WQCS00135_Regional Office Historical File Pre 2018 (2)

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ROY COOPER
Governor
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MICHAEL S. REGAN
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Secretary
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S. DANIEL SMITH
NORTH CAROLINA
Environmental Quality
Director
CERTIFIED MAIL: 7018 3090 0001 2328 4464
RETURN RECEIPT REQUESTED -
October 22, 2020
David Odom, Manager Town
Town of Taylorsville
204 Main Ave Dr SE
Taylorsville, NC 28681
SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY
Tracking No.: NOV-2020-DV-0451
Sanitary Sewer Overflows - September 2020
Collection System Permit No. WQCS00135
Taylorsville Collection System
Alexander County
Dear Mr. Odom:
A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by
Town of Taylorsville. The Division's Mooresville Regional Office concludes that the Town of Taylorsville violated
Permit Condition I (2) of Permit No. WQCS00135 by failing to effectively manage, maintain, and operate their
collection system so that there is no SSO (Sanitary Sewer Overflow) to the land or surface waters and the SSO
constituted making an outlet to waters of the State for purposes -of G.S. 143-215.1(a)(1), for which a permit is
required by G.S. 143-215.1.
The Mooresville Regional Office is providing the Town of Taylorsville an opportunity to provide evidence and
justification as to why the Town of Taylorsville should not be assessed a civil penalty for the violation(s) that are
summarized below:
Total Vol
Total Surface
Incident start Duration Vol Water
Number Date (Nuns) Location Cause (Gals) (Gals) DWR Action
202002614 9/17/2020 180 Pump Station @ 1428 Inflow and 18,000 18,000 Notice of Violation
Paul Payne Store Rd Infiltration, Severe Intent to Enforce
Natural Condition
�..-.. Nxrt _a» as Deps1,11, :f E111onmerts' q_&V I D%v-sen zf Water Resavrces
R'a.re>ti�I'e Rep, rs, Dffine I CID Eas ^.ecter.Aoerue. S-le 2CI I \:rc Canan a ZS115
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This Notice of Violation / Notice of Intent to Enforce (NOV/NOI) is being issued for the noted violation. Pursuant
to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed `
against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any
permit issued pursuant to G.S. 143-215.1.
This office requests that you respond to this Notice, in writing, within 10 business days of its
receipt. In your response, you should address the causes of non-compliance, remedial actions, and all other
actions taken to prevent the recurrence of similar situations. The response to this correspondence will be
considered in this process. Enforcement decisions will also be based on volume spilled, volume reaching surface
waters, duration and gravity, impacts to public health, fish kills or recreational area closures. Other factors
considered in determining the amount of the civil penalty are the violator's history of non-compliance, the cost of
rectifying the damage, whether the spill was intentional and whether money was saved by non-compliance.
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TAYLORSVILLE: NC 28681
sl nTrN: DAVID ODOiVI, TOWN MANAGER
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intact Michael Meilinger or me with the Water Quality Section
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Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident Number from BIMS --20160 0
b i,'<. r'' ,c•Is`.�,.p,y -t, c',.,-i NC-,,-✓ 1 rl L r o�+uN
Incident Reviewed (Date):
Incident Action Taken: BPJ
NOV-2016-DV
DV-2016-
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Spill Date % Time ,� d am pm
Reported Date (� Time 1 O_O a r/ pm
z
Reported To RO WQ Staff or EM Staff L-- co
Reported By 46 r.dq Phone
Address of Spill AID ►.la I ):occ; ) J:X-" Id f—ertjo
County l� / ra- �� rv� City ��S ✓, .�
Cause of Spill
Total Estimated Gallons 1000 Est. Gal to Stream /Uac)
Stream Cr o c C V_ Stream Classification
Fish Kill: Yes Number Species
;5
Non Required Initial Information and other comments relating to SSO incident:
Response time minutes Zone Manhole #
j jI RV,
Duration of SSO 0
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03/09/2016 11:03 B286322079
TAYLORSVILLE WWTP
PAGE 01
State of North Carolina
Department of Exavironment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
p$vislon of Water Resources Form CS-SSO
PART I:
This form shall be submitted to the appropriate DWR Regional Office within fire, business deg of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number; WQCS00135 (WQCS# if active, otherwise use WQCSD#)
Facility: wwtp
Incident #: 1 Owner: Taylorsville
Region: mooresvil)e City: Taylorsville County: Alexander
Source of SSO (check applicable): ❑ Sanitary Sewer ® 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_), Alexander Pr'ision Pump Station
Manhole #:
Latitude (degrees/minute/second): Longitude (degrees/minute/second):
Incident Started DE 3/8/2016 Time: 9am Incident End Dt: 3/8/2016 Time: 930am
(mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AWPM
Estimated volume of the SSO- 1000 gallons ' Estimated Duration (round to nearest hour): 1 hoUr(s)
Describe how the volume was determined: sigbt
Weather conditions during the SSO event: sonny
Did the SSO reach surface waters? ® Yes ❑ No ❑ Unknown
Volume reaching surface waters: 1000 gallons Surface water name: Glade Creek
Did the $SO result in a fish kill? ❑ Yes ® No ❑ Unknown
If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
❑Severe Natural Conditions ❑ Grease []Roots ❑Inflow & Infiltration
®Pump Station Equipment Failure ❑ Power Outage ❑Vandalism ❑ Debris in line ❑Pipe Failure (Break)
❑Other (Please explain in Part 11)
24-hour verbal notification (name of person -contacted), Barry Love
®DWR ❑Emergency Management Date (mm-dd-yyy): 3/8/2016 Time: (hh:mm AM/PM): 11 am
Per G_S_ 143-216.1 G(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 since 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
acid content of the notice and the newspapers in which the notice is published.
WHETHER OF NOT ART 11 IS GOMPLETED, A SIGNA_C RE IS REQUIRFA) SEE PAGE 13
Form CS-SSO Page 1

03/09/2016 11:03 8286322079 TAYLORSVILLE WWTP
PAGE 02
Pump tabon E ui m nt Failure Do men tion of testin recar etc hould be rovidecl u on re nest
What kind of notification/alarm systems are present?
Auto-dialerttelemetry (one-way (;ommunication) ❑ Yes
Audible ® Yes
Visual ® Yes
SCADA (two-way communication) Yes
Emergency Contact Signage ❑ Yes
Other ❑ Yes
If Yes, explain:
Describe the equipment that failed: breaker tripped on station
What kind of situations trigger an alarm condition at this station (Le, pump failure, power failure, high water, etc,)?
Were notification/alarm systems operable? ❑ Yes ® No ❑NA ❑ NE
In no, explain: accidently turned oft?
If a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
If a valve failed, when was it last exercised?
Were all pumps set to alternate? ® Yes ❑ No ❑NA ❑ NE
Did any pump show above normal run times prior to and during the SSO event? ❑ Yes Z No ❑NA ❑ NE
Were adequate spare parts on hand to fix the equipment
Was a spare or portable pump immediately available?
If a float problem, when were the floats last tested? How?
❑ Yes ❑ No [QNA ❑ NE
❑ Yes ❑ No ®NA ❑ NE
If an auto -dialer or SCADA, when was the system last tested? How? week before
Comments: we have no expaination as to how the autodiaier was turned of... has since been reset.
Form CS-SSO Page 7

03/09/2016 11:03 B286322079 TAYLORSVILLE WWTP PAGE 03
Other (PiQtures and police repQrt as applicable, most be available uPon re uest"
Describe:
were adequate equipment and resources available to fix the problem? ® Yes ❑ No ®NA ❑ NE
If Yes, explain: breaker was reset and scada reset
If the problem could not be immediately repaired, what actions ❑ Yes ❑ No ®NA ❑ NE
were taken to lessen the impact of the SSO?
Comments:
Fonn CS-SSO Page 11

03/09/2016 11:03 8286322079 TAYLORSVILLE WWTP
PAGE 04
1
System Visits ion Yes
QRC
Backup ® Yes
Name; Brian Fades
Certification plumber: 995176
Date Visited: 3/8/2016
Time visited: loam
How was the SSO remedisted (i.1e- stopped and cleaned up)?
reset breaker and scads system .... limed soil at spill
As A re rese ive fort res onsi I a I rartify th@j the InfqEMation cQntained in Ihis report is true aQ0 aces a to the
b df m led e.
Person submitting claim: Brian trades Date: 3/9/2016
Signature: ��/ Title;
Telephone Number: 8296325290
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 $SO 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

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# ©013
Incident Number from BIMS
Incident Reviewed (Date):
Incident Action Taken: BPJ
NOV-2012-DV
1 a■■ a■■■ a a a■ a a■■■ a B a C■■■ a■■ O a C i■ P a a a■ a a a a a■■ a a C a■■■■ a 6 a■■ a■ a a 0 a a a■ a a a■■
Spill Date o Time ��c�U ar / P m
Reported Date 3U Time % Z ; S am/ Qrr
Reported T. Staff or EM Staff
Reported By
7rt a.,j O"V-15
Phone
Address of Spill �(� L, ( p1 �►�� S�'^` P<
County City_
Cause of Spill le
Total Estimated Gallons OCR L Est. Gal to Stream �rG
Stream Cr Fish Kill: Yes6 Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

:� . �s 08/30/2012 13: 35 8286322079
TAYLORSVILLE WWTP
PAGE 02
OF VVATf 4
��' v� Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
V 112009
PART 1
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 : W CT 0 I��
_ � 0 (INQCS# if acti otherwise use WQCSp#) ,
Facility: [ owN d J 4 h .�csyiz �f OVS
Incident #
^" A 1Ei rc.0 vJ L rL.
Owner: !a w r v" . y Region: Aat srruE. ar e—V
City: — LdltS {�[ L. I� C. Zg+tp �) Gli'k plu.+ ta-
�- County:
Source of SSO (check applicable) : ❑ Sanitary Sewer pump Station !Lift Station
SPECIFIC location of the SSO (be Consistent in description from past orts or documentation • i.e. Pump Station 6
Manhole at Westall & Bragg Street. etc.) :���/e�'-
r� „
Manhole# 7k's-.3 7 .-P A ]o
Latitude (degrees/minute/second): 2 6-- - Longitude(degrees/minute/second)
Incident Started Dt: `�j' 0+1 Time: �a U Incident End Dt: v1-3a �J Z' Time:.. g
(mrn-dd-y)ryy) hh:mm AM/PM (Min-ld-yyyy) hh:mm AMIPM
Estimated volume of the SSO: �
o C' 0 gallons Estimated Duration (Round to nearest hour):--- / -- -
Describe how the volume was determined: - S{^ DA 4,0V bA-M - k1 t ui0 L- r
Weather conditions during SSO event: -+�u b+✓j
� / P
Did SSO reach surface waters? l.F� Yes ❑ No❑ Unknown Volume reaching surface waters (gallons):
Surface water name;CYAZ>gF
Did the SSO result in a fish kill'? ❑ Yes ErNoO Unknown if Yes, what is the estimated number of fish killed? N�
SPECIFIC cause(s) of the SSO: 10
❑ Severe Natural Condition ❑ Grease Cr1 Roots
❑ Inflow and Infiltration ❑ Pump Station Equipment Failure iJ Power outne
❑ Vandalism ❑ Debris in line er (Please explain in Part 11)
❑. Pipe Failure (Break)
�2-4-fio verbal notification (name of person contacted
E.
Dwo ❑ Emergency Mgmt. Date (mm-dd-yyyy): &'?- Time (hh:mm AM/PM)_.
If an SSO is ongoing, please notify Regional Office on a daily basis until $SO 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 48-hours of first knowledge to all print and electronic news media providing general
coverage In the counqWK6rLs�scharge occurred. When 15,000 gallons or more of unheated 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 re- rents 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 oemonstrateo mat:
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 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 aotion. Therefore, it is important to W 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

08/30/2012 13:35
8286322079
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PAGE 01 ..,
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—108/30/2012 13:35 8286322079 TAYLORSVILLE WWTP PAGE 03
Other pictures and police report, as_applicable, must be available upon request.)
Describe: /n/S'iUe- 770Z bw j7 S,-CAr'ILP /jWlr q 4
dye„ pLo� .
Were adequate equipment and resources available to fix the problem? We No Q NA [I NE
If Yes, explain: G� Tel+l �iw� G� �R ?Or-j' m,a Jr%.
If the problem could not be immediately repaired, what actions were taken to lessen the impact of the
SSO?
Comments:
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sJ 7.171F- XTedlf!L "70 1WIM-!- 796kVV&. Tr& 4 fvfr.7� J�50s , S-irbU.F" AsA5rt
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CS-SSO Form Page 12

08/30/2012 13:35 8286322079
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PAGE 04
System Visitation
ORC
Backup
Name:
Cert#
Date visited:
Time visited:
How was the SSO remediated (i.e. Stopped and cleaned up)?
jg� _� -1) _/I -4--
CZ- 4A/" .
093 0
As a representative for the responsible Pa , I Certify that the information contained in this report is true and accurate to
the be TaF m�naNrs few -� — --
Person submitting Claim:
Signature: 4..�
9 Title:
Telephone Number: ;'ZI •
Date: 2T/ I o / ! _j__
ORC C/e,
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

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# CDO
Incident Number from BIMS Caw 2bl l0 b I �S
Incident Reviewed (Date):
Incident Action Taken: J I
t NOV-2011-DV� 1
i a ■ a a ■ a ■ ■ ■ a ■ a ■ ■ ■ a ■ a ■ ■ ■ a ■ ■-■ ■ ■ ■ a ■ a ■ ■ a ■ a a ■ ■ ■ ■ ■ a ■ ■ ■ a ■ ■ ■ ■ ■ a e ■ a ■ ■ ■ ■ ■ a ■ ■ ■ u ■ a ■ ■ i ■
Spill Date
Reported Date lib(
Time q ', t 9 <fam�l pm
Time I; SS' a pm
Reported To SWP Staff or EM Staff Lo"
Reported By A&"iw Phone
Address of Spill rM 4�- (, V-L CW-,1 L PS Chi PD su (
County
City
Cause of Spill 3wb 0 q- er
`tjDOO
Total Estimated Gallons Est. Gal to Stream
Stream G�k Lt.- Fish Kill- Yes 0 Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
N

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident Number from BIMS
Incident Action Taken: ✓ BPJ
NOV-2009-DV
i .. ■ ................. a ..... ■ .... a ... a ........... I ......... ...... ®... ■ .. ■
Spill Date Z. Time
Reported Date t Z�� Time
Reported To(Sg) Staff or EM Staff _
Reported By �J�ir � ae s
�C-(3 am/m
am/ pm
Phone
Address of Spill
County / - - City �r44&�-SJLe
Cause of Spill
Total Estimated Gallons Est. Gal to Stream
Stream /V AL- Pbr1c- Cr— Fish Kill: Yes Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

Collection System SSO 24-Hour Notification
Collection System. Number and Name WQCS#
Incident Number from BIMS -�-O I oc�lz� �
Incident Action Taken: BPJ
NOV-2009-DV
Spill Date L Z� Time �� am/
Reported Date C 04o Time am/ pm
Reported To S& Staff or EM Staff �H
Reported By �-� Phone
Address of Spill PI,,j
County City (F4y OcS�
Cause of Spill
pc
Total Estimated Gallons Est. Gal to Stream
Stream jL Fish Kill: Yes Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

01/25/2010 12:39 0286325280 BRIAN EADES WWTP PAGE 08
WAr�cR¢ FdnI1C5rSSO -
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spwm aeme(s) of em 860-
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Y&WFWM OR NOT PART If IS COMPLETED, A SKMATURE IS RFOURIM AT THE END OF THS FOFW-
CS.S90 Fwm Odcaber R, 2W3 pagp I

01/25/2010 12:39
8286325280
SRIAN EADES WWTP
PAGE 09
of vi�►s�
v�
d �
PART I I
ANSWER THE FOL,LovwING CAJESIM S FOR EACH RELATED CAUSE CHECKED IN PAI;ff I OF TM FORM
AND INCUI M THE APPROPRIATE DOCUMEWTATION AS REQUIRED OR UI=SIRED
C UPLETE ONLY 7HOSE ACTIONS PERTAINING TO THE CAUSE OF THE SSG AS CHI IN PART I
In the shack hmm burr, NA = MdAffficaW and NE = Not EVW09Wd
A HARDCOF" Y OF i➢-IIS FORM sim D sE SUoMITTED To THE APPROPRIATE alAliQ RIMMAL OFFICE
UNLESS IT HAS OEM SUE MMMO FLECTRONtCAI LY -MROUGH THE ONLINE REPMnNG SYSTM
sevoe Nakxa1 condom - eb--
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jibw ourh ad vanD-- jam" did you R» and vkd acb" TmMm td@m in PMPMBkM 1fff 1I 0 evwV
no warning of #ft anxxmt of rain
ccumnangs'.
V&m wn Iles iffit Im gm spMft Wo (or wat damned
I� I I ara grew wit fogLirw rmw or d OPM r�
.:, ... =:ru r t : . ':r ;;� :r o:i r .. -�:< •.. . r r • i.a ...r i •.; , a.
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01/25/2010 12:39 8286325280 BRIAN EADES WWTP PAGE 10
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01/25/2010 12:39 8286325280 BRIAN EADES WWTP
PAGE 11
per: 1r2lrm10
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01/25/2010 12:39 8286325280 BRIAN EADES WWTP PAGE 02
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teamer ttm2 �Ileranma Vas deleeareiem� A#a�etz ire a HW ai'm�" ferae� irmr
CW SSD r odo sine MW 0lfes ❑ t sa VoUmleadikag sine aealeAs
SwIamrraafernoom XUZO
t� the sso rem a t�h ? � Yew ❑� C7tfm ItYes. melnat 4stlee ealimealerA mreYnptb�aaftli�m
SKK*-ic fie) Oft" $sat
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❑ftV SWM Rp*mmit FMM
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11 eefm as t mogr Pooffional Office an at dimly barns until SSIa can be
Per C.S. 143-215.It 1, ahe +espartmiliie party of a Mixfoigis of I ADD gars ar mom of +rilreaAea woolomoMr to same
Valets stoma Umd,e 4"Imms aat +� amem&K% a to am P" and darnels mae memealta t
coverasp in *a VjRjeM,a pr bft nCSoe dW be p&WRdmoin 1 dwp Wo pe a dt Ohmion Tagil :10at"m
Referto Nmaelf®rermced slateie feed mfmdoW.
lame t]ier�r,�t7e asf tl0llaier v, �►� � as�aae for 590s that a� mertuiired b bee � t ae►!~le�B i
7) the dhm%aWatas Caeeaed by 8oVm na%xaI ror1 OR: m arts Owe Vere� rmo feameaible aiterrra es b the ;air
the vrres ate. andmoodbyliacim WMW the mm mmaif m c:®e* d Otto tam Mee
an dAx &A w, anew ire dmdmgp nd ham tueesm prea mftd by the ­e�ise of asoeme>tai� -
Pmt ft m ale +� prooasOtRa a a eillaer t �.. Mft bftmaftn VA be:taanais
tbriMee eiaW elftcogm ac9mL lbeaftme, it a koporfant lo Was mo m1flol Pas paesible_
VWCOM 09 WT PART 11 IS ATM A SIM IATl W IS REOLARFD AT THE END OF *MS FORM.
C ,4M form Oar 0. 2= fie I

01/25/2010 12:39 8286325280 BRIAN EADES WWTP PAGE 03
otiwr,�r�,ta Form CS-=
C.a�ediorl n Sanilar�/ Sewer ► Form
PART I I
AsISr" THE FOLLCY MNG 4UES7IO16IS FOR EACH RELATED CAUSE CHECK IN PART I OF INS FORM
AND IMCLUM THE APPROPRIATE DOCUMENTATION AS REWRED OR DMRM
( oMpLEW ONLY THOSE SECTKM PER TUNING TO THE CAUSE OF THE SSO AS CHECK IN PART I
In ow G e Ai s bokmr, MA = Nlat Appk:*b and ME = Mdt Evakx"
A HARDCOPY OF TM FORM SWULD BE SUBMITTED TO THE APPROPRIATE DM REGIONAL OFFICE
UNLESS IT HAS BEEN SUBMrt'TED EU$CTROMICAILY THROUGH THE OMJME REPORTING SYSTEM
$ d COnIl m gMENgmbOInab eir-
Ue 00-tee sm .
Heey/ wainfall Of r MMFded M h3Wn W" is milin 24 Iroi M
I= nNadh admcguWMV did IM have and whatadV= axte I in pn3palubmtar *O MMr C?
no warning of this anxmM of rain
Co nn :
r'T -a
won im the Iaatt"maft be fairnaareowas ?
Have *me bom.vm=4 umpecWm araa' enbmmMmt a ck4m i e an neoW nDoWmmft or mbar
nomom ideetlYel gneame aoadriihe kRV
u yem opor, a, thesmr:
0Xw0w1]p l:lw
M,D mllm[Jf -
iEtmawe said Iaeeea iins�rd # IIn� j1NiaaM� YI ilWa MI► III
GS4W Sam Ociobw9, 2W3 Page 2

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01/25/2010 12:39 8286325280 BRIAN EADES WWTP PAGE 05
Mg ao echm S imm Brain teem galran to l= Of ebmz'AO 1 R 1 felaNd &Jefsms at CMS
*om to b" Y"r2 2IO+r. Irlmhoiers haW h8m whabbW and ameMy poled b � in area.
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tf Yes,, shen veers to a m tint ors dyd It ee+cra hmV
vvgta & Assodabs oxxWW a s6trdq of" Norilwrrnod area Ind restOM in r b% and ire TWOm rarner* under_
"m"dirra bear a K*o VOW or vrdmoed oe pert U. r�
tf yer, %at " bAmab wore a timirms gm m m%mmy and Ilse SMA Of
SpwW of 2W9 enrolee Nmgmvwd arM re=Akg in count nWAM be&Yg moft k-*V to Oft PWW saraatsrr.
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9 Wmj goner cwecbm adhimm we pbmwd tm PMUMA tip 14 a * SSM 49 tllM kX3b l?
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01/25/2010 12:39 8286325280 BRIAN EADES WWTP PAGE 07
As a for Me MVMLAM
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Perew sub ulbm clikh'x DMW %3bkv�to
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Dwia: U25=10
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Any addtaAW itamadwdented W boQbmMWshmM be WtlDfW of%d
Iladlg� of %� SSA �ilh � t� t ' �lFae rear � awieeRn �1► alf �a
rs

A
Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# 000
Incident Number from BIMS
P�6'. 1125
/I)(),
Incident Action Taken: BPJ
NOV-2009-DV 0_U7,>
i e � � � � � � � e � � � e ®� � e ■ w � �'� � � � � m � � � � s � � m � ®� i eft � � � m e ■ • � � e � � o e � � ®� t � � � u � t � � � Y ■ > ,
Spill Date 0 Time
ru
Reported Date — ` ��/ Time r am/1/pm JNJ
1� f
Reported To SWP Staff or EM Staff
Reported By /L(Ch� �C�'� Phone
Address of Spill
ounty&ev", &, d City
p6' Cause of Spill
OctIV04 OW,t T
li
U`4 Tota�stimated Gallons Est. Gal to Stream
t,l,l � �c,��u 7Number
Stream M'Q6Y � Fish Kill: Yes No Species `
...............
Non Required Information and other comments relating to SSO incident-
esponse time minutes Zone Map Quad
/)10-
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keAC4.6
ztha�--
vbu.- _' #0/&.

0_ ..-A
07/29/2009 10:52 8286325280 BRIAN EADES WWTP PAGE 02
04 WApf
Q; Form CS-SSO
' C Collection System Sanitary Sewer Overflow Reporting Farm
P �
PART I
This form shall be submitted to the appropriate DVVQ Regional Office within five daysof the first knowledge of
the sanitary sewer overflow (SSO)_
Permit Number, WQCS00136
Facility:
(WQCS# if active, otherwise use treatment plant NC/VVQ#) 2 Oo�'7 O c 1 t�
Incident # �����.����
Owner Town bfTown T*Ykw vNlem moareadka ra8
Clly- Teybrav ge 2Mi
Northwood Pump 9tffaw
Source of SSO (check applicable) : ❑ Sanitary Sewer ❑ Pump Station
Region:
County_Ahw,
SPECIFIC location of the S$O (be consistent In descrlptlon from past: reports or documentation - i.e. Pump Station 6,
Manhole at Westall & Bragg Street, etc.) : Northwod Park drive 28081
Latitude (degrees/minute/second):..n/ate, Longitude(degreeslminute/second) n/a
Incident Started Dt: 07-26-2009 Time. 3`30 pm incident End O*07-26-2009 Time, 5:30 pm
(--dd-yyri) hh;MM AMrPM (mm-dd-yyyy) hh:mm AM1PM
Estimated volume of the SSO: 8,000 gallons . Estimated Duration (Round to nearest hour) --
Describe how the volume was determined: Scada eagmaW tar the previoto week divided into approx. hours
Weather conditions during SSO event: &'"y
Did SSO reach surface waters4 a Yes❑No❑ Unknown Volume reaching surface waters (gallons): 7000
Surface water name: Tributary o Muddy Fork Creek
Did the SSO emit in a fish IdII7 ❑ Yes © No ❑ Unknown if Yes, what is the estimated number of fish killed
SPECIFIC cause(s) of the SSO:
❑ Severe Natural Condition I❑fit Grease Roots
❑ Inflow and infiltration Pump Station Equipment Failure ❑ Power outage
❑ Vandalism ❑ Debris in line ❑ Other (Please explain In Part 11)
Immediate 24-hour verbal notification reported to; Barbara strand
DWQ ❑ Emergency Mgmt. Date (mm-dd-yyyy): 47--27 2mg Time (hh:mm AMIPM); 2:4oprn
If an SSO is ongoing, please notify Regional Office on a dairy basis until SSO can be stopped.
Per G_S. 143-21S.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 knovvledge to all print and electronic news media providing general
coverage in the county where the discharge occurred_ When 16,000 gallons or mom of untreated wastewater enters surface
waters, a pAlic 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 1115 COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form October 9.2003 Page 1

a
07/29/2009 10:52 8286325280 BRIAN EADES WWTP PAGE 01
a
Attn: Barbara Slfford
Town of Taylorsville SSO
WQCS00135
Northwood Pumps Station
Pages: 5
Report slate- 7/29/2009

r - .s
07/29/2009 10:52 8286325280 BRIAN EADES WWTP
Audible Yes
Visual LFYes .
SCADA (two-way communication) a Yes
Emergency Contact Signag8 !_lye.
Other ILIYes
PAGE 04
Describe the equipment that failed?
A combination of Scada (new equipment) not communicating alarm, and a stuck float -alternating switch burn -out
What kind of situations trigger an alarm Condition at this station (i.e_ pump failure, power failure, high
water, etc.)? High water, low water, power failure, pump failure
Were notification/alarm systems operable? Ye No IINA El NE
If no, explain;
Audible and visual alarms'are what caused neighbors to cell in alarm_ New scads had a loose alarm wire and did not communicate. It has since been repaired.
If a pump failed, when was the last maintenance andfor inspection performed?
What specifically was cheekod/maintained?
Station was checked on Tuesday (July 21st) and was functioning well
If a valve failed, when was it last exercised']
Were all pumps set to alternate? 121YX No EINA ©NE
Did any pump show above normal run times prior to and during the SSO event? uYeJO No EINA DNE
Were adequate spare pares on hand to fix the equipment (switch, fuse, valve, seal, etc.)? DYWO No ❑ NA 0 NE
Was a spare or portable pump Immediately available? DYwO NoQNA [I NE
If a float problem, when were the floats last tested? Now?
2 weeks before event by lifting to check operability
If an auto -dialler or SCADA, when was the system last tested? How?
New equipment installed and tested 3 weeks before SSO by electrician and lifting floats
Comments:
We have jtrlk;-ta4ed a ayxenl.w)& aaade rptem end ere VWQ to WC 99M to operate amootltly. TNa was ow tire! week In full 9cede Cp9r9tion, The problarrt W38 a co nMalion of a loots wire an the
alarm and a shrdt (hung) float whh a bed Mwmting wMM that appar'erldy Wort out In a thund6w& n 7123nDM All hove since b99n CCrr9CW end lasted.
CS-SSO Form October 9, 2003 Page 6

.1-
07/29/2009 10:52 8286325280 BRIAN EADES WWTP PAGE 03
Explain if Yes:
What corrective actions have been taken to reduce or eliminate I & i related overflows at this spill location
within the last year?
Has there been any flow studies to determine III problems in the collection System at the SSO location? ©Yet>0 No ❑NA N�
If Yes, when was the study completed and what actions did it remmmend?
Has the line been smoke tested or videoed within the past year? LIYXI No EINA ONE
If Yes, when and indicate what actions are necessary and the status of such aeons:
Are there III related praJects in your Capital Improvement Plan? Ye No NA NE
If Yes, explain:
Have there been any grant or loan applications for 1/1 reduction projects? 13YX No M NE
If Yes, explain:
Do you suspect any major sources of inflow or cross connections with storm sewers? 11YeJ-1 No LJNA LINE
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been inspected recently? ❑YJD No ❑NA 11 NE
If Yes, explain:
What other corrective actions are planned to prevent future III related SSOs at this location?
Comments:
We have just installed a systemwide sends system and are trying to sync each to operate smodhiy. TNt. was but fimt week in fuil scads operadon, The Problem was a comNtnauon of a
luaae YAM an the alarm and a stuck (hung) float with a bed attameting avrltch that appmently bunt out to a thunderatokm 7/2ar2OW7 All bays since been aokrected and tested.
j Pun Station Equipment Failure (Documentation of testing, records etc
J'�" shoal be provided upon request.)
What kind of notiflcationtaiarm systems are present?
Auto-dialer/telemetry (one-way communication) DY"
CS-SSO Form October 8, 2003 Page 4

07/29/2009 10:52 8285325280 BRIAN EADES WWTP PAGE 05
a
As a re resentative for the res onsible party, I certIN that the information contained in this report is true and accurate
to the hest of my knowledge.
Person submitting claim: Brian Eades
K
Signature:
Date: 7-29-2009
Title: Back-up ORC Collections
Telephone Number: 828-632-5280
Arty additional information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SSQ with reference to the incident number (the incident number i$ only generated when electronic entry of this form
Is Completed, if used)_
CS-SSO Form October 9, 2003 Page 8

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident Number from BIMS
Incident Reviewed (Date):
Incident Action Taken. BPJ
NOV-2009-DV
a■■ a■■ a .■ a■■ a a a a a a a a a a a a a a a a a .2 a a a a\ a a me l■ a'■ ■ a a a a e e f a a a a a as e a e 6 a e a e a a e a■
Spill Date 0 1 1 f Time l r- GL' a pm.
Reported Date Time m pm
14
Reported To SWP Staff or EM Staff I L P
Reported By hTo Phone����
Address of Spill Il )&12A
County..
Cause of'Spill
City
c 00 0
Total Estimated Gallons� j w /ZijcAL/vC Est. Gal to Stream S
6
Stream tic6 L Fish Kill. Yes Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

Permit 4
Owner and Facility Name
WOCS00253
Bradfield Farms Water Company CS
VVQC300196
Carolina Water Service Caba«us Woods CS
WQCS00233
Carolina Water Service Hemby Acres CS
WQCS06001
Charlotte -Mecklenburg CS
WQCS00016
City of Albemarle CS
WQCS00046
City of Belmont CS
WQCS00107'
City of Bessemer City CS
W0('.40n0AQ .
('ifv nr ( harnnrilla (q
_ WQCS00221___City_of
Claremonl_CS._.____
WQCS00326
City of Concord CS
WQCS00088
City of Conover CS
WQCS00017
City of Gastonia CS .
WQCS00020
City of Hickory CS
WQCS00327
City of Kannapolis CS
WQCS00036
City of Kings Mountain CS
WQCS00040
City of Lincolnton CS
WQCS00164
City of Lowell CS
WQCS00026
City of Monroe CS
WQCS00059
City of Mount Holly CS
WQCS00044
City of Newton CS
WQCS00019
City of Salisbury CS- .
WQCS00037
Cily of Shelby CS
WQCS00030
City of Statesville CS
WQCS00149
East Lincoln CS
Permit ff
Owner and Facility Name
WQCS00171
Greater Badin CS
WQCS00322
Aqua Country Woods East CS
WQCS00222
Town of Boiling Springs CS
WQCS00341
Town of China Grove CS
WQCS00231
Town of Cleveland CS
WQCS00058 Town of Cramerton CS
WQCS00165 Town of Dallas CS
T:.
,w���1liJVVJ,G I V�rll VI L. JFJGl.J
- ---•— -------WQCS00328.—Town of Harrisburg CS
WQCS00343 Town of Landis CS
Deemed Permitted
Permit #
Owner and Facility Name
WQCSD0130
Brooks Food Group -Brooks Food Group
WQCSDO114
Charlotte Mecklenburg Schools - tAisc Laterals
WQCSDO057
City of High Shoals CS .
WQCSDO11 T
Duke Energy Marshall Steam Station
WQCSD0257
Fallston
VVQCSDO116
Goose Creek Utilities Fairfield Plantation WWTP
WQCSD0101
Harborside Dev LLC-Midtown T CS
WQCSDO095
Kennerly Dev. Group LLC-Boardwalk Villas CS
WOCSDO098
Kennerly Dev. Group LLC-Kings Point CS
WQCSD0105
Kennerly Dev. Group LLC-Moon Bay Condos CS .
WQCSDO107
Kennerly Dev- Group LLC-Schooner Bay CS
\NQCSD0099
Kennerly Dev. Group LLC-Spinnaker Point CS
WQCSD0258
Kingstown
WQCSD0112
Lake Norman -South Point CS
VJQCSDO iO4
Lake fv'orman-Villas S Harbour CS
INQCSDO 102
Lake Nlorman `Jineyard Pt Resort CS
WQCS00310
Town of Longview CS
WQCS00120
Town of Maiden CS
WOCS00344
Town of Marshville CS
WQCS00043
Town of Mooresville CS
WQCS00125
Town of Mt Pleasant CS
WQCS00153
Town of Norwood CS
WQCS00190
Town of Oakboro CS
WQCS00325
-Town of Stanfield CS
WQCS00180
Town of Stanley CS
WQCS00135
Town of Taylorsville CS
VVQCS00258
Town of Troutman CS
WQCS00345
Town of Wingate CS
WQCS00054
Union County CS
WQCS00009
WSA Cabarrus Co. CS
Permit#
Owner and Facility Name
WQCSD0064
Lincoln County CS
WOCSD0097
Martin Dev Gp-N Point & Portside CS
WQCSDO120
Martin Marietta Mallard Creek
WQCSDO019
Town of Richfield CS
WQCSDO024
Town of Grover CS
WQCSDO038
Town of McAdenville CS
WQCSD0002
Town.of Ranlo CS
WQCSDO049
Town of Spencer Mountain CS
WQCSD0252 All spills which do not have a permit
number assigned

11/13/2009 12:00 8286325200
BRIAN EADES WWTP
PAGE 01
Q�ov v+iArkppG
Form CS-SSO
> Collection System Sanitary Sewer Overflow Reporting Form
o -r
PART I
This form shall be submitted to the appropriate DWQ Regional Office within five daysof the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number: WOCS00135
Facility: P
Northwood
UmP ShlNon
Owner. Town or Taylor5viNe
City. TeylorsviQa
(WQCS# if active, otherwise use treatment plant NC/WQ#)
im
Source of SSO (check applicable) : ❑ Sanitary Sewer ❑ Pump Station
Incident #
Region:
Mooresville Office
Alexander
County:
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump Station 6,
Manhole at Westall & Bragg Street, eta.) : Northwood Pump Station
Latitude (degrees/minute/second):
Longitude(degrees/minute/second)' -
11-11-2009 11:00 am 11-11-2009 Time: 1:00 pm
Incident Started Of: Time, Incident End D
(mm-dd-yyyy) hh:mm AM/PM (mm-dd-yyyy) hh:mm AM/PM
Estimated volume of the SSO; 10,000 --- gallons Estimated Duration (Round to nearest hour)2
Describe how the volume was determined: volume out of manhole ring times minutes overflowing
Weather conditions during SSO event: S verai trwi al weather (from lei storm) 4• mlns grin
Did SSO reach surface waters? B YesuNo❑ Unknown Volume reaching surface waters (gallons): 10,000
Surface water name; Tributary to Muddy Fork Creek
Did the SSO result in a fish kill?. ❑ Yes 71 No ❑ Unknown if Yes, what is the estimated number of fish killed"
SPECIFIC cause($) of the SSO:
0 Severe Natural Condition ❑ Grease ❑ Roots
❑ Inflow and Infiltration ❑ Pump Station Equipment Failure ❑ Power outage
❑ Vandalism ❑ Debris in line ❑ Other (Please explain in Part II)
Immediate 24-hour verbal notification reported to. Mike Parker
❑✓ DWQ ❑ Emergency Mgmt. Date (mm-dd-yyyy): 11-12-2009 Time (hh:mm AM/PM): imo am
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 responsibie party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a ress release within d6-hours of first knowledge to all print and electronic news media providing general
coverage in the county w ere the Ischarge 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 If IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form October 9, 2003 Page 1

v
11/13/2009 12:00 ;B286325280 BRIAN EADES WWTP
PAGE 02
wAr,y G
o Form CS-SSO
> Collection System Sanitary Sewer Overflow Deporting Form
FART 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 THI&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.
i
Describe the "severe natural condition' in detail.
Remnants of hurricane Ida dropped 4" of rain to area within a 24 hour period
How much advance warning did you have and what actions were taken in preparation for the event?
weather reports on tv predicted 1-2"....we measured much more.
Comments:
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?
Have there been recent inspections and/or enforcement actions taken on nearby restaurant$ or other
nonresidential grease contributors?
LJYOJJ NoCINAIINE
❑Yez) No[INALINE
Explain.
Have there been other SSOs or blockages in this area that were also loused by grease? Yes No NA NE
When?
If yes, describe them:
Have cleaning and inspections ever been increased at this location? Yea© NoCINADNE
Explain.
CS-SSO Form October 8, 2003 Page 2

11/13/2009 12:00 8286325280 BRIAN EADES WWTP
PAGE 03
When was the area last Checkedldeaned?
Have cleaning and inspgctio0s ever been increased at this location due to previous problems with debris? ❑YeSONo CINA ❑NE
Explain:
Are appropriate educational materials being developed and distributed to prevent future similar ❑YeJD No NA❑NE
occurrences?
Comm",
Other Pictures and a police report should be available upon request.)
Describe:
Were adequate equipment and resources available to fix the problem? YeD No NA NI*
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 AdOWnal Written Report:
If Yes, What Additional Information is Needed:
Comments:
DYen No❑NA❑N6
CSSSO Form October 9, 2003 Page 7

11/13/2009 12:00 8286325280
BRIAN EADES WWTP
PAGE 04
As a representative for the responsible party, I certify that the information
to the best of my knowledge.
Person submitting claim: Brian Eades
Signature:
this report is true and accurate
bate: 11-13-2009
Title:
Backup ORC
-
Telephone Number: 828-632-5280
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 October 9, 2003 Page 8

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# too 1`JJ
Incident Number from BIMS0����
Incident Action Taken: B P J
NOV-2009-DV
■ ■ ■ • ■ ■ ■ • ■ i ■ • ■ ■ ■ ■ i ■ Y i •.■ ■ u ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ a ■ ■ ■ ■ ■ ■ e • ■ • ■ ■ ■ ■ ■ o ■ • ■ ■ • ■ ■ ■ ■ ■ ■ ■ a ■ ■ ■ ■
Spill Date Time k2 ° 0U am/ pm
Reported Date v Time am/ pm
Reported To SWP Staff or EM Staff
Reported By �CcG�� Phone
Address of Spill a%Oi/G7C,�OC�C
County City CACAO ('�Li l(,`C�
Cause of SpillYf( 0
�!/I,PC�
Total Estimated GallonsEst. Gal to Stream —
�� b
Stream l!l Fish Kill: Yes No Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
LL

05/27/2009 11:41 8286325280 ,_ BRIAN EADES WWTP
PAGE 02
Form CS-SSO
r., . ,a
Collection System Sanitary Sewer Overflow Reporting Form
a ti
PART
=nr,
This form shaii:besril�rrittted to the appropriate pWQ Regional Office within five days of the first knowledge of
the sanitary sewer overtiow (SSO).
Permit Number: Ajo i '? 00) 3 (WQCS# if active, otherwise use treatment plant NCNVQ#) / 1
'�(•,�if
Facrkty;, — Incident
/ci4 s •• . ��, .: L ov ? u Ragion:
Owner:,
City: County,— ~ —
r
Source of $SG (check applicable): ❑ Sanitary Sewer Pump Station
SPECIFIC location of the Sso (be consistent in nPtian fram pt report9 or documentation - i.e. Pump Station 6,
Manhole at Westall & Bragg Street, etc_)
Latitude (degrees/minutelsecond)'
Incident Started bt: Z — Time- /2__
(mm-dd-yyyy) hh'mm AM OM
Estimated volume of the SSO:.igallons
Describe how the volume was determined'
Weather conditions during SSO event:y
Did SSO reach surface AD*Ars? u YE
Surface water name:
Did the SSO result in a fish kill? I- J Ys
Longitude (degrees/minum/second)'
Incident End D t �` O Tune'
(mm-dd-yyyy) hh:mm AMI
Estimated Duration (Round to nearest hourY—
SPECIFIC � (s) of the 5SO:
6iSevere Natural Condition ❑ Grease © Roots
© Inflow and Ihfiltration ❑ pump Station Equipment Failure ❑ Power outa96
❑ Vandalism ❑ Debris a ❑ Other (Please explain in Part 11)
fmmte 24-hour verbal notification reported to:
Utr DWQ ❑ Emergency Mgmt Date (mm-dd-yyyy): 9_-._7 O Time (hh:mm AM/PM); f/3 0 A "^
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 ress�releasee within 48-hours of first knowledge to all print and electronic news media providing geharal
coverage in the county w erg discharge occurred, When 16,000 gallons or more of untreated wastewat®r 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 enforoement action for SSOs that ere 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 oausad by factors beyond the reasonable control of the Permittse
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part it 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 SIONATURE.IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form October 9, 2003 Page 1

,
05/27/2009 11:41 8286325280 BRIAN EADES WWTP PAGE 01
-------------
MAY 2 7 2009
K
pin water
ATTN: Barbara Sifford
SUBJECT: Town of Taylorsville SSO
Northwood Pump Station
WOCS00136
DATE: 5/26/2009
PAGES TOTAL: 4

05/27/2009 11:41 820G325280
BRIAN EADES WWTP
PAGE 03
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 DQCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTIONS PERTAINING TO THE CAUSE OF THE $SO 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 DWO REGIONAL OFFICE
UNI-ESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Severe Natural Condition (hurricane
Describ® severe natural condition'' in detail.
% �� ► U `� l ST a-- <i.�� C�UA �� 0' o Cf� l�J Gt 1 0 �- .cam . A it >G%G
How much advance warning did you have and what actions wore taken in preparation for the event?
C91Mmeents; -�
`3reasa Documentation such as cleanin ins e0ions enforcement
actions ast overflow reports, educational material and distribution
etc. should be available upon re uest.
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 trapslinterceptors? DYesD No DNA IINE
Have there been recent inspections and/or enforcement actions taken on nearby restaurents or other DYesD No DNA ONE
nonresidential grease contributrars?
Explain.
Have there been other SSOs or blockages in this area that were also ceusod by grease? Yes® No NA NE
When?
If yes, describe them:
Have ciaaning and inspections ever been increased at this location? Y. No NA Ne
FXplain,
CS-SSO Form October 9. 2003
Page 2

05/27/2009 11:41 8286325280 SRIAN EADES WWTP PAGE 04
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: --Z1'd J" Date:
6 Signature: L—LTitle: " z t k� C) /eC—
Telephone Number: C32-�5) b � z ~ �—
Any additional information desired to be submitted should be sent to the appropriate Division Regional ice 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 October 9, 2003 Page 8

Print This Article Page 1 of 1
Print Article t
oTy
Flooding reported rt er Iredell elf
By Donna Swicegood I Statesville R&L
Heavy rains Tuesday morning is causing flooding problems in western and northwestern Iredell
County.
Love Valley Road has been closed due to flooding and pipe wash -out, according to the N.C.
Department of Transportation.
The Greater Carolinas Chapter of the American Red Cross is responding to flash flooding in Love
Valley. Rising waters displaced two families. The Red Cross is providing assistance for clothing and
shelter for one family and assistance for clothing for the other family, which has a place to stay.
Iredell County Emergency Management Director David Martin said some roads in the Central
community were under water in places, and are closed until the water recedes.
Emergency crews are responding to a report of a wreck near the Iredell-Alexander line believed to be
caused by flooding as well.
A flash flood warning has been issued for northwestern Iredell and northeastern Alexander counties
until 11:15 a.m. Tuesday.
Iredell County Sheriff s Office deputies reported flooding on N.C. 115 in northern Iredell County.
This story will be updated as more information becomes available.
http://www2. statesville.comleontentl2009lmayl261261440/flooding-reported-northern-ired... 5/27/2009

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident Number from BIMS Ooc)/,
Incident Reviewed (Date):
Incident Action Taken: BPJ
NOV-200q-DV
Spill Date /�j /� Time z "45 a pm
Reported Date �/, G Time ; 'v am/ pm
Reported To SWP Staff or EM Staff.
Reported By elu (ram �G�e� — Phone
Address of Spill IY\
County &4City �JCc ,� �,Iew
�
r l r �J
Cause of Spill tlry� ( h ,
Total Estimated Gallons Est. Gal to Stream
Str`
C lU,(_� Fish Kill: Yes No Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
%iced a-

� R
i
01/07/2009 10:18 8286325280
NCDEMR M90 J' --- --- Fax!7046635040
BRIAN EADES WWTP
Jan 5 2009 14:44
P. 02
PAGE 01
WA7 t
or
!? Collecklori System Sanitary Sewer Overflow Reporting Form
PART I
i
T lie farm shall be submitted to the aopropriats CM0 Regional Office within five days; of tfle first knowledge of
tt sanitary sewer Ovgrfiow (330),
-P it'Num4er: ' i'Aw f 00 3 5 (WQCS# if ctN , otherwise use WQCSD#) , / n�O Go `R
Z P i sv+, N � " Incident # z4- `
aclitty:
Region:
jCity: cp-¢t' ►�► t i r t . �. _ Z�� B 1 County: s� �i r d -
S a of SSO (Ocak applicatle) : ( Ssnitery Sewer. pump Station / Lift Station
S ,ECIRO location of they SSQ (be consistent In tl89Cripti0n frarn past reports or docufnentWltiQfl , 'i.e. Pump 3t2yy,cn 8,
nhgte at Wessell & 9ra99 StCeet, g[c.) -Zo o ' 1" P 4M � 4 `�-
...
""' �(degree'slrtiirlute/second): L'anyttuae(degrems/minutelsaccnd):�..
�1 Tlme: Imidgrt End. -
Dt: 'e `� Time: �Z: 3
"' ,I loons 8lrartbd Qt: _ .
f *dd-yyyxl nn:mmAM/PM (mm•dtl yYyy) hh:mm'jM/PAi
E I.Mated volume of the _SSO: �a. t �d�r gallons Estimated Duration (F�0ind to nearest hour).
P scribo'ww the'vofume was determined:•
ptathw conditiorta dur nG SSO ventU-t
D • S50 reacts aurfagat waters? Lnt: I / Yes 0 Noo iinknown Volume reaching sur ec4 waters (gallons): /V
S cd water name: �SGaD yl6�1 Jtrd a•'
the S50 result in a fish kill? O yes L Not_7 Unknown If Yes, what is the esarn ated number of flah killed?-----
'0"1`9
EGIFic Ceus®(S) Qf the sSo: t,._
Severe Natural Condition Q Graa9uL-�f Roots
i❑1 Initow arrd tnnitratlon © Punta Station Equipment Failure Powef outage
l 1,V�!andaCsm opmrls In line Othdr (Please explain to Part 11)
ZJ
14-hour 9ro.a) notification (name of person contacted
owq Emergency. Mgmt. Pate (mm dd yyyyy. " g TiM0 (ht+.:rnm AhtlFMj
I� an; S50 is or1g,,loo, V)esse notify Regicral Office on a daily basis until SSO can be stopped.
er O.S.1 43 Z5J C(b), the ri mpon9ible piarty of a disch¢irge Cf 1,000 gallons Qr more of untreated tiveatawater to surFaGe
waters shall issue A • press release within 48-hours of firs,, kn0wl4dga m au print and ele^tronic nr�ws media providing general
erfrg» in ttie•Gounly- h8C ge ocaarred, When 15,000 gallons or mere of untreated wastewater enters surfaca
' gtm, zk public notice shall b6 published within 10 d8y9 and proof of pubkal14n shall o9 provided to the t]!v-ision within 30 clays.
erer to th0 r etence statute for furkher detail.
Director, Qivisior. of YVster Quality, may take enforcement action for SS06 that a"8 required to be reported to Division unless it
} the disaharg® was caused by s9vere•rsatUral Conditions slid there were tic faasible'alternativhs 10 Ito q1s Jtarge: Ot
} the discharge was exr,Wtlonw, unintentional, tiampumry and caused by taCtor5 beyond the re2apnabie control of the Perrr,tttga
ndlor owner, and the discharge could not have been preverttad by the exec ,iss of ressertable control.
I
Part it must be completed tq provide a jusQfiea('a7n claim for either of the 0t ove SItuptidns. This, Informabon'will ba the ba51s
{ r the deter-0 ation of any enforcement action, Therefore,, it is impbrtant to be a8 Complete 2s Pa little.
NETHER OR NOT PART 1115 COMPLETED, A SIGN TURII IS REQUIRED AT THE ENE) OF THIS 50RM_
Farm
Page t

• t � ,
01/07/2009 10:18 8206325280 BRIAN EADES WWTP PAGE 02
NCDENR MRO Fax:[phone] Jan 5 2009 14:46 P•l4
Pipe Faiiura (Break) i
�Pipo SIZO (Inches)
iWhat (5 1hE pipe motariaf?
Pv�
Mhat Its"apprgximate age of linelpipe? (years old) /6 Y�S
its this a gravity IIN? ❑ Ye Ho C] t,tA[3 NE
,is thip a force main line? Na 0 NA© N6
is the line a 'Nigh Priority' line? YaQ No ❑ NA[] NE
P5;t insper1lon pate and findings /
• �' £cam. ✓A Lt/ �c ! -�E o.i_' u,., �T a,� . �i Paz d'x Ea sir � G'�.- ����' S_ t •tom o N'a„��
1f a ford main Tien.
Was the breaK QnjhO forCe main veribpW? (DYq1BI4o NA Q Nip
ilties:the b Bak, an the farcys ma n.hbriiantal? • :. LYe0 No C) NAC NE
WSS the leak at the joint due to gasket failure? Oy'eo Nu N.43 NE
WaS ttie ISSR at the joint due to split be117 Q YeIO No Q�tA [I NE
When wits hhe last insp ctidn or tebt of tie nearest air-f8loue valve t3 determine of operable?'
'fWh@n was the last maintan.Eice of the.alr release perforrned?1%i
✓ /
)f (travity gawertnen,
Does the tlpe receive now from a force main Imrnadlately upstream of the faiied saCtlon of pipe? Q Ya� N.,❑ N
I
f yes, what.rheasuras are taken to control this hydtt gan Sulfide prnotiUlon7
�Vhenvm8 the ane'last'Inapected orvideoed?
I
i
� DSO Form pa9g 13

01/07/2009 10:18 8286325280 BRIAN EADES WWTP PAGE 03
NCAENR MRO Fax:[phone] Jan 5 2009 14:47 P,15
I if line collapsed, what w me common Of th• tine up and down stream of the Wura?
i Nr A
Whet type Of repekir Wg9 6tade7
Is the repair temporary or Permanent?.
i
If temporary. Where tg t,1c QerrnaF1Wt repeir planneq?
IHave there 4ean other failures of tfils tine In the past five years? re rvo N!c .
If so, then describe
icy-5S0 corm Page it

01/07/2009 10:18
NCDENR MRO
' S�ysterrl Visit�tipn
©RC
I Name:
8286325280 BRIAN EADES WWTP
Fasc:704663E040 Jan 5 2009 14:47
O&CKup
Certo
i
' i Date visited: .
'rims via.ited;
P. 16
PAGE 04
I
s,km wag the SSO remediated 0,e. Stopped and cleaned up)? .
6.4 ��� /�'inir'•.�i�,f O�f':CA{'�Pj_-,C..,�jrnJ �- %>/iZ.!'—,�i!rM�p
AC �
As a reprosentatiue for the rea onslbfe arty, I certiti that tht information contained -in this report is true and acc
of to
i a tnY np®� .
:Person eubmittirig claim: 2-t7/0 015;, 1� Date:. %1712-16
i Title: .
Tol4phone Number:
IAny'additionat information desired to be submitted shoOd be sent to the appropriate Division Regional Ofrkwwitt in rive days of first
iknowtodga of the M with refererCa Who ImIdani nurnber(the Incident numbor is only oeruarated when elostronic entry of this
'fOrrn Is Q mploted. if Used).
Page 13

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident Number from BIMS C O7 ' �9
Incident Reviewed (Date):
Incident Action Taken: BPJ
�O_PA�k
1
✓ NOV-2009-DV b-'
vim/,
1 ■ 7 ■ ■ ® ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ® ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ •
Spill Date Time am pm
Reported Date 1�a3LOCTime am/ pm
in� _
Reported To SWP Staff or EM Staff A1j
Reported By 'At�40 4 4_ — Y4G%0�hone
II
Address of Spill �/S
County ;f��R(,�Gt�( City cCLt �y1SLu `lam —
Cause of Spill
XN & x ",3 'd—
Total Estimated Gallons O-D
Est. Gal to Stream ---
Stream(_!�Uclak LLL Fish Kill: Yes No Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
MAI

R
T 01/r23/2009 14:56 8286325280
BRIAN EADES WWTP PAGE 01
Form CS-SSO
Collection System Sanitary Sewer Cverfkyw Reporting Form
PART I
This form shall be submitted to the appropriate DWQ Regional f?flice within five days of the first knowledge of
the van" sewer overflow (SSO).
Permit Number: 40d r-S all 13 j + (WQ if active, otherwise use WQCSD#)
Facility: ��+"'p ,C_� oq,,v -)7- -, Incident#
Owner: A+I-j u/t Gov�C 4 Region: /aanrrVJ+ 4i.
City, . Q 4.r," .9 county. AL aFn. rla .c_.f
Source of S80 (check applicable) : 0 sanitary Sewer Pump station / Lift Station
SPECIFIC location of the SSO (be consistent In description from past reporo or documentation - i.e. Pump Station 0,
PJ
Manhole at Westall & Bragg Street, etc.)
Manhole# fj,� _
i atitude (degrees/mindteiseoond):
Incident Started Ot. L a Time: 3 PM
(muki-yyyy) hh'mm AMIPM
Estimated volume of the SSO: gallons
Do* be how the volume was determined:
Longitude(degreesirn��innuWssecond): .
Incident End Dt:.W Lz-3 Time: /'Z 5-0 '20"
(mod jyyy) hh:mm AM/PM
Estimated Duration
Je l�tlwKt�Tay />
to nearest hour):�r..
X Zc> c;'r,,. K 900 9 a --
Weather conditions during SSO event �1l ---
Did SSO reach surface waters? 9feJ3No13UnImown Volume retching surface waters (gallons): Y00 ¢r ta,uA
Surface water name: Gs'
Did the SSO result in a fish kill? Yes o❑ Unknown if Yes, what is the estimated number of fish killed?.
SPECIFIC cause(s) of the SSO:
Q Severe Natural Condition
Q Inflow and Infiltration
�
vandalism
•� Illse Failure (break)
24-hqw verbal notification (name of person
UWQ Q Emergency Mgmt-
6r! Care.
Pump Station Equipment Failure
Debris in line
Date
z
0 Roots;
Q Power outage
Q Other (Please explain in Part II)
Time (hh:mm AMI l L td o /div+
........... .
If an 880 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 48-hours of first knowledge to all print and electronic news media providing general
coverage in the coup -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 tt►e�ncd $Mute for further detail.
The Director, Division of Water Quality, may take enforcement action for S50s that are required to be reported to Division unless it
Is Oemonsw"a Mat:
1) the discharge was caused by severe natural conditions end 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 Parmittee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part 11 must be completed to provide d justification claim for either of the above situations. This Information will be the basis
for the determination of any enforcement action. Thereforg, R 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

0023/ 2009 14: 56
Pipe Failure Break
Pipe Sze (inches)
What Is the pipe material?
8286325280
0
What is the approximate Age of line ipe? (years old)
Is this a gravity line?
Is thi$ a force main line?
is the line a "Nigh PdoW' I ine?
BRIAN EADES WWTP
Lest insp' a lion date and findings
C-V 4,e, �i�t3R.. y-
if a force mein thbn,
Was the break an the force main veritical?
Was the break on the force mein horizontal?
Was the la$k 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 "urine of operable?
When was the lest maintenace of the air release pmformed?
If gravity sewer then,
Does The line receive flow from a force main immediately upstream of the failed section of pipe!
if yes, what measures are taken to control the hydrogen sulfide production?
When was the line last inspected or videoed?
PAGE 02
PVC,
4VY
❑ Ye>� D PTA NE
L!'J * O No ❑ NA© NE
QYNo []NAQ NE
CJ Y.0 No [J NAO NE
YeO No B N+[:) ME
C3 Y-ONo R/M O NI=
1-JA
❑Y No C3NA❑ NE
CS-SSO Form pap 13

01/23/2009 14:56 8286325280
BRIAN EADES WWTP
If line collapsed, what is the condition of the line up and down stream of the failure?
/V
What type of repair was made? /
Z-/- �/L?GL i�--
Is the repair temporary or permane ?
if temporary, when is the permanent repair planned?
Have there baen other failures of this line In the past five years?
If so, then describe
PAGE .03
r�r
yo No NE
Page 14
CS-SSO Form

is
0IP23/2009 14:56 8285325280
System Visitation
ORC
Backup
Name:
Cart#
Date visited:
Time visited:
BRIAN EADES WWTP
PAGE 04
Yes
1
MY05
J,j J S7
-3
3 fin-. /r• /2 Pr -
How was the SSO remediated (i.e. Stopped and cleaned up)?
y G+n.-I' %��Trt+c�,�G ��.^ayia w�T�-! ��t-••c'c. 'c",�LSc`� c'.zf� iw�xiL4E.o ��P.er.�. GG..,,,1° ar-� lei'` "jJw^'�,o
As a representative for the responsible party. I certify that the information contained in this report is true and accurate to
e best of my knoWedge.
Person submitting claim:
Signature: k 1 �,� E, " " �,, ,
Date: %�� Y)o J
Title: �,p c' p v ),C—
Telephone Number:6�) G-32-1 S '2- 20
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

f,
Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# 00
Incident Number from BIMS��
Incident Reviewed (Date):
Incident Action Taken: BPJ
NOV-2008-DV
1 ■ ■ ■ ■ ■ ■ ■ ! ■ ■ ■ ■ a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■
Spill Date �IA / lbt Time O pm
Reported Date `Z Time 130 __O m
Reported To SWP Staff or EM Staff
Reported By
Phone D-0%
Address of Spill
County J SG�r
���� City �
Cause of Spill
�Rw
Total Estimated Gallons ��j �a( Est. Gal to Stream --
J ,i.b
Stream — <z Fish Kill: Ye(Oo Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad
ate.
--- a0o8 �oJT� // -al- � 0-oC) a 346

t a8/29/2008 09:58 8286325280 BRIAN EADES WWTP PAGE 02
C CkWf`r
o, Form CS-SSO
t"
Collection System Sanitary Sewer Overflow Reporting Form
PART t
This form shall be submitted to the appropriate pWQ Regional Office within five daysof the first knowledge of
the sanitary sewer overflow (SSO),
Permit Number' UaCS alp &- (GCS# if active. otherwise use treatmentplant NC/WQ#)
Facility: .v� s! }yea P lb4f P ' , Incident #
Owner: a a f0.44 XV Region; ,(f
City; / t 1 — County:
Source of SSO (check applicable) : u Sanitary Sewer &—+ Pump Station
SPECIFIC location of the S60 (be consistent in description from sat reports or documentation - i.b. Pump Station 6,
Manhole at Westall & Bragg Street, etc.) : '`� �
Latitude (degrees/minutelsecond): Longitude(degrees/minutelsecond);—. -
Incident Started Dt B x? Time Incident End D 27 �� Time:
(mm-dd-yyyy) hh:mm /PM (Mrn-dd-yyyy) hh:m lPM
Estimated volume of the SSO:
�0 6 4 d D R d t bet haurh- —
Describe how the volume was determined:
Weather conditions during SSO event._,...
- -- gallons —me- urat7on ( oun c near
�y ci
Did SSO reach surface waters? U YesE1No Unknown
Surface water name: l"---- -" j�p 71f. )""g2 AA&
Did the SSO result in a fish kill? 0 Yes Eido © Unknown
Volume reaching surface waters (gallons): S40 .,0
if
SPECIFIC cause(S) of the SSO:
EI'I�evere Natural Condition +„+ Grease l__I Roots
El
rInflow and Infiltration r�1 Dump Station Equipment Failure 11 Power outage
u Vandalism u Debris in line _ ' Other (Plaaee explain in Part ll)
Imm iate 24 hour verbal notification reported to; """p`�` ~ `-'
DWQ 0 Emergency Mgmt. Date (mm-dd-yyyy); 127/a,-
LE
Time(hh:mm&PM): //,,30
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 remiss release within 48-hours of first knowledge to all print and electronic news media providing general
coverage in the county w erg die 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 shell be provided to the Division within 30 days.
Refer to the referenced statute for further detail.
The Director. Division of Water Qualitv, 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 Parmittse
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 juatlflcation 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

08/29/2008 09:58
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BRIAN EADES WWTP
PAGE 03
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
COMKETE ONLY THOSE SECTIONS PERTAINING TO THE CAUSE OF THE SSO A$ CHECKED IN PART I
in the check boxes below. NA = Not Applicable and NE = Not Evaluated
A HAROCOPY OF THIS FORM SHOULD BE SUBMITTED] TO THE APPROPRIATE OWQ REGIONAL. OFFICE
UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THRQUGH THE ONLINE REPORTING SYSTEM
evere Natural Condition hurricane, tornado, etc.
Describe the "severe natural oondition" in detail.
How much advance waming did you have and what actions were taken in preparation for the event?
iVD G✓,gry 70 4A)"ciP0£ 7- ,S vrl�cN �sriiN S'� AU 00&L�
Comments:
U�K<r 7.0-ryr-) /s F 02w.7- ok�,' 7d Zi0 4 A0- fi A14d /%,I , .rWR LCS
Grease (Documentation such as cleaning, inspections, enforcement_
actions past overflow reports, educational material ant
etc, should be available upon re uest,
When was the last time this specific line (or wet well) was cleaned?
Do you have an onfamaabie grease ordinance that requires new or retrofit of grease traps/interceptors?
Have there been recant impaction andlor enforcement actions taken on nearby rest jomn% or other
nonresidantial grease contributors?
Explain.
1Y110 NOCINAuNE
E]YX No11NA11NE
Have there been other SSOs or blockages in this Brea that wore also caused by grease? YmSO No (J NA ONE
When?
If yes, describe them:
Have cleaning and inspections ever been increased at this location? ❑YM No QNALINE
Explain,
CS-SSQ Form October 9, 2003 Page 2

0$%29/2008 09:58 8286325280 BRIAN EADES WWTP PAGE 04
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: Date:
' d />✓ C
Signature: Title:-31��''�
Telephone Number; Cx2",6)
Any additional information desired tD be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the $SO with reference t5 the incident number (the incident number is only generated when electronic entry of this form
is oomplatdd, if used),
CS-SSO Form October 9, 2003 Page S

08/29/2008 09:58 0286325280 BRIAN EADES WWTP PAGE 01
AT'TN: Barbara Sifford
SU PCT: Town of Tayloravilla SSa
Northwood Pump Station
WQCS00135
DATE: 8/29/2008
PAGES TOTAL: 4

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS# Oal3S
Incident Number from BIMS
Incident Reviewed (Date):�,�%3�j;�
Incident Action Taken: BPJ
NOV-200j-DV - LO
Spill Date b !s / 5 4$ Time
/2-
am/e) -� 44, 12: 3C-,� 0 "-►
Reported Date oS / s 0g Time 2 S am/ n
Reported To 0Staff or EM Staff
Reported By 9r,�.,. ce je-s Phone elk- 632 -S2.86
Address of Spill % �-4Ch tx r;o S� /t-/,kA x
County City
Cause of Spill A
Total Estimated Gallons ZO Est. Gal to Stream
Stream 346%e .GJall- Fish Kill: Y6reNumber
/06
Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

05/19/2008 09:39 8286325280 BRIAN EADES WWTP PAGE 01
ATTN: RCN BCONE
DATE: 05/19/2008
SUBJECT: Town or Taylorsville SSO
1st Ave. S.E.�a` Stirawslt Creek
WOCS00135
PAGER; (�7)

05/19/2008 09:39
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BRIAN EADES WWTP
PAGE 02
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 daysof the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number: Cam} % (WQCS# if active, otherwise use treatment plant NCNVQ#) 2d6 " d�
Facility; L.L incident #
Ca.i°s rim Region:
Owner; ZA -_
City: °'�'� v1 County:
Source of $SO (check applicable) : unitary Sewer Pump Station
SPECIFIC -400ation of the SSQ (be consistent In description fro asryt re oils or documentation - i,e�r. Pump Station 6,
Manhole atWostall & Bragg Street, etc.) :— &Z
Latitude'(deg roes/minute/second);
IhcidentStarted Dt: �S Time;
(mm-dd-yyyy) hh:mm AM/PM
Estimated volume Of the S80: %O gallons
Longitude(degreeshninuond),
�o g
Incident End D ' ' 0 P-17— TiM,
(mm-dd-yyyy) hh:mm AM/PM
Estimated duration (Round to nearest hour---W
Describe how the volume Was determined: v ' � A�1
Weather conditions during SSO event; `ri-f AVIV
Did SSO reach surface waters? Yes❑No ❑ Unknown Volume reaching surface waters (gallons): �U
Surface water name: 2r-z""47, ¢
Did the SSO result in a fish kin? El Yes []B<o El Unknown If Yes; what is the estimated number of fish killed? ---
SPECIFIC cause(s) of the SSQ:
❑ Severe Natural Condition ❑
-❑ Inflow and Infiltration ❑
❑ Vandalism Ll
imr7di2te 24-hour verbal notification reported to:
u DWQ © Emergency Mgmt.
Grease
Pump Station Equipment Failure
U Roots
❑ Power outage
Debris in line © Other (Please explain in Part iI)
and �oda�£. �
Date (mm-dd-yyyy): �/ o M JL 59 r p Time (hh:mm AM/f 6+1
If an SSO is ongoing; please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1 C(b), the responsible party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issu® a ress release within 4a-hours of first Knowledge to all print and electronic news media providing general
coverage in tho county w tare a ischarge occurred. When 15,000 ,gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30 days.
Refer to the referenced statute for further detail.
The Director. Division of Water Quality, may takeenforcement action for SSOs that are required to be reported to Division unless it
is demonstrated that:
1) th$ 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 ofthe Permittee
and/or owner, and the discharge could not have been prevented by the examise 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 October 9. 2003 Page 1

a
05/19/2008 09:39
8286325280
BRIAN EADES WWTP
PAGE 03
Have educational materials about grease been distributed in the past?
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?
Comments;
Do you have an active root control program?
pascripa L f, C ' GN /� r 01.E 1-
Have oleaning and inspections ever been increased at this location because of roots?
I]Yell No❑NAONE
[JYA;0 No'ONADNE
T tY6n NoONAONE
Explain; Z/w (tea S !r� °"° i4,r1r o _ �w Gt/+S vi;'o yr+J
Na
What corrective actions have been accomplished at the SSO location (and surrounding system if
associated with the SSO)? / 4 Q .3 �iLL JiR iu -� `'tT/xr> Soo ' .� L j NL
Lira ..g
What corrective actions are planned at the $SO location to reduce root intrusion?
Has the line been smoke tested or videoed within the past year? Yo No NA O NE
If Yes, when?
Comments:
Inflow and Infiltration �--I
Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that ElYes❑ No ❑NA ONE
addresses III?
GS-SSO Form October 9. 2003 Page 3

05/19/2008 09:39 8286325280 BRIAN EADES WWTP PAGE 04
When was the area lastcheckedlcleaned?
Have cleaning and inspections ever been increased at this location due to previous problems vVith debris? LIYZI No 9.- IINE
Explain; 7
Are appropriate educational materials being developed and distributed to prevent future similar 0yen Na NA QNE
occurrences?
Comments:
Other,. Pictures and a police report should be available u on request.)
Describe: Were adequate equipment and resources atvailable to fix the problem? Ye.0 No NA ME
If Yes, explain:
If the problem could not be immediately repaired, what actions wore taken to lessen the impact of the
SSfl?
Comments:
For.DWO Use Only:
DWQ Requested an Additional Written Report:
If Yes, What Additional Information is Needed:
Comments:
❑Yeas No[INANE
C$-550 Form October 9, 2003 Page 7

05/19/2008 09:39 8286325280 SRIAN EADES WWTP PAGE 05
As a representative for the res onsible party, 1 cert6 that the information contained in this re ort is true and Ceurate
to the best of my knowledge_
Date:
Person submitting claim: I, d
IC
Signature' Title: �23-
Telephone Number' / 1,73 7- - r�-- zz)
Any additional information desired to be submitted should be sent to the appropriate Divielon Regional Office within five days of first
knowledge of the $SO with reference to the incident number (the incdent number is only generellad when electronic entry of this form
is completed, if used).
CS-SSO Form October 9, 2003 Page 8

Collection System SSO 24-Hour Notification
Collection System: Number and Name WQCS#
Incident_ Number from BIMS v- 00 9005,31
Incident Reviewed (Date):
Incident Action Taken: V BPJ
NOV-2007-DV
a ■ a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ n ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ a ■ a a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 1
Spill Date
Reported Date �l
Time 6amprn
Time am/ m�)
Reported To SWP Staff or.EM Staff
Reported By Phone
i
Address of Spill
County �o�'-- City
Cause of Spill
Oka
oYs vI t 'j—
Total Estimated Gallons zvo Est. Gal to Stream
Stream
— �-,✓D r,5-1av
%L. W Gb 'd i
s-
Fish Kill: Yes No Number Species
Non Required Information and other comments relating to SSO incident:
Response time minutes Zone Map Quad

Permit #
Owner and Facility Name
WQCS00253
Bradfield Farms Water Company Collection System
WQCS00196
Carolina Water Service Cabarrus Woods Collection System
WQCS00233
Carolina Water Service Hemby Acres Collection System
WQCS00001
Charlotte -Mecklenburg Collection System
WQCS00016
City of Albemarle Collection System
WQCS00046
City of Belmont Collection System
WQCS00107
City of Bessemer City Collection System
WQCS00089
City of Cherryville Collection System
WQCS00221
City of Claremont Collection System
WQCS00326
City of Concord Collection System
WQCS00088
City of Conover Collection System
WQCS00017
City of Gastonia Collection System
WQCS00020
City of Hickory Collection System
WQCS00327
City of Kannapolis Collection System
WQCS00036
City of Kings Mountain Collection System
WQCS00040
City of Lincolnton Collection System
WQCS00164
City of Lowell Collection System
WQCS00026
City of Monroe Collection System
WQCS00059
City of Mount Holly Collection System
WQCS00044
City of Newton Collection System
WQCS00019
City of Salisbury Collection System
WQCS00037
City of Shelby Collection System
WQCS00030
City of Statesville' Collection System
Deemed Permitted
Permit # Owner and Facility Name
WQCSDO130 Brooks Food Group -Brooks Food Group
WQCSD0114 Charlotte Mecklenburg Schools - Misc Laterals
WQCSDO057 City of High Shoals Collection System
WQCSD0117 Duke Energy Carolinas LLC-Marshall Steam Station
WQCSD0116 Goose Creek Utility Company -Fairfield Plantation WWTP
WQCSD0101 Harborside Dev LLC-Midtown T Collection System
WQCSDO095 Kennerly Dev. Group LLC-Boardwalk Villas Condo. Collection Systen
WQCSDO098 Kennerly Dev. Group LLC-Kings Point Collection System
WQCSDO105 Kennerly Dev. Group LLC-Moon Bay Condos Collection System
WQCSDO107 Kennerly Dev. Group LLC-Schooner Bay Collection System
WQCSDO099 Kennerly Dev. Group LLC-Spinnaker Point Collection System
WQCSD0112 Lake Norman -South Point Collection System
WQCSDO104 Lake Norman -Villas S Harbour Collection System
WQCSDO102 Lake Norman -Vineyard Pt Resort Collection System
WQCSDO064 Lincoln County Collection System
WQCSDO097 Martin Dev Group -North Point & Portside HOA Collection System
WQCSDO120 Martin Marietta Materials Inc - Mallard Creek
WQCSDO019 Richfield Town Collection System
WQCSDO024 Town of Grover Collection System
WQCSDO038 Town of McAdenville Collection System
WQCSD0002 Town of Ranlo Collection System
WQCSDO049 Town of Spencer Mountain Collection System
Permit #
r �
Owner and Facility Name
WQCS00149
East Lincoln Collection System
WQCS00171
Greater Badin Collection System
WQCS00322
Aqua Country Woods East CS
WQCS00222
Town of Boiling Springs CS
WQCS00341
Town of China Grove CS
WOCS00231
Town of Cleveland Collection System
WQC300058
Town of Cramerton Collection System
WQCS00165
Town of Dallas Collection System
WQCS00342
Town of E. Spencer Collection System
WQCS00328
Town of Harrisburg Collection System
WQCS00343
Town of Landis Collection System
WQCS00310
Town of Longview Collection System
WQCS00120
Town of Maiden Collection System
WQCS00344
Town of Marshville Collection System
WQCS00043
Town of Mooresville Collection System
WQCS00125
Town of Mt Pleasant Collection System
WQCS00153
Town of Norwood Collection System
WQCS00190
Town of Oakboro Collection System
WQCS00325
Town of Stanfield Collection System
WQCS00180
Town of Stanley Collection System
WQCS00135
Town of Taylorsville Collection System
WQCS00258
Town of Troutman Collection System
WQCS00345
Town of Wingate Collection System
WQCS00054
Union County Collection System
WQCS00009
WSA Cabarrus Co. Collection System

U2/25/2008 09:43
0286325280
BRIAN EADES WWTP
PAGE 02
1
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 days of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number : 00l3 (W CS# if active, otherwise use treatment plant NC/vvQ#)
Ja _ _ .S C�S�—
Facility: -- Q Incident #
Owner: of J/p LP-A.�'V)Lz i- Region: --
�q,g p � � 22U 7?) County:
City:
Source of $SO (check applicable) : El Sanitary Sewer `t Pump 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.) ; — �'�Ud`6DQ Nz' L L 2W A ?
Latitude (degrees/minute/second): Longitude(degrees/minute/second)-�
.� p r' � 0AJh
Time. Incident End Dt _L z1a Timer 9
Incident Started Dt; (mm-dd-yyyy) hh:mm AM/PM (mm-dd-yyyy) hh:mm WPM
Estimated volume of the $80: d gallons Estimated Duration (Round to nearest hour): //
Describe how —volume was determined:
C t. l.i o� /►y.N e c U /C S
Weather conditions during SSO event: �4c,.1 N
Did SSO reach surface waters? Yes©NoLJ Unknown
Surface water name: ;' _' /7t`^oa
Did the S80 result in a fish kill? M Yee =No ❑ Unknown
$PECIFIC causes) of the SSO:
El Severe Natural Condition
11 Inflow and Infiltration
LJ Vandalism
ImrI]odiate 24-hour verbal notification reported to:
I-1110VVQ 0 Emergency Mgmt.
Volume reaching surface waters (gallons): :,_L6
If Yes, what is the estimated number of fish killed?
El Grease Roots
l!'T Pump Station Equipment Failure 1 Power outage
13 Debris in fine u Other (Please explain in Part II)
Date (mm-dd-yyyy): a z,'j_)0X Time (hh:mm AM/PM):
If an SSO is ongoing, please notify Regional Office on a daily basis until S50 can be stopped.
Per G.S. 143-215.1 C(b)7 the responsible party of a discharge of 1,0W gallons or more of untreated wastewater to surface
waters shall issue a rags rQI aso within 48-hours of first knowledge to all print and electronic news media providing general
coverage in the county ere a discharge occurred. When 15,t)00 gallons or more of untreated wastewater enters surface
waters. a pub(io notice shall be published within 10 days end 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, maV eke enforcement action for SSOs that are required to be reported to Division unless it
is oemonstrated 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 bean 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 detBrmination 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 October 0, 2003 Page 1

,02/25/2008 09:43 8206325280 BRIAN EADES WWTP PAGE 03
Explain if Yes:
or eliminate I & I related overflows at spill location
What corrective actions have been taken to reduce
within the last year?
�
Has there been any flow studies to determine lit problems in the collection syst8m ❑ Ye N6❑NA ❑NE at the SSO location?
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?
YeJJ No ONACTN@
If Yes; when and indicate what actions are necessary and the status of such actions: yy--}}
Are there Ill related projects in your Capital Improvement Plan?
YesLJ N❑ NA NE
If Yea, explain:
Have there been any grant or loan applications for III reduction projects? YX No NA NE
If Yes, explain:
Do you suspect any major sources of inflow or cross connections with storm sewers? ❑YeaL.1 No UNA LINE
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been inspected recently? ❑Yssl_ ! No ❑N/+❑Nrt
If Yes; explain:
What other corrective actions are planned to prevent future Ill related SSOs at this location?
Cornments:
Pumra Station Eclui>7ment Failure (Documentation of testing, records etc.
shoal be provided upon request.)
What kind of notification/alarm systems are present?
SkpL�11114-1a4f-
65-
1
y.4� j
Auto-dialer/telamatry (one-way communication) uay..
CS-SSO Form October 9, 2003 Page 4

102/25/2008 09:43 8286325280
Audible
visual
SCADA (two_ay communication)
F-mergency Contact Signsge
Other
BRIAN EADES WWTP
PAGE 04
ba
es
Yes
I�,jYes
t JYes
What kind of situations trigger an alarm condition at this station (La pump fnilu Wer failur igh 14) 1 ,
water. etc.)?
Y.0 NO NA NE
Were h0tification/alarm systems operable?
If n4, explain:
If.a pump failed, when was the last maintenance and/or inspection performed?
What spenifieally WA$ checked/mnintained?
If a valve failed, when was it last exercised?
Were all pumps set to alternate? Yes0 IT. ❑NAL.INI-
Did any pump show above normal run times prior to and during the SSO event? DYas4:a No EINA 11 NE
Were adequate spare parts on hand to flx the equipment (switch, No. valve, seal, etc.)? 0Yen No DNA U NE
Was a spare or portable pump immediately available? ®Y.E No I NA D NE
If a float problem, when were the floats Isattested? How?
If an auto -dialer or SCADA, when was the system last tasted? How?
Comments_
.i4
CS-SSO Form Oet6er 9, 2003 Page 5

'02/25/2008 09:43 8286325280 BRIAN EADES WWTP PAGE 05
When was the area last checked/cleaned?
Have cleaning and Inspections ever been increased at this location due to previous problems with debris? aYe,,,C W EINA Q NE
Explain; t{----��
Are appropriate educational materials being developed and distributed to pr®vent futUre similar L yJ] r� No J JNA ❑N5
occurrences?
co mme ryes;
Other (Pictures and a police re Port should be available upbn request.
Describe:
Were adequate equipment and resources available to fix the problem?
Ys10 NoUNAUNE
if Yes, explain:
�s a �=� �.� s wr.
if the problem could not be immediaffily repaired, what actions Were taken to lessen the impact of the
SSW
Comments;
For DWQ Use Only:
DWQ Requested an Additional Written Repoli:
If Yes. What Additional Information is Needed:
Comments;
LJYesU No ONA ❑ NE
CS-SSO i=orm October 9, 2O03 Page 7

•02/25/2008 09:43 8286325280 BRIAN FADES WWTP PAGE 06
As a representative for the res onsible party, I Gerd that the information contained in this re ort is true and accurate
to the best of my_knowledge,
Date:
Person submitting claim:
Signature: F-- '
Title:
Telephone Number:
Any additivr,al 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 October 9, 2003 Page 8

F.
.02/25/2008 09:43 8286325280 BRIAN EADES WWTP
PAGE 01
Attn: Barbara Sifford
Town of Taylorsville SSO
Northwood Park Pump station
WQCS00136
Spill Date: 2/2212008 a@ gam
Verbal Report: 2/22/2008 a@ 1 pm
to Debbie Ertel of
Regional Office.