NC0020656_Compliance_20051025

HPDES DOCUHENT !;CANNING COVER SHEET
NPDES Permit:
NC0020656
Laurinburg / Leith Creek WWTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
.,_, 6„,,
ComplianceA
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
October 25, 2005
This document is printed ozi reuse paper - ignore any
content 43011 the reirerse addle

MEMO
OCT 27
To: Joe Corporon, NPDES Unit, Surface Water Protection Section
From: Belinda S. Henson, Fayetteville Regional Office ` ,9eeyD
Date: October 25, 2005
Subject: Bypass at Leith Creek WWTP
Enclosed is copies of the correspondence we have for the bypass that occurred at
Laurinburg Leith Creek WWTP-NC0020656 in Scotland County August 1, 2005. The
facility reported to our office August 1, 2005 a spill of 1,500,000 gallons from the
influent pump station of untreated wastewater that bypassed the plant's treatment system
and discharged into Leith Creek. The influent pump station auto dialer alarm was
disabled by staff which would have alerted high levels of influent into the pump station.
This appeared to be negligence on the part of the facility. We submitted an NOV to the
facility and they did respond (enclosed). We are requesting that an enforcement with a
civil penalty be assessed for this incident. We would appreciate any assistance with this
assessment since we have not in the past had experience with this type of assessment.
bsh

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
September 12, 2005
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Robert Ellis, Treatment Plants Director
City of Laurinburg
PO Box 249
Laurinburg, NC 28353
SUBJECT: NOTICE OF VIOLATION
Bypass at Leith Creek WWTP
Permit Number NC0020656
Scotland County
Dear Mr. Ellis:
On August 1, 2005, Mike Lawyer of our office received a call from Ms. Sherri Monroe of your
staff reporting that an overflow had occurred that morning from the lift station located at the
Leith Creek WWTP (NC0020656). According to Ms. Monroe, a total of 1,500,000 gallons of
untreated sewage bypassed the plant's treatment processes with approximately 1,000,000 gallons
entering Leith Creek. The cause of the bypass as reported by Ms. Monroe was due to heavy
amounts of rain in a short period of time as well as pump station equipment failure. The large
volume of sewage that was lost was attributed to the fact that the Leith Creek WWTP is not
staffed twenty-four hours a day and that although the overflow probably began sometime during
the night before, it was not discovered until the following morning when staff arrived at around
7:00am. It was relayed to Ms. Monroe that a written report would need to be sent to this office
within five days pertaining to the exact cause and details of the bypass.
Don Register and Mike Lawyer of this office made a visit to the Leith Creek WWTP on the
afternoon of August 1, 2005. This visit was conducted to physically assess the situation, speak
with staff at the plant regarding the events and document the affected areas with photographs.
During this visit it was discussed that the pumps that send excess flow to the equalization basin
failed to operate due to starter malfunctions, which in turn caused the overflow. Mr. Register
inquired as to why these pumps were not equipped with telemetry in order to alert staff during
such situations. Staff responded that this would be considered.
A few days after the August 1, 2005 event, you had a conversation with Mr. Register concerning
some of the details of the bypass. You expressed that the influent station was indeed equipped
with an auto -dialer, which transmits to the water plant first and then to the police department and
that you were trying to find out who acknowledged the call. Upon further investigation, you
discovered that someone on your staff had intentionally deactivated the telemetry system
N ithCarolina
7%7arti'ra11j
225 Green Street — Suite 714 Fayetteville, NC 28301-5043 Phone [phone] Customer Service
FAX [phone]
North Carolina Division of Water Quality
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Mr. Ellis
Page 2
September 12, 2005
preventing it from notifying personnel who could have responded and minimized the extent of
the overflow or possibly prevented the bypass altogether. This information was relayed to me by
telephone and also included with the five-day report that our office received on August 5, 2005.
Please refer to Section C, Item 2 of your permit, which states in part: The Permittee shall at all
times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. The Permittee shall at all times properly operate and
maintain all facilities and systems of treatment and control (and related appurtenances)
which are installed or used by the Permittee to achieve compliance with the conditions of
this permit.
Please refer to Section C, Item 4c(1) of your permit, which states in part: Bypass from the
treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless: (A) Bypass was unavoidable to prevent loss of
life, personal injury or severe property damage; (B) There were no feasible alternatives to
the bypass, such as the use of auxiliary treatment facilities, retention of untreated wastes or
maintenance during normal periods of equipment downtime.
As a response to this Notice of Violation, you are asked to submit to this office a written Plan of
Action (POA) to be received on or before September 30, 2005. This POA should include at a
minimum your plans to prevent such a bypass from occurring in the future.
Please be advised that this notice does not prevent the Division of Water Quality from taking
enforcement actions for the violation as noted, or for any past or future violations. The Division
of Water Quality has the authority to levy a civil penalty of not more than $25,000 per day per
violation.
If you have any questions, please contact me at 910-486-1541.
Sincerely,
rulD 96-nacTeD
Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
BSH: ML/ml
cc: DWQ Central Files
Fayetteville NPDES Files (NC0020656)
Don Register, Fayetteville Regional Office
Mike Lawyer, Fayetteville Regional Office

City of Caurirkurg
OFFICE OF THE TREATMENT PLANTS DIRECTOR
September 27, 2005
Ms. Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
225 Green Street — Suite 714
Fayetteville, NC 28301-5043
Re: Response to Notice of Violation
Bypass At Leith Creek WWTP
Permit Number NC0020656
Scotland County
Dear Ms. Henson:
292005
AA -America City
1956 2 'ILJJ!
1967
In response to your letter dated September 12, 2005 we have developed a Plan of Action
for all staff to follow in hopes to prevent overflows in the future. We have enclosed our
new daily log sheets for the Main and E.Q. Pump Stations and also our written plan of
action with all employees' signatures agreeing to follow the plan.
Sincerely,
Robert A. Ellis
Treatment Plants Director
Cc: Craig F. Honeycutt, City Manager
603 LATTCHWnnn nRTTTF. • a n Rnv 9A0 A T ATTDTVDTmrr %T n AAArp _ ewe.. ok,.. _.__. __ .

Plan of Action Leith Creek WWTP Main and E.Q. Pump Station
1) Physically check both stations, daily record status.
2 Wet Well in E.Q. Pump Station Water Level as low as possible. 1/2 of pump
exposed (out of water)
3) All floats tested & operating properly.an
4 Auto dialer tested and operating properly. (i.e. On Monday's staff will simulate
alarm to call -out. Tuesday — Fridays,
staff will call auto dialer to check status and
record.)
5 When highwater alarm is present, contact the Director to determine what actions
initiate. personnel to observe high water alarm should stay on -site until
to First
additional personnel arrives.
6) I will never disable an auto dialer at any pump station site.
I agree to follow this plan of action to help prevent future sanitary sewer overflows.
Robert A. Ellis, Director
Cale Pevey (Operator i Training)
Burl Cox (Operator)
James McQueen (Plant Maintenance Worker)
(I.Pra-,0 7 7 . rill ` a R
Ricky Odom (Chief Operator WWTP)

Month
Leith Creek WWTP Main Pump Station
Day
Emp.
Pump #1
Pump #2
Pump #3
Pump #4
Control Float Pump Station
Control Float EQ Basin
Sump Pump
Initials
Status
Status
Status
Status
Status
Status
Status
AM/PM
AW/PM
AM/PM
AM/PM
AM/PM
AM/PM
AM/PM
1
/
/
/
/
2
/
/
/
1
•
3
/
/
/
/
4
/
/
/
/
5
/
/
/
/
6
1
/
/
/
7
/
/
/
/
8
/
1
i
/
9
•
1
-- 1
I
I-
.
10
/
1
I
/
11
/
1
/
/
12
/
/
1
/
13
/
/
/
/
14
/
/
/
/
15
/
/
/
/
16
/
/
1
/
17
/
/
/
/
18
/
/
/
/
19
1
/
/
/
20
/
/
/
/
21
/
/
/
/
22
1
/
1
/
23
/
/
1
/
24
/
/
/
/
25
/
/
/
/
26
/
/
/
/
27
/
/
/
/
28
/
/
1
/
29
/
/
/
/
30
/
/
/
/
31
/
/
/
1
(1)
Primed
(2)
Needed Priming
(3)
Floats Ok
(4)
Floats Failed
(5)
Electric Ok
(6)
Electric Failure

_eith Creok SpiH chain of events
Subject: Leith Creek Spill chain of events
From: Don Register <Don.Register®ncmail.net>
Date: Thu, 25 Aug 2005 14:26:45 -0400
To: Belinda Henson <[e-mail]>
1. The influent pump station autodialer alarm was disabled by the "on call"
employee because of anticipated pump station high level alarms.
2. The three E.Q. basin submersible pumps were inoperable because the starters had
tripped causing the overflow of the wet well.
3. Water was forced to fill the e.q. wet well to test the pumps and the pumps
operated o.k in the manual position.
4. When the pump selector switch was placed in "auto" and the wet well filled to
test again, it was found that the influent channel had to be at high level
(determined by ball float in the influent channel) before the e.q. wet
well system (pumps and floats) had power to operate.
5. The complete system was tested again by simulating a high flow situation and the
culprit was discovered to be the high level float that powered the e.q. pump
station and controls. The float was dancing in the channel from
turbulence, quickly turning the power on and off, and this is what was making
the starters trip off. The float was replaced with a "weighted float" to
increase stability to prevent this problem. It is still not understood why the
float is needed to control the power instead of leaving the power on
constantly. Staff said they would consult with their engineers to answer
this "power" question.
1 of 1 8/25/2005 3:29 PM

Form WVVTP-BYPASS/UPSET
Treatment Plant (WWTP) Bypass/Upset Reporting Form 5 Day Report
PART I
This form shall be submitted to the appropriate DWQ Regional Office within five days, of the first knowledge of the unanticipated
bypass or upset.
Permit Number : NC0020656
Facility: Leith Creek WWTP
(Always use treatment plant permit number)
Incident # 200502026
Owner: City of Laurinburg
City: Laurinburg
Region:
County:
SPECIFIC location of the treatment units bypassed or where the upset occurred in the facility:.
main pump station at plant
Was the WWTP compliant with permit requirements?
El Yes � No
Was samples be taken during bypass?:
Incident Started Dt: 08/01/05
(mm-dd-yyyy)
Estimated volume of the Bypass/Upset:
Time: 07:00 AM
hh:mm AM/PM
1500000
Yes � No 0 Unknown
Unknown'
Describe how the volume was determined: Calculated Area
Weather conditions during bypass/upset event:
Did Bypass/Upset reach surface waters? 0 Yes � No � Unknown Volume reached surface waters (gallons): 1000000
Incident End Dt:
(mm-dd-yyyy)
gallons
Excessive rainfall
Fayetteville
Scotland
08/01/05
Time: 07:20 AM
hh:mm AM/PM
Surface water name:
Did the bypass/upset result in a fish kill? Yes ONo 'Unknown
SPECIFIC cause(s) of the Bypass/Upset:
If Yes, estimated number of fish killed?
mi Severe Natural Condition Pump Station Equipment Failure
24-hour verbal notification (name of person contacted) Mike
DWQ Emergency Mgmt.
Lawyer
Date and Time: 2005-08-01 09:30:00 AM
WWTP-BypasslUpset Form August 22, 2005 10:29 AM
Page 1

Form WWTP-BYPASS/UPSET
Treatment Plant (WWTP) Bypass/Upset Reporting Form 5 Day Report
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 INCIDENT 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
Severe Natural Condition
Describe the "severe natural condition" in detail?
4.7 inches of rain from 7/27-7/31/2005
How much advance warning did you have and what actions were taken in preparation for the event?
Comments:
Pump Station Equipment Failure
What kind of notification/alarm systems are present?
Auto-dialer/telemetry (one-way communication)
Audible
Visual
SCADA (two-way communication)
Emergency Contact Signage
Other
Describe the equipment that failed?
Thermal Overload Heaters tripped out pumps in EQ Pump Station.
What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure,
high water, etc.)?
High Water power failure
Were notification/alarm systems operable?
® Yes
❑ Yes
❑ Yes
.❑ Yes
❑ Yes
❑ Yes
® Yes ❑ No DNA ❑ NE
WWTP-Bypass/Upset Form August 22, 2005 10:29 AM Page 2

If no, explain:
If a pump failed, when was the last maintenance and/or inspection performed?
7/31/2005
What specifically was checked/maintained?
Routine Maintenence
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?
If a float problem, when were the floats last tested? How?
NA
If an auto -dialer or SCADA, when was the system last tested? How?
06/29/2005 High water alarm
Comments:
0 Yes ❑ No ❑ NA ❑ NE
0 Yes NI No ❑ NA ❑ NE
® Yes ❑ No 0 NA 0 NE
❑ Yes 0 No NINA 0 NE
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:
Robert Ellis
Signature: Title
Telephone Number:
08/03/05 12:00 AM
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within
five days of first knowledge of the Bypass with reference to the incident number (the incident number is only generated
when electronic entry of this form is completed, if used).
WWTP-Bypass/Upset Form August 22, 2005 10:29 AM Page 3

06/05/.2005 13:26 FAX [phone]
LAURINBURG WATER PLANT.
tT1001
Immediate 24-hour verbal notification reported to:
Ga DWQ ❑ Emergency Mgmt
Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
PART I
This form shall be submitted to the appropriate DWQ Regional Office within five clan of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number : it 00. 005 4"
(WQCS# If active, otherwise use treatment plant NC/WQ#)
Facility: _ tr C12FIc(4,-'S-tai19--Incident# oq1oo5O2o2.49
Owner. MI 11F Lf i tr tki.c =.5 Region: C�`i Y r Its
County: J207?4JJD
City:
Source of SSO (check applicable) : ❑ Sanitary Sewer
rif PumpStation tatfon
SPECIFIC location of the SSO (be consistent description f past reports or documentation - i.e. Pump Station 6,
Manhole at.Westall & Bragg Street, etc.) :
Latitude (degrees/minute/second): Longitude(degrees/minute/secaxl).
Incident Started Dt _ t420°5
Tune' 1: 00 AM incident End Ot: S I G'G —, Time .20 A al{m �YYYY) hh:rrirn AMIPM {mm.dd-yYYY) hh:rnni Aid/PM
Estimated volume of the SSO: f cx) gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined: eng, JJ Do,/pC/ -
Weather conditions during SSO event P' r VE RF1►NFAL../
Did SSO reach surface waters? 1Yes ❑ No ❑ Unknown Volume reaching surface waters
(gallons):: 1, Dad, ate)
Surface water name: Li, I'H (i2
Did the SSO result in a fish kill? ❑ Yes ONo 'Unknown If Yes, what is the estimated number of fish killed?
SPECIFIC cauie(s) of the SSO:
ad Severe Natural Condition 0 Grease ❑ Roots
[inflow and infiltration Et Pump Station Equipment Failure ❑ Power outage
❑ Vandalism ❑ Debris in line ❑ Other (Plea:se explain In Part iI)
/AVM
Date (mm-dd-yyyy):
Time (hh:mm AM/PM): 9 3fa,,1
If an SSO is ongoing,.please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1 C(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 0-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 end proof of pub&cation 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 Pennittee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part 11 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
October 9, 2003 Page 1

08/05/2005 13:27 FAX [phone]
LAURINBURG WATER PLANT.
el 002
• 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
Severe Natural Condition (hurricane, tomado, etc.,
Descnbe the "severe natural condition" in detail, 7 rk1,,3 of /jiN Am 7 i - 7/31/Z)ds
How much advance warning did you have and what actions were taken In preparation for the event?
Comments:
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?
Do you have an enforceable grease ordinance that requires new or retrofit of grease traps/interceptors?
❑YesD No❑NAONE
y
Have there been recent inspections and/or enforcement actions taken on nearby restaurants or other DYesD No DNA ONE
nonresidential grease contributors?
Explain.
Have there been other SSOs or blockages in this area that were also caused by grease?
When?
If yes, describe them:
❑YesD NoDNA DNE
Have cleaning and inspections ever been increased at this location?
Explain.
❑YesD No DNA ONE
CS-SSO Form
October 9, 2003 Page 2

08/05/2005 13:27 FAX [phone]
LAURINBURG WATER PLANT.
10] uu3
Have educational materials about grease been distributed In the past? DYen No DNA DNE
When?
and to whom?
Explain?
If the SSO occurred at a pump station. when was the wet well and pumps last checked for grease
accumulation?
Were the floats Clean? DYesD No DNA DNE
Comments:
Roots
Do you have an active root control program?
Describe
❑YesD No DNA DNE
Have leaning and Inspections ever been increased at this location because of roots?
Explain:
❑Yesu No DNA ONE
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?
Has the line been smoke tested or videoed within the past year?
If Yes, when?
Comments:
DYesu No DNA DNE
Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule In any permit that DY No DNA DNE
addresses Ili?
CS-SSO Form October 9, 2003 Page 3

08/05/2005 13:27 FAX [phone] LAURINBURG WATER PLANT.
1aJ 004
.f
If Yes, explain:
Explain if Yes:
What corrective actions have been taken to reduce or eliminate 18 I related overflows at this spill location
within the last year? NONE
Has there been any flow studies to determine l/I problems in the collection system at the SSO location;' Cg eso No DNA ONE
if Yes, when was the study completed and what actions did it recommend? .
"DfirC i,[Nt Nfl1Ji1 " r� r �� F Ai' y oME mill -hp :Cif Lte?TIanv
Has the line been smoke tested or videoed within the past year? • ❑Yeses No DNA ONE
If Yes, when and indicate what actions are necessary and the status of such actions:
Are there 1/I related projects in your Capital Improvement Plan? ErYssl`! No DNA DNE
If Yes, explain:
.. 6)6- MAN Vo 4I16- REP191R6 i a 774 C, C' ZerD%i - "taterni2 _
Have there been any grant or loan applications for In reduction projects? t 'esL:.7 No DNA DNE
l�E 1{Avrr A J,E,� Fbk 6kcsAtts /i,�u )1443,Zi FchuRe4NAae, iVor Fwvc7ED)
PP
you DosuspectOYe No DNA ONE
any major sources of inflow or cross connections with storm sewers?
If Yes, explain:
Have all linescontacting surface waters in the SSO location and upstream been inspected recently? uYesD No DNA ONE
If Yes, explain: XiktSPCc"re b 6`7 Ja,6 10
What other corrective actions are planned to prevent future td related SSOs at this location?
<<ir•4; u, -ro y`1$Pei um-We-5 r4.03t:• RPC.E c."-Exbu o - ptNGS _
Comments:
Pumfttation 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)
CS-SSO Form October 9, 2003 1 Page 4

Idi 005
08/05/.2005 13:27 FAX [phone]
Audible C Yes
Visual [ j,Yes
SCADA (two-way communication) ❑Yes
Emergency Contact Signage CYes
Other • OYes
Describe the equipment that failed?
//&TE' S ' our Sh ti - f �Ct/I� ;;1 ' � y�cr� 1/Ie
What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high
water, etc.)?
_ WATER joiAZZFAtL.LLLE .
Were notification/alarrn systems operable?
If no, explain:
LAURINBURG WATER PLANT.
QYesD No DNA ONE
If a pump failed, when was the last maintenance and/or inspection performed?
�31 I05
What specifically was checked/maintained?
1WI.LI` { r €. 1 1 ran4-$.1cc
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?
If a float problem, when were the floats last tested? How?
t3dYesD No ❑NA ONE
ClYesr2iNoC6ONE
12rYesJ No ❑NA ONE
OYesD No f.21<A ONE
if an auto -dialer or SCADA, when was the system last tested? How?
�9 osfir6g LJ4ro- 4&-"
Comments:
CS-SSO Form
October 9, 2003
Page 5

08/05/2005 13:27 FAX [phone] LAURINBURG WATER PLANT.
006
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? D)1es° No ❑ NA DNE
Describe?
When was the alternate power or pumping source last tested under load?
If caused by a weather event, how much advance warning did you have and what actions were taken to
prepare for the event?
Comments:
Vandalism
Provide police report number.
Was the site secured?
If Yes, how?
DYe 3 No DNA DNE
Have there been previous problems with vandalism at the SSO location?
If Yes, explain:
Ovesu No DNA ONE
What security measures have been put in place to prevent similar occurrences In the future?
Comments:
DYesI-J No•ONA ONE
Debris in tine (Rockssue, rags and other items not allowed in the
collection system, etc.)
What type of debris has been found in the line?
How could it have gotten there? •
Are manholes in the area secure and intact?
rYesu No DNA DNE
CS-SSO Form October 9, 2003 Page 6

08/0.5/.2005 13:27 FAX [phone]
When was the area last checked/cleaned?
LAURINBTJRG WATER PLANT.
IJ007
It
.r
Have cleaning and inspections ever been increased at this location due to previous problems with debris? QYesD No ONA ONE
Explain:
Are appropriate educational materials being developed and distributed to prevent future similar [Imp No DNA ONE
occurrences?
Comments:
Other (Pictures antipolice report should be available upon request.)
Describe:
Were adequate equipment and resources available to fix the problem? ❑YesD No DNA ONE
If Yes, explain:
If the problem could not be immediately repaired, what actions were taken to lessen the impact of the
SSO?
Comments:
For DWQ Use Only
DWQ Requested an Additional Written Report:
(f Yes, What Additional Information is Needed:
Comments:
❑Yesui No ONA ONE
CS-SSO Form October 9, 2003 _ Page 7

08/05/.2005 13:27 FAX [phone] LAURINBURG WATER PLANT.
el 008
As a reeresentatiye 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: Ra r12i E� S
Date: D 3 OS
Signature:-440-L123(
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Telephone Number: 910 1-
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five clays 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).
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CS-SSO Form October 9, 2003
Page

08/05/Y2005 13:27 FAX [phone]
LAURINBURG WATER PLANT.
!J 009
PRESS RELEASE
Nptice of Dischare of Untreated Sewagg
The City of Lawinburg had a discharge of untreated sewage from our Influent Pump
Station at Leith Creek Wastewater Treatment Plant located at 525 Hall Street The
discharge was first discovered on August 1, 2005 at 7:00 A.M. and had ceased at 7:20
A.M. with approximately 1,500,000 gallons reported. This discharge was the result of
excessive rainfall within our area and equipment failure. The Division &Water: Quality
was notified of the event on August 1, 2005 and is reviewing the matter. This press
release was required by North Carolina General Statutes Article 21 Chapter 143.2:15.C.
For information contact the City of Laurinburg at [phone].