severe Natural Condition (hurricane, tornado, etc.)
Describe the "severe natural condition" in detail?
tiles
How much advance warning did you have and what actions were taken in preparation for the event?
Nor
Comment :
N k
CS-SSO Form Page 3

Grease (Documentation such as cleaning, inspections, enforcement actions, past overflow reports,
educational material and distribution date, etc. should be available upon request.)
When was the last time this specific line (or wet well) was cleaned? re -
Do you have an enforceable grease ordinance that requires new or retrofit of grease traps/interceptors? ❑ Yerl No 1 �I NAn NE
Have there been recent inspections and/or enforcement actions taken on nearby restaurants or other M Yefl No RINAM NE
nonresidential grease contributors?
Explain.
Have there been other SSOs or blockages in this area that were also caused by grease? M YeNon NAM NE
When?
If yes, describe them:
Nl�
Have cleaning and inspections ever been increased at this location? M Yell No 1 1A NAM NE
Explain.
Have educational materials about grease beendistributed in the past?
When?
and to whom?
Explain?
Flied I No I M NAI I NE
If the SSO occurred at a pump station, when was the wet well and pumps last checked for grease
accumulation?
Were the floats clean? n Yefl No I VNAn NE
Comments:
CS-SSO Form Page 4

Roots Do you have an active root control program on the line / area in question? ElYes �1 i No niNA❑ NE
Describe
Have cleaning and inspections ever been increased at this location because of roots? ❑ Yell No I �I NAn NE
Explain:
What corrective actions have been accomplished at the SSO location (and surrounding system if
associated with the SSO)?
What corrective actions are planned at the SSO location to reduce root intrusion?
N/e
Has the line been smoke tested or videoed within the past year? ❑ Yerl No I _I NA❑ NE
If Yes, when?
Comments:
CS-SSO Form Page 5

Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that ❑ Yell No 111NAE1 NE
addresses I/1?
Explain if Yes:
What corrective actions have been taken to reduce or eliminate 1 & 1 related overflows at this spill location
within the last year?
Has•there been any flow studies to determine 1/1 problems in the collection system at the SSO location? ❑ Yerl No g l A❑ NE
If Yes, when was the study completed and what actions did it recommend?
Has the line been smoke tested or videoed within the past year? ❑ Yell No 1 �fNAf NE
If Yes, when and indicate what actions are necessary and the status of such actions:
Are there I/1 related projects in your Capital Improvement Plan? ❑ Yell No 11/1 NAn NE
If Yes, explain:
Have there been any grant or loan applications for 1/1 reduction projects? ... ❑.Yerl. No _I NAn NE
If Yes, explain:
Do you suspect any major sources of inflow or cross connections with storm sewers? ❑ Yell No 1 1'I NAn NE
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been inspected recently? ❑ Yerl No 1 �l NAn NE
If Yes, explain:
What other corrective actions are planned to prevent future 1/1 related SSOs at this location?
Comments:
CS-SSO Form • Page 6

Pump Station Equipment Failure (Documentation of testing, records etc., shoul be provided upon request.)
What kind of notification/alarm systems are present?
Auto-dialer/telemetry (one-way communication)
n Yes
Audible ❑ Yes
Visual ❑ Yes
El Yes
Emergency Contact Signage _ Yes
Other ❑ Yes
SCADA (two-way communication)
Describe the equipment that failed?
What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high
water, etc.)?
Were notification/alarm systems operable? _ Ye- No giNArl_ NE
If no, explain:
If a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
4A'
iir
If a -valve failed, when was it last exercised?
Were all pumps set to alternate?
Did any pump show above normal run times prior to and during the SSO event?
Were adequate spare parts on hand to fix the equipment (switch, fuse, valve, seal, etc.)?
Was a spare or portable pump immediately available?
[1 Yen NAn NE
n Yerl No r4A1-1 NE
n Yerl No I "I NAn NE
I IYen No[ NAI INE
CS-SSO Form Page 7

If a float problem, when were the floats last tested? How?
o1k
If an auto -dialer or SCADA, when was the system last tested'? How?
141/441fr
Comments:
CS-SSO Form Page 8

Power outage (Documentation of testing, records, etc., should be provided of alternative power source
upon request.)
What is your alternate power or pumping source?
Did it function properly? ❑ Yen No I UW NAn NE
Describe?
1.11V
When was the alternate power or pumping source last tested under load?
NIK
If caused by a weather event, how much advance warning did you have and what actions were taken to
prepare for the event?
Comments:
OA'
CS-SSO Form Page 9

Vandalism
Provide police report number:
Was the site secured?
If Yes, how?
n Yefl No 1 "I NAn NE
Have there been previous problems with vandalism at the SSO location? n Yell No I �I NAn NE
If Yes, explain:
What security measures have been put in place to prevent similar occurrences in the future? n Yerl No NAn NE
Comments:
CS-SSO Form Page 10

Debris in line (Rocks, sticks, rags and other items not allowed in the collection system, etc.)
What type of debris has been found in the line?
Suspected cause or source of debris.
Ni/r
Are manholes in the area secure and intact? n Yen No VAR NE
When was the area last checked/cleaned?
Have cleaning and inspections ever been increased at this location due to previous problems with debris? n Ye5 1 No I!I NA❑ NE
Explain:
Areappropriate educational materials beingdeveloped and distributed to prevent future similar n Yerl No I i NAn NE
P
occurrences?
Comments:
CS-SSO Form Page 11

Other (Pictures and police report, as applicable, must be available upon request.)
Describe:
Were adequate equipment and resources available to fix the problem? ❑ Yes i No NA NE
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 Page 12

•
Pipe Failure (Break)
Pipe size (inches)
What is the pipe material?
What is the approximate age of line/pipe? (years old)
Is this a gravity line?
Is this a force main line?
Is the line a "High Priority" line?
Last inspection date and findings
21
pvc
IO -1Z1Rs
I IYeJNol INAI INE
ICI Yen No El NAI I NE
I �I No n-NAn NE
Vlwat,No �iecr
If a force main then,
Was the break on the force main veritical?
Was the break on the force main horizantal?
Was the leak at the joint due to gasket failure?
Was the leak at the joint due to split bell?
When was the last inspection or test of the nearest air -release valve to determine of operable?
When was the last maintenace of the air release performed?
n Ye'No n NAn NE
II Yerl No n NAn NE
nYedVofNAn NE
I IYeol INAn NE
If gravity sewer then,
Does the line receive flow from a force main immediately upstream of the failed section of pipe? n Ye9 1 No E,1t►NAn NE
If yes, what measures are taken to con rol the hydrogen sulfide production?
far
When was the line last inspected or videoed?
CS-SSO Form Page 13

If line collapsed, what is the condition of the line up and down stream of the failure?
N
What type of repair was made?
12EYINCEP'IL h i NA) w fi 3 K 3 x 3 MEE14 J®i
Is the repair temporary or permanent?
ervimi- Air
If temporary, when is the permanent repair planned?
Have there been other failures of this line in the past five years?
If so, then describe
1-1 Ye NO I=I NAI=I NE
CS-SSO Form Page 14

System Visitatio
Backup
Ti-biAs
Name: AA .
Cert# 91Pi?-* `VC7
(l°^'S
Date visited: 12I2/469
Time visited: _I.citi Ar " N
How was the SSO remediated (i.e. Stopped and cleaned up)?
S50 S OPPVO Miff R /1/4i Perott?ct
n Yes
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:
MAS PI • I V Ck-a -
Signature:
Title:
Date:
p24z3/e8
1�..� p ,968- Z3 t�
Telephone Number: �� 201 _,� � Z ? �'
Any additional 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 completed, if used).
CS-SSO Form
Page 15

g'OW[[Of S''t.T! 'IELV
Post Office Box 699
203 West Stanly Street
Stanfteld, ?forth Carolina 28163
'Tet phone [phone]
Tax [phone]
Email itddress: sth2386@&eOEsouth.
TO: Mr. Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office
610 East Center Avenue
Suite 301
Mooresville, NC., 28115
SUBJECT: Compliance Evaluation Inspection, 06/04/08
Inspection Report dated 06/16/08
Dear Mr. Krebs:
1
JUL 1 4 2Q08
NC DENR M O
DM -Surface "M � . _
The Town of Stanfield acknowledges the above CEI of 06/04/08 and accepts the
inspection report of 06/16/08, with the following comments and intended actions;
DOCUMENTATION REVIEW
2A. 15A NCAC 02T .0403(a)(1) Sanitary Sewer Overflow
The Town of Stanfield operates and maintains a combination `vacuum', gravity,
low pressure(grinder pump), and discharged force main system, for a combined total of
approximately 42000 linear feet. The only reportable SSO, since operations commenced,
occurred at the main pump station on Hwy 200. This was a result of the settling of the
thrust block at the first joint leaving the station.
2B. 15A NCAC 02T .0403(a)(2) Sewer System Map
The Stanfield Municipal Utilities Department (SMUD) maintains a detailed map
of the collection and discharge force main. This map was compiled by our engineering
firm at the time of construction. Any additions, corrections, and/or discrepancies are hand
noted and periodically forwarded to engineering to be included, and returned to us in the
form of a `corrected' drawing. Including `specific identifiers', is a long term goal of
SMUD, however has not fully been accomplished.
Office of the
Mayor, Board of Commissioners, 'own Clerk, Chief of Police
Established in 1912
'incorporated in 1955

2C. 15A NCAC 02T .0403(a)(3) Operation and Maintenance Plan
SMUD acknowledges the need for a `fully documented' o/m plan and will devote
the effort and administrative time to develop and record all daily, periodic, preventative
maintenance, and operational procedures. SMUD currently maintains a log at the Hwy
200 pump station and the Willow Street lift station. The maintenance office at 139
Concord Street maintains a `Maintenance Status Report' (MSR), which documents
system outages, deficiencies, and required actions to maintain operations. Request's for
service from a customer is recorded and logged into our 'work order' program at the
Town Hall and forwarded to the utilities department for service. SMUD will contact the
regional office in Mooresville to consult for any additional record keeping requirements
2D. 15A NCAC 02T .0403(a)(4) Telemetry Systems
No issues exist in this matter presently
2E. 15A NCAC 02T .0403(a)(5) High -Priority Sewers
Presently, SMUD does not have any HPSs as defined. We will review our system
to determine any vacuum mains/ service lines/ and/or force mains which may need to be
redefined.
2F. 15A NCAC 02T .0403(a)(6) Off-street/Obscure Lines
SMUD will review the system and reevaluate any mains/lines which may meet
this requirement.
2G. 15A NCAC 02T .0403(a)(7) Overflows and Bypasses
SMUD is aware of the procedures and the environmental issues regarding SSOs
and will comply.
2H. 15A NCAC 02T .0403(a)(8) Grease Control Program
The Town of Stanfield acknowledges the requirement for a `grease control
program'. Educational materials will be mailed to all sewer customers in the month of
September to begin a bi-annual program.. The town council will enact an ordnance to
provide for the "legal means to require grease interceptors for all new construction and
retrofit, if necessary, of grease interceptors at existing establishments.... including the
legal means for inspections of grease interceptors, enforcement for violators and the legal
means to control grease entering the system from other public and private systems".

2I. 15A NCAC 02T .0403(a)(9) ROW,s and Easements
SMUD currently maintains a log to record street/road right of way mowing in
accordance with DOT requirements. All collection system lines are presently located on
town/state right of ways.
2J. 15A NCAC 02T .0403(a)(10) Documentation retention
SMUD will review the documentation, storage, and retention of all documents
relating to our collection system. Official and original documents will be kept at the
Town Hall, with copies sent to our 139 Concord Street maintenance office. All
maintenance records will be kept at 139 Concord Street. SMUD recognizes the three year
minimum retention requirement.
3. WWCS Management Tools
SMUD will review each of the following items and evaluate the impact
and benefit of each, as may apply to our vacuum collection system;
1) Root control program, evaluate application
2) Line cleaning program, evaluate application
3) Spill Response Action Plan (SRAP)
a) A written set of `action required' instructions will be
developed and made available to all operators
4) Capital Improvement Plan (CIP)
a) This matter will be presented to the full council.
5) Contingency Plan for Pump station
a) A written set of `action required' instructions will be
developed and made available to all operators
6) Complaint log
a) A complaint log will be kept at the maintenance office
7) Schedule for testing of Emergency/Standby Equipment
a) The schedule for testing of emergency equipment will be
posted at each station or standby equipment
FIELD REVIEW
PUMP STATIONS
A. HWY 200 PUMP/VACUUM STATION
The requirement for an `emergency/standby pump will be presented to the

council for consideration. For purposes of record and clarification, please note that the
`emergency pumper connection' is located on the section of line between the collection
tank and the intake/suction of the #2 sewage discharge pump and not on the force main.
B. WILLOW STREET LIFT STATION
Please note the corrected address as 150 Willow Street. This station will
be pumped and cleaned to remove excess grease and debris during July.
MANHOLES/ VACUUM BUFFER TANKS & PITS
It is standard procedure to install a screen in all external vents at each vacuum pit. SMUD
will inspect 'all vents' to insure a screen is installed.
The operating budget for FY 08/09 includes funding to begin repairs to our buffer tanks
and manholes. Work will begin in the fall (August/September) to address the tanks with
the most infiltration. Additional funding will be budgeted in FY 09/10 to complete any
remaining tanks/manholes
The Town of Stanfield accepts this report and will take action to address each item.
Respectfully,
Date signed: 07 (01(0 to
Thomas M. Tucker, "ORC"
Cert # 0224/ (Cr V collections
Cc: Jerry Williams, Utilities Commissioner
file

Ls
FWA7
QG
7
Mr. Kevin Barbee, Mayor
Town of Stanfield
Post Office Box 699
Stanfield, NC 28163
Dear Mr. Barbee:
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
January 15, 2009
Subject: NOTICE OF VIOLATION
Tracking No. NOV-2009-DV-0011
Collection System Permit
Number WQCS00325
Town of Stanfield
Stanly County
A review has been conducted of the Town of Stanfield's self reported Sanitary Sewer
Overflows (SSOs) 5-Day Report(s) for December 2008. This review has shown Stanfield to be in
violation of the requirements found in Collection System Permit WQCS00325 and/or G.S. 143-
215.1(a)(1). The violations that occurred during December 2008 are summarized in Attachment
A.
Remedial and corrective actions, if not already implemented, should be taken to prevent
further SSOs. As of December 1, 2007, any reportable SSO maybe issued a Notice of Violation
(NOV) and some may be assessed a civil penalty. Civil penalties will be issued for SSOs based
on volume, volume reaching surface waters, duration and gravity, impacts to public health, fish
kills, and recreational area closures. Other factors considered in determining the amount of the
civil penalty are the violator's history of spills, the cost of rectifying the damage, whether the
spill was intentional, and whether money was saved by non-compliance.
• Be advised that G.S. 143-215.6A provides for a civil penalty assessment of not more than
twenty-five thousand dollars ($25,000), or twenty-five thousand dollars ($25,000) per day when the
violation is of a continuing nature, against any person who is required but fails to apply for or to
secure a peinlit required by G.S. 143-215.1. Penalties may also be assessed for any damage to the
surface waters of the State that may result from the unpermitted discharge.
Mailing Address
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Phone [phone]
Fax [phone]
Location
610 East Center Avenue, Suite 301
Mooresville, North Carolina
Nne
or hCarolina
Aaturally
Internet: www.ncwaterquality.org Customer Service 1-877-623-6748
n., r ....i n....,.-4.cno/ ❑...., ,..L..lH no/ D..n/ (`....o��...r�. D�..n.

Mr. Kevin Barbee
NOV-2009-DV-00 11
Page 2
The SSOs noted in Attachment A under violation action as "Proceed to NOV " are
overflows that the regional office has determined, after review of the CS-SSO 5-day report, that
may result in a civil penalty assessment. You may provide any additional information for the
justification of these SSOs as to why these spills do not meet the criteria listed in this letter
for civil penalty assessment.
If you have any questions regarding this policy please do not hesitate to contact Mr. Lon
Snider or myself at 704-663-1699.
Sincerely,
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office
Attachments
Cc: ORC System —Thomas Tucker
PERCS Files
MRO CS Enforcement Files

Permit #
Attachment A
Town of Stainfield Collection System
December 2008
Location Incident # Start Date 5 Day Gallons Enforcement Number Violation Action Causes
WQCS00325 165 Aurora Mill Rd 200803396 12/22/08 10000 NOV-2009-DV-0011 Proceed to NOV Pipe Failure (Break)

'?OW[OF SIttlsrTlEL
Post Office Box 699
203 West StanCy Street
StaTfielci; W-orth Carolina 28163
ereyhone [phone]
Fax [phone]
fEmai(4ddress: st6.2386@6eirsoutinet
Mr. Robert B Krebs,
In response to your letter dated Jan 15, 2009 regarding NOV-2009-DV-0011 the
following information is hereby forwarded; The SSO was due to a failure of a fitting on
the forced main line in the Pless Mill Subdivision. The line is in good condition and the
exact reason this fitting failed was probably due to improper installation. The repairs
were immediate as soon as it was noticeable. We do not foresee this problem as a matter
that would be reoccurring and feel the fix to this joint in permanent.'We have not had any
failures of this nature in the last five years. Let us know if we can be of any further
assistance.
JA N 2 6 2009
Respectfully,
Robert Harvey
Town Administrator
-Starifield, NC
Jan 22, 2009
Office oft&
Mayor, Board of Commissioners, down Clerk, Chief of Police
Established in 1912
qncoryoratedin 1955