WQCS00129_5 Day Report Incident # 201901189_20190712

rep. CA- td�.(\cl 9,112-061
NOU 2019- 1)v-0zA I
State of North Carolina
Depariment of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Division of Water Resources Form CS-SSO
PART I:
This form shall be submitted to the appropriate DWR Regional Office within five days of the first knowledge of the sanitary
sewer overflow (SSO).
Permit Number. L Q CS 00 /,2 0) (WQCS# if active, otherwise use WQCSD#)
Facility: 1 ki T-P Incident #: oZ �1 `I D / / 8 `1 owner
Region: City: A' 8Ls_A 1 61"o a County:
Source of SSO (check applicable): [E'Sanitary Sewer ❑ Pump Station / Lift Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump
Station6, Manhole atWestall & Bragg Street, etc.):
Manhole t
Latitude (degrees/minute/second): Longitude (degrees/minute/second):
Incident Started Dt: 7-/V-,;16/`)Time: U .4 M Incident End Dt Time: /O.Ob AM
(mm•dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 7 60 gallons Estimated Duration) (round to nearest hour): y.S—hour(s)
Describe howthe volume was determined: /h.� %to t<e Sp, /( C' lr �•, T
Weather conditions during the SSO event: 41 i h r %c s oat re., rL L) er A,
Did the SSO reach surface waters? Q-Yes ❑ No ❑ Unknown I
Volume reaching surface waters: 1?; .5-0 0 A gallons Surface water name: Mae PGS� Cage %ur
Did the SSO result in a fish kill? ❑ Yes ❑ No Q Unknown
If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
Severe Natural Conditions ❑ Grease ❑Roots Onflow & Infiltration
❑Pump Station Equipment Failure ❑ Power Outage ❑Vandalism ❑ Debris In line ❑Pipe Failure (Break)
❑Other (Please explain in Part 11)
h
,24-our verbal notification(name of person contacted): A Ile, C./
v�!<
uWR []Emergency Management Date (mm�d-yyy): `%- / 2 - 02o /oi Time: (hh:mrn AWPM): g
Per G.S. 143-215:1 C(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 thefor►
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 Rage .I

The Director. Division of Water Resources. may take enforcement action for SSOs that are required to be resorted to
Division unless it is demonstrated that:
1) the discharge was cause by sever natural conditions and there were no feasible alternative" to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of
the Pennittee 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
PART If:
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART 1 OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I
(In the check boxes below, NA = Not Applicable and NE = Not Evaluated)
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS
IS HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Form CS-SSO Page 2

Severe Natural Conditions (hurricane,tomado, etc.)
Describe the "severe natural condition" in detail: i n r i.es 67 tLi, 1 60erA a 4
How much advance warning did you have and what actions were taken in preparation for the event? /1 t)n g—
Comments: ,Sc-,ue,a�l
CtrowJ
UaS d fern ,ry C�+ F,-/( copa5,11 t onJ : bypass s4j+ v-t cJ«s
0�e,'),',,q US i,)e /(.
Form CS-SSO Page 3

Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule ❑ Yes 21No ❑NA ❑ NE
in any permit that addresses 1/1?
Explain ifYes:
What corrective actions have been taken to reduce or eliminate I & I related overflows this spill
within the last year? A (G- i ll &A A r A 4-n
Has there been any flow studies to determine IA problems in the [Yes ❑ No ❑NA ❑ NE
collection system at the SSO location?
1f Yes, when was the study completed and what actions did it recommend? FAW ,SJ"JN I'A v-nna ; by /�1 G �' ► I
Has the line been smoke tested or videoed within the past year? [✓ Yes ❑ No ❑NA ❑ NE
If Yes, when and what actions are necessary and the status of such actions: ityMiA 1a4 g4.rce^ %dabeen � eS��
Are there 1/1 related projects in your Capital Improvement Plan? [TYYes ❑ No ❑NA ❑ NE
If Yes, explain: A.1 A Jft, Cuf/eiL4 he;n4 rl rle
Have there been any grant or loan applications for IA reduction projects? ❑ Yes ❑ No ❑NA ❑ NE
If Yes, explain: 4 PS W rJ Ar /i /0/b t & c:7-
Do you suspect any major sources of inflow or cross connections [0"Yes ❑ No ❑NA ❑ NE
with storm sewers?
If Yes, explain: Tv _ / e_ G ed errn;wJ
Have all lines contacting surface waters in the SSO location and upstream Eg"Yes ❑ No ❑NA ❑ NE
been inspected recently?
If Yes, explain: T1; ce u i -A. - iu
What other corrective actions are planned to prevent future In related SSOs at this location? V;�) �- isHa �Q �e.L�'n11
Comments: 61my- Ark •.S �; i,�J�w_ i JW e Ot1 AsUe 17ee i%d ea n T �1 �pCI J"S
Form CS-SSO Page 7

System Visitation �
ORC M-I`es
Backup ❑ Yes
Name: / Pa'! ✓' u bl n 1
Certification Number. RR Y 7
Date visited: 7 / 21- 61,619
Time visited: 8: 3 u A m
How was the SSO remediated (i./e. Stopped and cleaned up)?
< 4,Q&J T/ e- c. erg
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: 1 %ell rj I (,A A
Date: 7 -1 a — O'Zb I °l
Signature: Title: /(P r,;aIJ aK C
Telephone Number. 919 Aa3 �
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).
Form CS-SSO Page 15

PUBLIC NOTICE
FOR MORE INFORMATION, CONTACT:
Henry Vann
c/o Mount Olive —Town Hall
Sherry Davis — Administrative Assistant
Phone: [phone] .
Fax:[phone]
Sanitary Sewer Overflow
Mount Olive, North Carolina, July 12, 2019
The North Carolina General Assembly enacted House Bill 1.160 in July 1999. This Bill requires
municipalities to release information to the public within 24 hours when a sanitary sewer
overflow of 1,000 gallons or more reaches surface waters. It requires a Public Notice in addition
to the Press Release if the discharge is more than 15,000 gallons.
In accordance with this, the following information is being sent to you:
The Town of Mount Olive has experienced a sanitary sewer overflow totaling approximately
67,500 gallons. At 5:30 am on Friday, July 12, 2019, the spill was discovered and stopped at
10:00 am on Friday July 12, 2019. The spill lasted.4.5 hours.
The Division of Water Quality was notified of these spill on Monday July 12, 2019.

FOR IMMEDIATE RELEASE
House Bill 1160, which the General Assembly enacted in July 1999, requires
those municipalities, animal operations, industries and others who operate
waste handling systems issue news releases when a waste spill of 1,000
gallons or more reaches surface waters.
In accordance with that regulation, the following news release has been
prepared and issued to the media in Wayne County, NC.
The Town of Mount Olive had a discharge of untreated sewer from inside
the Town's wastewater treatment plant at 408 Wilkins Farm Road of
approximately 67,500 gallons. At 5:30 am on Friday, July 12, 2019, the spill
was discovered and lasted until Friday July 12, 2019 until 10:00 am. The
spill lasted 4.5 hours.
The untreated waste entered the headwaters of the North East Cape Fear
River. The spill occurred as a result of heavy rains. This notice was required
by North Carolina General Statutes Article 21 Chapter 143.215C. For more
information contact Town Manager and Public Information Officer, Charles
Brown at [phone].

SSO/Byp 'ss 24 hour report
Name of.person ; ;Ilin in the reportPhone number1�
Time of phone call
Date of phone.call
Facility Name'
Permit number (WQCS or other)
County \� ! \Ng
Incident started (date/time)
Incident ended (date/time or ongoing)
11 Z.ol �►. , 0 � �
Location .'��� 9 K w 1
(ex: 123 Main St, intersection.of Main and.3 , manhole #MH 27H):
Volume of spill S (gallons)
Volume reaching surface waters S �O (gallons)
Waterbody name (if reached surface waters)
(If volume is 1,OOO.gals to surface waters, has the permittee issued a press release?)
Cause of spill/bypass:
Source of spill (check one):
manhole , sanitary sewer , pump station , WWTP
Level of trea t (check one):
None , Primary Treatment , Secondary Treatment ,
Chlorination
Action Taken:
Containment , Pumped , Lime , Chlorine
This report taken by (name)