NC0038784_5-day report for incident no. 202102261-Neuse River Village_20211216

DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Form CS-SSO
PART I:
This form shall be submitted to the appropriate DWR Regional Office within five business days of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number: NC00038784 (WQCS# if active, otherwise use WQCSD#)
Facility: Neuse River Village WWTP Incident #: 202102261 Owner: Aqua North Carolina
Region: Raleigh City: Raleigh County: Wake
Source of SSO (check applicable): ® Sanitary Sewer 0 Pump Station / LIft Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump
Station 6, Manhole at Westall & Bragg Street, etc.): Misty River and Bubbling Brook
Manhole #:
Latitude (degrees/minute/second): 35°45'23.36"N Longitude (degrees/minute/second): 78°31'40.97"W
Incident Started Dt: 12/10/2021 Time: 4:00 PM Incident End Dt: 12/13/2021 Time: 1:30PM
(mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 35,000 gallons Estimated Duration (round to nearest hour): 70 hour(s)
Describe how the volume was determined: estimated based on average flow and duration
Weather conditions during the SSO event: cold, dry
Did the SSO reach surface waters? 0 Yes ® No 0 Unknown
Volume reaching surface waters: gallons Surface water name:
Did the SSO result In a fish kill? 0 Yes ® No 0 Unknown
If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
O Severe Natural Conditions ® Grease DRoots ❑Inflow & Infiltration
❑pump Station Equipment Failure ❑ Power Outage ['Vandalism ❑ Debris in line ['Pipe Failure (Break)
❑ Other (Please explain In Part II)
24-hour verbal notification (name of person contacted): Colleen Cohn
®DWR ['Emergency Management Date (mm-dd-yyy): 12/14/2021 Time: (hh:mm AM/PM): 11:30AM
Per G.S. 143-215.1C(b), the owner or operator of any wastewater collection system shall:
In the event of a discharge of 1,000 gallons or more of untreated wastewater to the surface waters of the State, Issue
a press release to all print and electronic news media that provide general coverage in the county where the
discharge occurred setting out the details of the discharge. The press release shall be issued within 24 hours after
the owner or operator has determined that the discharge has reached surface waters of the State.
In the event of a discharge of 15,000 gallons or more of untreated wastewater to the surface waters of the State,
publish a notice of the discharge in a newspaper having general circulation In the county in which the discharge
occurs and in each county downstream from the point of discharge that is significantly affected by the discharge. The
Regional Office shall determine which counties are significantly affected by the discharge and shall approve the form
and content of the notice and the newspapers in which the notice is published.
WHETHER OF NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED SEE PAGE 13
Form CS-SSO Page 1

Grease (Documentation such as cleaning, inspection, enforcement actions. oast overflow reports, educational
material and distribution date, etc. should be available upon request.)
When was the last time this specific tine (or wet well) was cleaned? March 2021
Do you have an enforceable grease ordinance that requires new or retrofit of
grease traps/interceptors? 0 Yes 0 No ® NA 0 NE
Have there been recent inspection and/or enforcement actions taken on near-
by restaurants or other nonresidential grease contributors? ❑ Yes 0 No ®NA 0 NE
Explain: The customers are all residential.
Have there bean other SSOs or blockages in this areas that were also caused
by grease 0 Yes 0 No ®NA ❑ NE
When?
If yes, describe them:
Have cleaning and inspections ever been done at this location? ® Yes ❑ No DNA 0 NE
Explain.
Have educational material about grease been distributed in the past? 0 Yes 0 No DNA 0 NE
When: Bi-annually in March and September
and to whom: All Aqua Wastewater Customers
Explain: Bi-annually Aqua distributes Fats, Oil, and Grease notices to all wastewater customers. The notice contains
language about the materials, chemicals, and substances that should NOT be placed in a wastewater collection system.
If the SSO occurred at a pump station, when was the wet well and pumps last checked
for grease accumulation:
Were the floats dean? 0 Yes 0 No ®NA 0 NE
Comments:
Form CS-SSO Page 4

System Visitation
ORC
Backup
Name: Andy Stevens
Certification Number: 1005680
Date visited: 12/13t2021
Time visited: 12:30PM
How was the SSO remediated (i./e. Stopped and leaned up)?
® Yes
❑ Yes
The spill was contained to a 50 foot radius of the manhole by leaves. Once the spill was stopped, lime was put
down.
As a representative for the responsible party. i certify that the information contained in this report is true and accurate to thq
best of my knowledge,
Person submitting claim: Katie Dickens Date: 12/16/2021
Signature:
AL/ Cul,
Telephone Number: [phone]
Title: / 2/ / 63 l 2-0 2/
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five
business 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).
Form CS-SSO Page 13