The URL can be used to link to this page

Home My WebLink AboutNC0026271_Regional Office Historical File Pre 2018 (40)WWI Collection System SSO 24-Hour Notification Collection System: Number and Name WQCS# A Q) AtL ,271 Incident Number from BIMS 20130 Incident. Reviewed (Date): Incident Action Taken: BPJ NOV-2013-DV DV-20-13 I a an ME x man ME no a no a No ON MEN No a am MEN a a U a a on a am am an a MEN am 0 Nis ME an ONE a a an ME Nona Spill Date 7 Time M am/ pm Reported Date Time 1 l S am/ pm Reported To SWP Staff or EM Staff 'Reported By -ZAr-140 �(,�G Phone Address of Spill _jam l o S(ti I[C (Al P a ' County Cause of Spill City V �J Total Estimated Gallons 5(or (goo Est. Gal to Stream c PX Stream Fish Kill: Yes No Number Species, Non Required Information and other comments relating to SSO incident. - Response time minutes Zone Map Quad 4"f &av, — d-4 rnu4� F-/U-,k) "od4ef and p ^ w ` lJ1A_ (AL-)(�✓l /mill %j A- /C1.., s l A.� M/ i inn d MR7/30/2013 10:18 8286322079 TAYLORSVILLE WWTP PAGE 01 4b+ P IN -off wAr�9 )-ncv �>� r...... Collection System Sanitary Sewer Overflow Repo rig Form V 112009 PART I This form shall be submitted.to the appropriate DWQ Regional Office within five days of the first knowledge of the sanitary sewer overflow (SSO), —' Permit Number : ,A%'uo 2 b IL7 1 (WQCS# if active, otherwise use WQCSD#) Facility: � GA 4 G� s��L G'�"'r� Incident # ^ a o J Owner. �t1.�a o� �Lonl� Region: /1�orUa1 City: (�..t d VILL nJ _� County: /fi`fJcnNn �e l J Source of SSO (check applicable) ; Sanitary Sewer 11 pump Station !Lift Station SPECIFIC location of the 880 (be consistent in description from past.reportts or documentation - i.e. Pump Station 6, Manhole at Westall & Bragg Street, etc.) : Manhole# Latitude (degrees/minute/second): S u Longitude(deg oostminute/second): !1 y Incident Started pt 7 Incident End Dt: `71y7 Time: (mm-dd-yyyy) hh:mm AMIPM (mm-dd-yyyy) hh:mm AM/PM Estimated volume of the SSO: 0. 00 ° gallons Estimated Duration (Round to nearest hour): 1 Describe how the volume was determined:' �'-' CN.•N"r A^� C�ndk �+lj�' igrte Weather conditions during SSO event: S7 --- - Did SSO reach surface waters? ❑ Yes C9-NO❑ Unknown Volume reaching surface waters (gallons): CJ Surface water name: ^' M. Did the SSO result in a fish kill? ❑ Yes RNo❑ Unknown If Yes, what is the estimated number of fish killed? SPECIFIC / cause(s) of the SSO: t!J Severe Natural Condition ❑ (-� Grease l._i Roots ❑ Inflow and Infiltration ElPump Station Equipment Failure 0 Power outage D vandalism ❑ Debris in line ❑ Other (Please explain in Part II) ❑ Pipe Failure (Break) 24- verbal notification (name of person contacted)�� C d �S Cov£.sa ��rt �1231�3 GiF� t_r l DWQ ❑ Emergency Mgmt. Date (mm-dd-yyyy): a -time (hh:mm AM/PM): If an SSC is ongoing, please notify Regional Office on a daily oasis until $80 Cars 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--W=WMU, i§charge occurred_ When 15,000 gallons or more of untreated wastewater enters surface waters, a publio notioe shall be published within 10 days and proof of publication shall be provided to the Division within 30 days, Refer to the refare 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 'alterimatives 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 11 IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM, CS-SSO Form Page 1 NW. /30/2013 10:18 8286322079 TAYLORSVILLE WWTP PAGE 02 Severe Natural Condition (hurricane, tornado, etc.) Describe the "severe natural condition" in detail? // i/'�l /!tuna iJtotS%7+t/i+1 ( Z,--SS Va4.fL How m advance warning did you have and what actions were taken in preparation far the event? Comments: r+ �/r!�-Q �+ •ap 3�, r't � . /ALL GUU'` �r+r.,..��t/a4.f..� lV.au � ��r' .._�� ! Arvra CS-SSO Forth Page 3 /30/2013 10:18 8286322079 TAYLORSVILLE WWTP System Visitation ORC Backup Name: Cert# Date visited: 7/Z Time visited: -j Prrn bYes Yes How was the SSO remediated (i.e. Stopped and cleaned upj? f� r �j J � '4 l%tlf4 C f -11 "Y/A7" �o E..p 4110 �iYO V L fF �0 e N uA `. As a representative for the responsible party, I certify that the informeWn contained in this report is true and accurate to tFie es my now a ge. _ _. _....-- — Person submitting claim: 21n 6,0 g- 8 Date; -7/3 olI i Signature: d Title: Telephone Number.( ��'} 37- 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