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WQCS00125_Regional Office Historical File Pre 2018 (3)
lK January 14, 2021 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIIOLA=N Tracking. Number: NOV-2021-DV-0012 Sanitary Sewer Overflows - November 2020 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County Dear Mr. Eudy: The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mount Pleasant indicates violations of permit conditions stipulated in the subject permit and North.Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is,required. Specific incident(s) cited in the subject report include the following: Incident Start Duration Number Date (Nlins) location Cause 202003236 11/12/2020 420 1232 Summer Street Severe Natural Condition Total Vol (Gals) 18,000 Total Vol Surface Water (Gals) DWR Action 0 Notice of Violation Severe Natural Condition A Remedial actions, if not already implemented, should be taken to correct the above noncompliance. If you have any questions, please do not hesitate to contact Michael Meilinger or me with the Water Quality Section in the Mooresville Regional Office at 704-663-1699 or via email at michael.meilinger@ncdenr.aov or corey. basi nger(a ncdenr. gov. • I a o G �L o (006 NO)C,):t-' E(;EIVED/NCDEQID1 �otniv E a = 21 2021 .JAN . N -o ca WOROS MOC WE ILLE REGIO�AL co -p m N w U > d) c Q U O w m LU Sincerely, EDOCUSigned by: ~ A14CC681 AF27425... W. Corey Basinger, Regional Supervisor Regional Operations Section Regional Office Vater Resources, NCDEQ . I _ I R ICE �.. . 1 i CERTIFIED Domesk�F Mail Only p RECEIPT r L • USE `p Irn Certified Mail Fee b Io $ Extra Services & Fees (checkbox, add fee as appropriate) ❑ Return Receipt (hardeop» $ 1 El Return Receipt (electronic) $ rk 0 ❑ certifled Mail Restricted Delivery $ ❑AdultSignatureRequired $ %e, ❑Adult Signature Restrloted Delivery $ Postage p ru �r=1 TOWN OF MT PLEASANT $ �E' 6 PO LOX 787 o MT PLEASANT NC 28124-0787 ATTN: W. DEL EUDY, MAYOR �P-- dwr/mm 1/14/21 _ 4P 33v ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality CERTIFIED MAIL #: 7018 0360 0002 2099 8252 RETURN RECEIPT REQUESTED August 11, 2020 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant,. NC 28124-0787 SUBJECT: NOTICE OF VIOLATION Tracking Number: NOV-2020-DV-0357 Sanitary Sewer Overflows - July 2020 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County ` Dear Mr. Eudy: The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mount Pleasant indicates violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is required. Specific incident(s) cited in the subject report include the following: Total Vol Total Surface Incident Start Duration Vol Water Number Date (Mina) Location Cause (Gals) (Gals) DWR Action 202002210 7/21/2020 74 Pump Station at 1232 Inflow and Infiltration • 7,800 800 Notice of Violation Summer St D s Nc,t*h C ra-re oanrr--nt of Env " =nt l C' t_. I D v>,on DfWst_t R sour•vs Vtera_,. s n 7r , Oflc-.e I E10 _sZ E"r_rt_r Ave nue Sut_ 3011 MopPtorth Ca a 233115 Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Please submit a written response to this Notice of Violation. Your response is to be received by the regional office within 15 business days following receipt of this violation. Please include any additional documentation about this incident(s) in the response. The submittal will be considered in determining whether the Division will assess a civil penalty for the cited violations. If you have any questions, please do not hesita in the Mooresville Regional Office at 704-663-11 - � E t, U) O df ¢ o E E mac= Q a) i-Z xmm a c�iNUU❑ ❑❑ ❑❑ CU N d 2:1it C m N E A3 CDC CDC Um¢ k° 2 Q) 620 © U) oy d C m - or iu iu � 2d for > > ar N N "• ci �mm�-0oo V �'O r� cc ® U) V V N N O O v ^ Q m �f 0 QQUU U. ru i Ln I ru co Return Receipt (hardcopy) $ ❑ Return Receipt (electronlc) $ []Certified Mail Restricted Delivery $ [:]Adult Signature Required $ []Adult Signature Restricted Delivery $ Er Er C3 U ru SF ruU� ', 0 ' C3n% Q co M Cc ca E r-9 E O z [� U r� Q� �Po tmar�C r� l TOWN OF MOUNT PLEASANT PO BOX 787 MOUNT PLEASANT NC 28124-0787 ATTN: W. DEL EUDY, MAYOR dwr/mm 8/11/2020 to to contact Michael Meilinger or me with the Water Quality Section 599 or via email at michael.rneiiinger@ncdenr.goy or . n E 7 rely, En DocuSigned by: E o - KX PA14CC681AF27425... )rey Basinger, Regional Supervisor 'r Quality Regional Operations Section --sville Regional Office on of Water Resources, NCDEQ r� C, O O O •O- LO Z Q N r ro 3-Anleat of c n: < ras i 7:v or. - ,,.'s-_g.�r=•OffccISS-E_t.-_r.t_rr1•._nu._._uz_3-)1 h", -r—.Narti.Z;rnna'�11= June 3, 2020 To: NCDEQ Re: NOC-2020-DV-0237 rfi& ount Pleasant North Carolina RWEIVEDfNCDENR/DWR JUN 00 2020 WQROS MOORESVILLE REGIONAL OFFICE The Town of Mount Pleasant experienced an SSO from our Summer Street pump station on April 30, 2020. This station is a dry pit station with suction lift pumps and air discharge lines for priming. On this day, there was a significant rain event that occurred in which the area saw 3 inches of rain, (measured approx. 1 mile away), in a period of 3 hours. Significant inflow to the station surpassed the pumps capability to maintain control. Both pumps were in good working order at the time. This station has only a small reserve capacity to handle an inflow event such as this. The basin serving this station has been smoke tested and CCTV'd multiple times in the past and no major inflow contributors could be identified. The age of the station combined with the lack of reserve capacity contributed to this event. It has been recommended to replace or upfit this station and/or add an EQ basin to prevent future occurrences such as this. The containment area at the station retained most of the spill and was pumped back into the wet well and all debris were removed from the area and limed for odor control. Also, as clarification, in the NOV it stated the duration to be 35 minutes. I believe this was a typo during the data entry process, the CS-SSO paperwork sent to Tony Parker states 3 hours for duration of spill. If there are any questions related to this spill, feel free to contact our Public Works Dept. Sincerely, T. Justin Stallings Public Works Director Cell-704-431-3138 8590 Park Drive : PO Box 787 : Mount Pleasant, North Carolina 28124 : tel. 704-436-9803 : fax 704-436-2921 Website: www.mtpleasantnc.org Email: townhall@mtpleasantnc.us ROY COOPER Govettlew MICHAEL S. REGAN Se cretury S. DANIEL SMITH Director NORV-1 CAROL.INA Envtronmenta! Quality CERTIFIED MAIL: 7016 1370 0000 2592 0522 RETURN RECEIPT REQUESTED May 21, 2020 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY Tracking No.: NOV-2020-DV-0237 Sanitary Sewer Overflows - April 2020 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County Dear Mr. Eudy: A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by Town of Mount Pleasant. The Division's Mooresville Regional Office concludes that the Town of Mount Pleasant violated Permit Condition I (2) of Permit No. WQCS00125 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 Mount Pleasant an opportunity to provide evidence and justification as to why the Town of Mount Pleasant 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 (Mies) Location Cause (Gals) (Gals) DWR Action 202001307 4/30/2020 35 1232 Summer St. Inflow and 18,000 10,000 Notice of Violation Infiltration, Severe Intent to Enforce Natural Condition Nt )rth C:aw.p..a Deparime AI of Envror, mentstqus:ty I .D:,/f A of % atV Rescures /1 1: aareaV e FieOH•Ce 1 610 Ea-t Center AVenuE: SV to 3011 h1a3re ; 1:�, tk-dh Cs a,�:ns 2-;115 7r cc3-1F.oa 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 60 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. If you have any questions, please do not hesitate to contact Michael Meilinger or me with the Water Quality Section in the Mooresville Regional Office at 704-663-1699 or via email at michael,meilingerCcncdenr,go_v_ or r_aIt- e.i�asinc ei rLncclenr.3 ov. Sincerely, Dd by: CA41' H pk4-14 for F181 F089A2D84A3... W: Corey Basinger, Regional Supervisor Water Quality Regional Operations Section Mooresville Regional Office Division of Water Resources, NCDEQ Cc: Mooresville Regional Office - WQS File Central Files, Water Quality Section �� hi•;rttCsw r.aDepartnler,tofEn�;.ror.merts�•Qvs':1}' � D.�t.�noi1'.'aterRes�,u�ces EW s�resv:e FaS.�rs off-ce j ^010 Es Center Avenue, Su1e 301 h'c,:tesrs:u�p{girth CS r��:n, 2311@ 4�_'_-D_Q v ; i .; •� �� 704-%.o;-1699 ..t r'i.•{.y'r Z� ROY COOPER Governor MICHAEL S. REGAN Secretary, S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality CERTIFIED MAIL: 7016 1370 0000 2592 0522 RETURN RECEIPT REQUESTED May 21., 2020 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY Tracking No.: NOV-2020-DV-0237 Sanitary Sewer Overflows - April 2020 Collection System Permit No. WQCS00125 . Mount Pleasant Collection System Cabarrus County Dear Mr. Eudy: A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by Town of Mount Pleasant. The Division's Mooresville Regional Office concludes that the Town of Mount Pleasant violated Permit Condition I (2) of Permit No. WQCS00125 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. 143-2i5.1(a)(1), for which a permit is required by G.S. 143-215.1. The Mooresville Regional Office is providing the Town of Mount Pleasant an opportunity to provide evidence and justification as to why the Town of Mount Pleasant should not be assessed a civil penalty for the violations) that are summarized below: Total Vol Total Surface Incident Start Duration Vol Water Number Date (Mina) Location Cause (Gals) (Gals) DWR Action 202001307 4/30/2020 35 1232 Summer St. Inflow and 18,000 10,000 Notice of Violation Infiltration, Severe Intent to Enforce Natural Condition _� fQatth C� o ra D partrf-nt of Envron m srt610uatty I Div -an of '.ater R �tzrss�I i.?o-or .14-R grona'iOffc- (.c10 G�� fret r t�_r3r� S�t3 3�1 j R!o�rvtia North isro;ns 23115 1 ru ;ru Ln 0 Iir Ln i ni C3 IC-3 C3 IC3 1 0 �M1 �rq I �o 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 60 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 J__ :_ A — __._.- _ .. vil penalty are the violator's history of non-compliance, the cost of \ :entional and whether money was saved by non-compliance. 0`6., WR f o�� a to contact Michael Meilinger or me with the Water Quality Section N od o or via email at michael,meilinaer@ncdenr.aov or, ro.„ Z t N�A� yea iia�a 4,1 cT1uQRp aN�� nF �C� EL C)' OJ x m � c-1 Icerely, , «i r6 fD ra WO - Dv C Qa 0 = 7 DocuSigned by: 0 ^ U k•.Guw H Palt' f01' GJ t E I@ C Q 1✓ L161FB69A2D64A3..- C In, �O '• iJ - 5 o ,o •� y J . Korey Basinger, Regional Supervisor 0 `' cU = w— ter Quality Regional Operations Section U �� o LU oresville Regional Office ru ti cn a 1z o CDision of Water Resources, NCDEQ L IN Extra Services & Fees (checkbm4 add tee as eppropaaw, ❑ Return Receipt (hardcoPY) $ ❑ Return Receipt (electronic) $ ❑ Certified Mail Restricted Delivery $ ❑Adult Signature Required $ []Adult Signature Restricted Delivery $ TOWN OF MOUNT PLEASANT PO BOX 787 MT PLEASANT NC 28124-0787 ATTN: W DEL EUDY, MAYOR Dwr/mm 5/21/2020 ��oshrlark (%ere, ' Y/p` I� N%girth ary 1n,3 7 ))SRtY at 7f En4R8t MEntai QUntt� D'ISJn 4$l�Bter aaf Ur;NS [� �� 16>DreS r;_ F Dn3E'0ff.e_ 1' e10 East w=nt_r Auer. -a - Swie 3011 hfaar oase 1°e, North Caro;+n, 2-S115 FILE CERTIFIED MAIL: 7017 2620 0000 6788 9700 RETURN RECEIPT REQUESTED August 22, 2019 W Del Eudy, Mayor • Town -of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY Tracking No.: NOV-2019-DV-0327 Sanitary-Sewer-everl:lows- 3w e-26#9 Collection_S_ystefn-P_ermit_No--VLQCSOQ125___ Mount Pleasant Collection System Cabarrus County Dear Mr. Eudy: A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by Town of Mount Pleasant. The Division's Mooresville Regional Office concludes that the Town of Mount Pleasant violated Permit Condition I (2) of Permit No. WQCS00125 by failing to effectively manage, maintain, and operate — - --their collection--system-so-that-there-is-no-SSO .(Sanitary -Sewer Overflow) -to--the-land-or-sur-face-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 Mount Pleasant an opportunity to provide evidence and justification as to why the Town of Mount Pleasant 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 (Mips) Location Cause (Gals) (Gals) DWR Action 201900991 6/2/2019 Summer St•Pump Pump station Notice of Violation Station equipment failure Intent to Enforce 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 clI-a in i-kic nrnracc Fnfnrr._ement decisior- • (ill also be.based on volume spilled, volume reaching surface w sh kills or recreational area closures. Other factors c( M y are the violator's history of non-compliance, the cost of rE w . -and whether money was saved by non-compliance. X o I{ Z �, 'ff pEK�� — itact Michael Meilinger or me in the Mooresville Regional 0 NYC a L- a = a R _c,El� SWAG 0 L��c, 6ncdenr.gov or corgy.basinger@ncdenr.gov. � � - N �r,,b, by: liigned iW; _0x .. r s ® E v c ��� z '681 AF27425... ......-• =O C� H J Sasin er, Regional. Supervisor ' " j > i'lity Regional Operations Section -® o- CL Regional Office --- - _ _® M _c � -. _ c i Water Resources, NCDEQ z�.D Lns 1] �1 r u Postal ServiceT- TIFIEDMAIL@ O DomeslIc Mail RECEIPT -_-__ ca 1 Certified Mail Fee \c�� Extra Services $ Fees (check box, add tee as appnciodata; C3 ❑ Return Receipt (hardcopy) $ ❑ )n <19CIO C3 Return Receipt (electronic) $ - Q❑ Certiflod Mail Restricted Delivery $,- ❑Adult Signature Required _ - � ostrnark" 4 i ❑Adult Signature Restricted Dellvery $ - Postage �` S s- ra $ ru To $ 'TOWN OF MOUNT PLEASANT rq Se PO BOX 787 C3 MOUNT PLEASANT NC 28124-0787 ATTN: W. DEL EUDY, MAYOR ci Dwr/mm 8/22/19 12.July 2019 Mr. W. Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, North Carolina 28124 Subject: ,Compliance Evaluation Inspection Permittee: Town of Mount Pleasant Waste Water Collection System Permit No. WQCS00125 Cabarrus County Dear Mr. Eudy: 1. Mr. Tony Parker of the Mooresville Regional Office of the NC Division of Water Resources (DWR or the Division) conducted a compliance evaluation inspection (CEI) of the Town's wastewater collection system (WWCS) on July 11, 2019. The assistance of Mr. Justin Stallings and others during the inspection was greatly appreciated. A copy of the inspection report is attached for your records and inspection findings are summarized below. Site/System Review 2. The following system components were inspected: a. Four pump stations were inspected. One issue observed. Please see report for details. b. Four manholes were inspected. No issues noted. C. One right of way was inspected. No issues noted. d. One aerial crossing was inspected. No issues noted. As you are aware, owners of permitted .collection systems must comply with their permit and all rules listed under NC Administrative Code 15A NCAC 02T .0400, et seq. The Town's compliance status with each.of these rules is summarized below: a. 15A NCAC 02T .0403(a)(1): Requires that the system be effectively maintained and operated at all times to prevent discharge to land or surface waters and any contravention of ground or surface water standards. Observations: Each pump station appearedto well maintained and operated. One issue was noted and is detaile r Compliance Status: C North Carolina Department of Environmental Quality I Division of Water Resources 610 East Center Avenue I Suite 3011 Mooresville, North Carolina 28115 704-663-1699 b. 15A NCAC 02T .0403(a)(2): Requires that a map of the wastewater collection system be developed and actively maintained. Observations: The Town has various paper maps showing locations of lines, direction of flow, force mains, pump stations, manholes and other information. Compliance Status: Compliant C. 15A NCAC 02T .0403(a)(3): Requires that an operation and maintenance (0&M) plan be developed and implemented, which includes pump station inspection frequency, preventative maintenance schedule, spare parts inventory and overflow response. Observations Pump station logs were available. Records were available. Spare parts and pumps are kept in stock. An overflow response plan was available. Compliance Status: Compliant d. 15A NCAC 02T .0403(a)(4): Requires that the permittee. or its representative inspect pump stations that are not connected to a telemetry system (i.e., remote alarm system) every day (i.e., 365 days per year) and pump stations that are connected to a telemetry system at least once per week. Observations: The pump station inspection logs indicate that the pump stations are visited as required. Compliance Status: Compliant e. 15A NCAC 02T .0403(a)(5): Requires that the permittee or its representative inspect high -priority sewers WS - as defined in 15A NCAC 02T .0402(2)) at least once every six months and document the inspections. Observations: All lines are checked and documented. Compliance Status: Compliant f. 15A NCAC 02T .0403(a)(6): Requires that the permittee or its representative conduct a general observation of the entire wastewater collection system at least once per year and document same. Compliance Status: Compliant. g. 15A NCAC 02T .0403(a)(7): Requires that overflows and bypasses from the . system be reported to the Division's. Mooresville Regional Office iri accordance with 15A NCAC 02B .0506(a), and that public notice must be provided as required by G.S. 143-215.1C. Observations: SSO's have been reported with this system during this review period. The NC regulations and statutes, which cover the reporting requirements for SSOs, are found in NC Administrative Code 15A NCAC 02B .0506(a) and NC General Statute 143-215.1C, respectively. You may access the NC regulations online at the NC Office of Administrative Hearings (OAH) website at:. http://www.oah.state.nc.us/rules/ and the NC General Statutes online at the NC General Assembly's . website at: http://www.ncga.state.nc.us/gascripts/Statutes/StatutesTOC..pl. You may wish to review them to ensure you are fully familiar with all requirements. When reporting SSOs to DWQ, you must call the Mooresville Regional Office (MRO) at 704-663-1699 during normal business hours. If outside normal business hours, you must report the spill to the NC Division of Emergency Management at 1-800-858-0368. Please note that all reportable SSOs must be reported within 24 hours of the occurrence, or first knowledge,.of the SSO. Please also note that voice mail or faxed messages are not considered as the initial verbal report. You must talk to and report the spill to a live person. Compliance Status: Compliant h. 15A NCAC 02T .0403(a)(8): Requires that a grease control program be developed and implemented as follows: 1. For publicly owned collection systems, the Grease Control Program shall include at least bi-annual distribution of grease education materials to users and the.legal means to require grease interceptors. The Program shall also include legal means for inspections, enforcement, and legal means to control grease entering the system from other public and private satellite sewer systems. 2. Grease education materials shall be distributed more often than required above if necessary to prevent grease -related sanitary sewer overflows. Observations: Educational materials are mailed out to all customers and the same information, is available upon request and is available at Town Hall and on line. Compliance Status: Compliant. i. 15A NCAC 02T .0403(a)(9): Requires that right-of-ways (ROW) and easements be maintained to allow for personnel and equipment accessibility. Observations: Records were reviewed documenting that the right-of-ways were mowed, inspected and maintained to provide accessibility. Compliance Status: Compliant. 15A NCAC 02T .0403(a)(10): Requires that documentation -be kept for all activities you undertake to comply with the requirements of 15A NCAC 02T .0403, subparagraphs (a)(1) through (a)(9), for a minimum of three years, with the exception of the map, which shall be maintained for the life of the system. Observations: Records, were reviewed for right of way mowing, high -priority line inspections, and observation of the entire system. Compliance Status: Compliant The inspection report should be self-explanatory;, however, if you have any questions regarding the inspection report or this letter please contact Tony Parker at 704-663-1699 or ton parker�ncdenr.gov. Sincerely, DocuSigned by: A14CC681AF27425... W. Corey Basinger, Regional Supervisor .Mooresville Regional Office Water Quality Regional Operations Section Division of Water Resources, NCDEQ Attachments: BIMS Inspection Report CC:. MRO Central Files PERCS Unit (e-copy) Compliance Inspection Report Permit: WQCS00125 Effective: 06/01/13 Expiration: 05/31/21 Owner Town of Mount Pleasant SOC: Effective: Expiration: Facility: Mount Pleasant Collection System County: Cabarrus PO Box 787 Region: Mooresville Mt Pleasant NC 28124 Contact Person: Bobby Hartsell Title: Public Works Director Phone: 704-436-2353 Directions to Facility: System Classifications: CS1, Primary ORC: Timothy Justin Stallings Certification: 994814 Phone: 707-436-9800 Secondary ORC(s): On -Site Representative(s): Related Permits: NC0036269 Water and Sewer Authority of Cabarrus County - Rocky River WWTP Inspection Date: 07/11/2019 EntryTime: 10:OOAM Exit Time: 02:30PM Primary Inspector: Tony Parker Phone: 704-663-1699 Secondary Inspectors): Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling Permit Inspection Type: Collection system management and operation Facility Status: Compliant. ❑ Not Compliant Question Areas: Miscellaneous Questions General Sewer & FOG Ordinances Capital Improvement Plan Map Reporting Requirements Inspections Spill Response Plan Spills Lines Manholes Pump Stations (See attachment summary) D�4c"CWMF:27425r d b7/12/2019 L�A... 0 Page 1 of 7 permit: WQCS00126 Owner - Facility: Town of Mount Pleasant Inspection Date: 07/11/2019 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine Inspection Summary: Page 2 of 7 ti W ❑ a ❑ z z El -, ■ ❑ ❑ El ■ ❑ ❑ E] ■ ❑ ❑ El ■.■ ❑ ❑ El ❑ ■ ❑ ❑ ❑ 0 El ■ ❑ ■ El ❑ ❑ ❑ ❑ ■ W a z z° Y ❑ ❑ ❑•❑ ■ 0 ❑ ❑ ❑ ❑ ❑ ■ Z ❑ ❑ El ❑ ❑ ❑ El ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ iy a z z ❑ ❑ ❑ ❑ ❑ ❑ N El ❑ ❑ ❑ ❑ ❑ ■ ❑ El❑ ❑ ■ ❑ El ❑ ❑ ■ W a 0 M m 03 a r• E W 3 N C d 0 CD d .Q o. m cu E a� d d r (D E a) E � U E 0 m 0 C. rn m c Y C 0 U R1 w N m C d E E O U il .A 0 Mi v, y C7 D D to m D D 7 0 w v, _� X n N * * o y o y w _ O co m N m rn O 2 w w -< 2 O D — — — — B. m =. y 3 �• N m m a� w m 3 m O N < O 3 O O O 3 i m m m m v+ m o v_ N m w c@ c m n 3 m ow fD 3 3 v o n o 3 �' : I m m S _ _ m 3 $ '0 7 w m (D M. •O 7 w g Er 7 (D w y. x O w N `< w m — — w (D — m o w v c o »• o c m O 0 3 a 3 � °= � a+ m 3 < w O O O rr CD O m y O N ry 7 F m Q wCC m m m ^* O O w w O w (D O_ 'a 'O m N O N 7 ^� CD G N N CD aO' co j' m > > m �• CD v', m fD -i 0 o m o 3 w m �, < m c —1 `O w v a, �'— 3 m o o �' 0 '� 3 m ° m o v (u m - c m CL c m m a � co = J 0 3 o m [(D w 3 m -0 w m (D a = �_ o w < D D coCL :w w o �' v L ° m w w a 0 3 w m m f° n o• o C o a m o w m m m w' m m CD m O a CD CL CD 0 o m o m v, a c �' m °' m 3 0 O o o w m m N 03 m n ° D 0 3 m v_ w 0 3 w w N m 7 7 m j Q G fD w O m (D CO 7 O y w w w O -0 G M. 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J 0 J o m O m' CL a m r Q a O_ O n C 3 CD m a 0 m c 3 CD 0 N O 0 c� N f� ■ ■ u�i fn ■ ■ ■ . ■ ■ . ■ vOi ❑ ■ ■ ■ ■ ■ ❑ ❑ ■ . ■ ■ ■ ■ . ■ El ❑ o El ❑ ❑ ❑ ❑ ❑ ❑ ❑ Z ❑ ❑ ❑ '❑ ❑ Z ❑ ❑ ❑ ❑ ❑ ❑ El El ❑ El El ❑ ❑ > ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ D ❑ ❑ ❑ ❑ ❑ Z ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ "' ■ ❑ ❑ ❑ ❑ m ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 c 'm Permit: WQCS00125 Owner - Facility: Town of Mount Pleasant Inspection Date: 07/11/2019 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine 24-hour contact numbers E ❑ ❑ ❑ Response time i ❑ ❑ ❑ Equipment list and spare parts inventory E ❑ ❑ ❑ Access to cleaning equipment 0 ❑ ❑ ❑ Access to construction crews, contractors, and/or engineers 0 ❑ ❑ ❑ Source of emergency funds N - ❑ ❑ ❑ Site sanitation and cleanup materials 0 ❑ ❑ ❑ Post-overflow/spill assessment 0 ❑ ❑ ❑ Does the Permittee appear to respond within 2 hours of first knowledge of a spill? 0 ❑ ❑ ❑ Comment: The Town has a SPR and have responded to SSO's as required. SDllls Yes No NA NE Is system free of known points of bypass? E ❑ ❑ ❑ If No, describe type of bypass and location The Town is not free of spills but are reporting as required and appear to be doing a good job of operating and maintaining this system Are all spills or sewer related issues/complaints documented? 0 ❑ ❑ ❑ # Are there repeated overflows/problems (2 or more in 12 months) at same location? 1:10 ❑ ❑ # If Yes, is there a corrective action plan? E ❑ ❑ ❑ Comment: SSO's have been reported as required. One spill in 2017, 2018 and one in 2019. Lines/Right-of-Ways/Aerial Lines Yes No NA NE Please list the Lines/Right of Ways/Aerial Lines Inspected: Prison aerial. and Cold Springs outfall R/W . No issues noted and out was mowed. Are right-of-ways/easements maintained for full width for access by staff/equipment? ❑ ❑ ❑ If No, give details on temporary access: Is maintenance documented? 0 ❑ ❑ ❑ Are gravity sewer cleaning records available? N ❑ ❑ ❑ Has at least 10% of lines older than 5 yrs been cleaned annually? E ❑ ❑ ❑ Were all areas/lines inspected free of issues? ❑ ❑ ❑ Comment: The Town exceeded the minimum 10% cleaning requirements for 2017, 2018 and already exceeded for 2019. Manholes Yes No NA NE Please list the Manholes Inspected: Influent manholes were checked at all 4 p/s's listed below. No issues noted. Are manholes accessible? E ❑ ❑ ❑ # Are manhole covers/vents above grade? 0 ❑ ❑ ❑ Are manholes free of visible signs of overflow? E ❑ ❑ ❑ Are manholes free of sinkholes and depressions? ■ ❑ ❑ ❑ Page 5 of 7 Permit: WQCS00125 Owner - Facility: Town of Mount.Pleasant Inspection Date: 07/11/2019 Inspection Type: Collection System Inspect Non Sampling - Reason for Visit: Routine Are manhole covers present? 0 ❑ ❑ ❑. # Are manholes properly seated? 0 ❑ ❑ ❑ # Are manholes in good condition? 0 ❑ ❑ ❑ # Are inverts in good condition? ❑ ❑ ❑ Is flow unrestricted in manholes? ❑ ❑ ❑ Are manholes free of excessive amounts of grease? ❑ ❑ ❑ Are manholes free of excessive roots? 0 ❑ ❑ ❑ Are manholes free of excessive sand? 0 ❑ .❑ ❑ Are manhole vents screened? ❑ ❑ 0 ❑ Are vents free of submergence? ❑ ❑ ❑ Are manholes free of bypass structures or pipes? 0 ❑ ❑ ❑ Comment: All m/h's checked were in good condition free of leaks and roots and free flowing with no invert obstructions The Town has plans to rehab several m/h's each year. PUrlo Stations Yes No NA NE Please list the Pump Stations Inspected: Four p/s's were inspected as follows: Summerset, Cold Springs, Fieldstone and North Drive P/S's. The only issue noted was the Cold Springs dialer did call out when the alarm float was raised, however, the call was not received and at times per operators is an issue. Please contact your service providers and resolve this problem. # Number of duplex or larger pump stations in system t3 # Number of vacuum stations in system 0 # Number of simplex pump stations in system 5 # Number of simplex pump stations in system serving more than one building 0 How many pump/vacuum stations have: # A two-way "auto polling" communication system (SCADA) installed? o # A simple one-way telemetry/communication system (auto -dialer) installed?. 0 For pump stations inspected: Are they secure with restricted access? 0 ❑ ❑ ❑ Were they free of by-pass structures/pipes? 0 ❑ ❑ ❑ Were wet wells free of excessive grease/debris? 0 ❑ ❑ ❑ # Do they all have telemetry installed? 0 ❑ ❑ ❑ Is the communication system functional? ❑ ❑ ❑ Is a 24-hour notification sign posted ? - ❑ ❑ El Does the sign include: Owner Name? 0 ❑ ❑ ❑ Pump station identifier? N ❑ ❑ ❑ # Address? N ❑ ❑ ❑ Instructions for notification? E ❑ ❑ ❑ Page 6 of 7 Permit: WQCS00125 Owner - Facility: Town of Mount Pleasant Inspection Date: 07/11/2019 Inspection Type :Collection System Inspect Non Sampling Reason for Visit: Routine 24-hour emergency contact numbers? E ❑ ❑ ❑ Are audio and visual alarms present? 0 ❑ ❑ ❑ Are audio and visual alarms operable? E ❑ ❑ ❑ # Is there a backup, generator or bypass pump connected? E ❑ ❑ ❑ If tested during inspection, did it function properly? 0 ❑ ❑ ❑ Is the back-up system tested at least bi-annually under normal operating conditions? 0 ❑ ❑ ❑ # Does it have a dedicated connection for a portable generator? ❑ ❑ ❑. # Is the owner relying on portable units in the event of a power outage? 0 ❑ ❑ ❑ # If Yes, is there a distribution plan? ❑ ❑ ❑ If Yes, what resources (Units/StaffNehicles/etc) are included in Plan? The Town uses portable and dedicated units for b/u power situations. The portable unit was not evaluated but is maintained and exercised at the Town's Public Works facility. # Does Permittee have the approved percentage of replacement simplex pumps? N ❑ ❑ ❑ Is recordkeeping of pump station inspection and maintenance program adequate? 0 ❑ ❑ ❑ Do pump station logs include at a minimum: Inside and outside cleaning and debris removal? E ❑ ❑ ❑ Inspecting and exercising all valves? 0 ❑ ❑ ❑ Inspecting and lubricating pumps and other equipment? N ❑ ❑ ❑ Inspecting alarms, telemetry and auxiliary equipment? 0 ❑ ❑ ❑, Comment: Adequate reports and logs are maintained. Page 7 of 7 ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Dir"tor NORTH CAROLINA Environmental Quality CERTIFIED MAIL #: 7016 1370 0000 2591 1605 RETURN RECEIPT REQUESTED February 01, 2019 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION Tracking Number: NOV-2019-DV-0083 Sanitary Sewer Overflows. - December 2018 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County Dear Mayor Eudy: The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mount Pleasant indicates violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is required. Specific incident(s) cited in the subject report include the following: Total Vol Total Surface Incident Start Duration Vol Water Number Date (Mina) Location Cause (Gals) (Gals) DWR Action 201900002 12/31/2018 65 1232 Summer St. Power Outage 1,800 Notice of Violation Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Please submit a written response to this Notice of Violation. Your response is to be received by the regional office within 15 business days following receipt of this violation. Please include any additional documentation about this incident(s) in the response. The submittal will be considered in determining whether the Division will assess a civil penalty for the cited violations. QNznhCaro;'inaDeoartmentof Envronmentst Qufrrt}, I DiV< ,on of Water Resouroes •,-� . Yr D--F hS res+ Rea:osssi�+ff (o1DEaaCanterAvenue,5 2eMLIMMoray]%,North C.aroana28115 704-6S3-10 9 If you have -any questions, please do not hesitate to contact W. Corey Basinger with the Water Quality Section in the Mooresville Regional Office at 704-663-1699 or via email at corey.basinger@ncdenr.gov. Cc: a a o. CD N4 o m aD z U) al E o (n a`) E0.=)Q MOOR I Ln p I� `q c �. I rU E i +o �o 0 0 lo, N m 0 r%- Sincerely, DocuSigned by: A14CC681 AF27425... W. Co ..''Basinger, Regional Supervisor ,y Regional Operations Section tegional Office ater Resources, NCDEQ 0 ^®`E � Narth Caro�«a Dzp3rtrnent cf Enviranrrenta! Qtra!3y I Divs»n of Water kesouirw_s E,/, Moores+5 Rsgional Office. 1 610 Ea-st Center Avenue, Su to 301 I Moore—sv:3l,�e, North Caro ima 28115 "� ��� 704-.63-le99 CERTIFIED MAIL #: 7016 1370 0000 2591 1605 RETURN RECEIPT REQUESTED February 01, 2019 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 .Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION Tracking Number: NOV-2019-DV-0083 Sanitary Sewer Overflows - December 2018 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County Dear Mayor Eudy: The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mount Pleasant indicates violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is required. Specific incident(s) cited in the subject report include the following: Total Vol . Total Surface Incident Start Duration Vol Water Number Date (Mins) Location Cause (Gals) (Gals) DWR Action 201900002 12/31/2018 65 1232 Summer St. Power Outage 1,800 Notice of Violation Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Please submit a written response to this Notice of Violation. Your response is to be received by the regional office within 15 business days following receipt of this violation. Please include any additional documentation about this incident(s) in the response. The submittal will be considered in determining whether -the Division will assess a civil penalty for the cited violations. If you have any questions, please do not hesitate to contact W. Corey Basinger with the Water Quality Section in the Mooresville Regional Office at 704-663-1699 or via email at corey.basinger@ncdenr.gov. Sincerely, DocuSigned by: e A14CC681 AF27425... W. Corey Basinger, Regional Supervisor Water Quality Regional Operations Section Mooresville Regional Office Division of Water Resources, NCDEQ Cc: Mooresville Regional Office - WQS File Central Files, Water Quality Section February 13, 2019 NC DEQ 610 East Center Ave., Suite 301 Mooresville, NC 28115 To Whom It May Concern: Haunt .pleasant ©P ail NN„Oo 0 NRIDWR FEB 15 2019 Laserfiche`MOORESVILLERFGIOnlAI,-OFFICE This letter is written in response to the Notice of Violation, Tracking number NOV-2019- DV-0083 for the Town of Mount Pleasant NC. This SSO occurred at 1232 Summer Street lift station. The cause of the spill was a power failure caused by mechanical type failure. The incoming line feeding the switch gear to the station burned in two. This station is a Delta Y feed with no neutral, meaning that the station could not be powered off of the generator with the incoming line burned in two due to possible damage to the pump motors and switch gear. Duke Energy was notified as soon as crews were on site but took approximately one hour to respond. This delayed the repair to the station due to one leg feeding in was still live. This station is currently in the design phase for upgrade/replacement due to being at capacity limit for development. Remediation of the site was completed using debris collection and using lime to cover the affected area. No wastewater entered surface water with this SSO. Sincerely, T. Justin Stallings Town of Mount Pleasant Collections ORC-994814 8590 Park Drive : PO Box 787 : Mount Pleasant, North Carolina 28124 : tel. 704-436-9803 : fax 704-436-2921 Website: www.mtpleasantnc.org Email: townhall@mtpleasantnc.us January 23, 2018 W Del Eudy, Mayor Town of Mount Pleasant PO Box 787 Mount Pleasant, NC 28124-0787 SUBJECT: NOTICE OF VIOLATION Tracking Number: NOV-2018-DV-0016 Sanitary Sewer Overflows - December 2017 Collection System Permit No. WQCS00125 Mount Pleasant Collection System Cabarrus County Dear Mayor Eudy: The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Mount Pleasant indicates violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is required. Specific incident(s) cited in the subject report include the following: Total Vol Total Surface Incident Start Duration Vol Water Number Date (Minn) Location. Cause (Gals) (Gals) DWR Action 201701744 12/15/2017 60 8555 E. Franklin St.(E. Roots 3,000 0 Notice of Violation Franklin Sewer Main) Remedial actions, if not already implemented, should be taken to correct the above noncompliance. State of North Carolina I Environmental Quality I Water Resources 610 East Center Avenue, Suite 301, Mooresville, NC 28115 704-663-1699 If you have any questions, please do not hesitate to contact Lon Snider with the Water Quality Section in the Mooresville Regional Office at 704-663-1699 or via email at lon.snider@ncdenr.gov. Sincerely, W. Corey Basinger, Regional Supervisor Water Quality Regional Operations Section Mooresville Regional Office Division of Water Resources, NCDEQ a' is a V4P 1 rn o ..alp a) o 11% Z C.) 0) -12 M a.. a WQ�Cjc 1C = `OF - ® � I _ a N — w 00 � di N Q E � U toca C O z J--I ` 0 I U w Z U r i > Y r_� M - ru •� — cp - Domestic Mail Only Im N Certified Mail Fee m Extra Services & Fees (check box, add fee as appropriate) I ❑ Return Receipt (hardcopy) $ rU O ❑ Return Receipt (electronic) $ Q 7 Postmark ❑ Certified Mail Restricted Delivery $ 8104 �' � -1 fyep'(► �. I a0 ❑Adult Signature Required $ G �•V! ❑ Adult Signature Restricted Delivery $ C3 " Postageru Ln Tou 913 TOWN OF MOUNT PLEASANT-=— , Ln $ en PO BOX 787 11-9 C 28124-0787 MOUNT PLEASANT N----- O Sfie N ATTN: W. DEL EUDY, MAYOR dwr/Is 1/23/18 F. 0 ortaro ina nJironmental Quality Water Resources 610 East Center Avenue, Suite 301, Mooresville, NC 28115 704-663-1699 Collection System SSO 24-Hour Notification Collection System: Number and Name WQCS# f� Incident Number from BIMS 20150 Incident Reviewed (Date): Incident Action Taken: BPJ NOV-2015-DV DV-2015- oaaaeaa0aaaa900Mooaoaacaaaae0aeaoaaMaaaaaMaoeooaaa0x0Uaaoaa000MM0MMa0MaaI Spill Date / J6 Time /0 r O aMppm — Reported Date _/--) Time a pm Reported To SWP Staff or EM Staff 695 Reported By Phone Address of Spill,{1'Yiv►ii, CountyCity Cause of Spill Total Estimated Gallons —,500 Est. Gal to Stream (� Stream -- A.) -A— Fish Kill: Yes No Number Species Non Required Information and other comments relating to SSO incident: Response time minutes Zone Map Quad North Carolina Emergency Management - EM43 Reporting Page 1 of 4 EM43 Reporting EM Level: NCEM Edited: Include in Report: 3 Yes Yes Taken by: Date/Time Reported: Date/Time Occurred: Chris Bailey 12/24/2015 04:21:46 12/24/2015 04:21:46 Reported by: Agency: Phone: EAS NWS County: City: Area: Cabarrus WBO 11 Street Address: Zip Code: EVENT TYPE Type: Weather Animal Disease Event Type: Bomb Threat Event Type: Complaint Event Type: Fire Event Type: FNF Event Type: FNF Class: HazMat Event Type: HazMat Class: HazMat Mode: Homeland Security Event: Non-FNF Event: Non-FNF Event Type: Other Event Type: SAR Type: Transportation Event Type: Wastewater Event Type: Weather Event Type: Weather Event Name: WMD Event Type: F1oodWarn State Resource Request https://www.nesparta.net/eoc7/boards/board.aspx?tableid=275&viewid=1011 &uvid=1.44... 12/28/2015 North Carolina Emergency Management - EM43 Reporting Page 2 of 4 rt Event Description: NWS issued a flood watch for Cabarrus County until 0715 hours' NWS upgraded to flood warning until 1015 hrs. Deaths: Injuries: Evacuation: 0 0 0 Responsible Party: Responsible Party Phone: Point of Contact: Point of Contact Phone: Latitude: Longitude: 00.000000-00.000000 RRT Request: RRT Approved: RRT Team Number: Radius: 0 RRT Mission Number: https://www.nesparta.net/eoc7/boards/board.aspx?tableid=275&viewid=1011 &uvid=1.44... 12/28/2015 North Carolina Emergency Management - EM43 Reporting Page 4 of 4 NOTIFICATIONS LEMC: SO: PD: LFD: CHealth: Sewer: PWRK: Other Local Agencies: AC: SHP/SWP: Advised ENV MGMT: WATER: DRP: CAP: DOT: Other State Agencies: Notes: 0424 - J. Ramsey, C, Tant emailed - CTB 0728 -,upgraded to flood warning - mb 0729 - emailed update to J. Ramsey, C. Tant, and J. Stanton - mb 0731 - J. Stanton ackn - mb ATTACHMENTS Filename: Filename: Filename: Filename: Filename: Filename: Filename: Filename: Filename: https://www.nesparta.net/eoc7/boards/board.aspx?tableid=275&viewid=1011 &uvid=1.44... 12/28/2015 ATTN: Barbara Sifford Mount Pleasant Summer Street SSO 12/30/2015 T. Justin Stallings, Town of Mount Pleasant State of North Carolina Department of Environmental Quality Division of Water Resources -: Collection System Sanitary Sewer Overflow Reporting Form " Division of WaterResourcesForm CS-SSO PART I: . This form shall be submitted to the appropriate DWR Regional Office within five business days of the first knowledge of the sanitary sewer overflow (SSO). Permit Number: 0016942 (WQCS# if active, otherwise use.WQCSD#) OW57 orals l Facility: Town of Mount Pleasant Incident M. Owner: Town of Mount Pleasant Region: Mooresville City: Mount Pleasant County: Cabarrus Source of SSO (check applicable): ❑ Sanitary Sewer ® Pump Station 1 Lift Station SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump Station B, Manhole at Westall & Bragg Street, etc.): Summer Street Pump station Manhole #: N/A Latitude (degrees/minute/second): Longitude (degrees/minutelsecond): Incident Started Dt: 12136/2015 Time: 1030AM Incident End Dt: 12/30/2015 Time: 020OPM (mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM Estimated volume of the SSO: 5500 gallons Estimated Duration (round to nearest hour): 3.5 hour(s) Describe how the volume was determined: Estimation of impoundment capacity around station Weather conditions during the SSO event: 3.28 inches of rain in an 8 hour period. Rainfall data was collected from NOAA monitoring site located approx.1 mile from SSO site Did the SSO reach surface waters? ❑ Yes ® No ❑ Unknown Volume reaching surface waters: gallons Surface water name: Did the SSO 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 []Pump Station Equipment Failure ❑ Power Outage ❑Other (Please explain in Part II) ❑Roots ®inflow & Infiltration ❑Vandalism ❑ Debris in line ❑Pipe Failure (Break) 24-hour verbal notification (name of person contacted): Barbara Sifford ®DWR ❑Emergency Management Date (mm-dd-yyy): 12/31/2015Time: (hh:mm AM/PM): 0844AM Per G.S. 143-215.1C(b), the owner or operator of any wastewater collection system shall: In the event of a discharge of 1,000 gallons or more of untreated wastewater to the surface waters of the State, issue a press release to all print and electronic news media that provide general coverage in the county where the discharge occurred setting out the details of the discharge. The press release shall be issued within 24 hours after the owner or operator has determined that the discharge has reached surface waters of the State. In the event of a discharge of 15,000 gallons or more of untreated wastewater to the surface waters of the State, publish a notice of the discharge in a newspaper having general circulation in the county in which the discharge occurs and in each county downstream from the point of discharge that is significantly affected by the discharge. The Regional Office shall determine which counties are significantly affected by the discharge and shall approve the form and content of the notice and the newspapers in which the notice is published. WHETHER OF NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED SEE PAGE 13 Form CS-SSO Page 1 State of North Carolina NA A I DDepartment of Environmental Quality Division of Water Resources Collection System Sanitary Sewer Overflow Reporting Form Division of Water Resources Form CS-SSO Form CS-SSO Page 2 In order to submit a claim for justification of an SSO, you must use Part II of form CS-SSO with additional documentation as necessary. DWR staff will review the justification claim and determine if enforcement action is appropriate. PART it: 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 SEC -TONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I (In the check boxes below, NA = Not Applicable and NE = Not Evaluated) I A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS IS HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM { } Page 3 Form CS-SSO f Severe Natural Conditions (hurrWaang, tornado. etc.) Describe the "severe natural condition" in detail: Heavy rain event in the total period of spill was 3.28 inches as measured by NOAA monitoring station approx. 1 mile from SSO site. Widespread flooding was a major cause of the inflow that occured. Outfalls to this station were inacessabie at the time of the event due to flood waters. Inflow is believed to have occured slightly upstream from the station located in an outfall which was under water. How much advance warning did you have and what actions were taken in preparation for the event? Rainfall estimations the day before the event were significanity less than what actually accumulated. Comments: Form CS-SSO Page 4 e T a6ed Grease (Documentation such as cleaning inspection enforcement actions past overflow reports, educational material and distribution date. etc. should be available upon recluest.) When was the last time this specific line (or wet welly was cleaned? Do you have an enforceable grease ordinance that requires new or retrofit of grease trapslnterceptors? ❑ Yes ❑ No ® NA ❑ NE Have there been recent inspection and/or enforcement actions taken on near- by restaurants or other nonresidential grease contributors? ❑ Yes ❑ No ®NA ❑ NE Explain: Have there been other SSOs or blockages in this areas that were also caused by grease ❑ Yes ❑ No ®NA ❑ NE When? If yes, describe them: Have cleaning and inspections ever been done at this location? ❑ Yes ❑ No ®NA ❑ NE Explain. Have educational material about grease been distributed in the past? ❑ Yes ❑ No ®NA ❑ NE 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: E0000-Ld ❑ Yes ❑ No ®NA ❑ NE Form CS-SSO Page 5 Roots Do you have an active root control program on the line / area in question? ❑ Yes ❑ No ®NA ❑ NE Describe: Have cleaning and inspections ever been increased at this location because of roots? ❑ Yes [--]No ®NA ❑ NE Explain: What corrective actions have been accomplished at the SSO location (and surrounding system if associated with the SSO)? What corrective actions are planned at the SSO location to reduce root intrusion? Has the line been smoke tested or videoed within the past year? ❑ Yes ❑ No ®NA ❑ NE If Yes, when? Comments: Form CS-SSO Page 6 Inflow and Infiltration T a6-ed Are you under an SOC (Special Order by Consent) or do you have a schedule ❑ Yes ®No ❑NA ❑ NE in any permit that addresses Ill? Explain if Yes: What corrective actions have been taken to reduce or eliminate I & I related overflows this spill location within the last year? After last spill at this location, measures were taken to check for possible large inflow contributors, there were no obvious signs of any major issue. Has there been any flow studies to determine Ill problems in the collection system 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? If Yes, when and what actions are necessary and the status of such actions: ❑ Yes ® No ❑NA ❑ NE ❑ Yes ® No EINA ❑ NE Are there 1/1 related projects in your Capital Improvement Plan? ® Yes ❑ No ❑NA ❑ NE If Yes, explain: Manhole lining is currently taking place in high priority areas. This area is to be evaluated for possible pump station replacement in 2016, All mains that fall to this loaction have been slip lined to prevent infiltration. Have there been any grant or loan applications for 1/1 reduction projects? If Yes, explain: Do you suspect any major sources of inflow or cross connections with storm sewers? If Yes, explain: Have all lines contacting surface waters in the SSO location and upstream been inspected recently? ❑ Yes ® No ❑NA ❑ NE ❑ Yes ® No DNA ❑ NE ® Yes ❑ No ❑NA ❑ NE If Yes, explain: Drainage basins in this area have been inspected as well as possible sources from wet weather ditches. No obvious signs of inflow were found during this event. Upstream manholes that were accessable during this event were checked to attempt to determine source of flow but was inconclusive. What other corrective actions are planned to prevent future 1/1 related SSOs at this location? The basin in which this station handles has been moved to high priority for smoke testing as soon as weather permits. There are also plans to replace the pump station as well as possible,(if needed), repairs to the contibuting basin. Comments: TOOOO U V Form CS-SSO Page 7 Pump Station Equipment failure (Documentation of testing records etc should be provided upon request) What kind of notification/alarm systems are present? Auto-dialer/telemetry (one-way communication) ® Yes Audible ® Yes Visual ® Yes SCADA (two-way communication) ❑ Yes Emergency Contact Signage ® Yes Other ❑ Yes If Yes, explain: Describe the equipment that failed: 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: 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 ❑ 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? If an auto -dialer or SCADA, when was the system last tested? How? Comments: Form CS-SSO ❑ Yes ❑ No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE Page 8 Power outage (Documentation of testing records tee OMId be provided of alternative power source upon request.) What is your alternate power or pumping source? Did it function properly? ❑ Yes ❑ No [DNA ❑ NE Describe? When was the alternate power or pumping source last tested under load? If caused by a weather event, how much advance warning did you have and what actions were taken to prepare for the event? Comments: C�IZIIIZIan:� Form CS-SSO rage 9 Vandalism Provide police report number: Was the site secured? ❑ Yes ❑ No If Yes, how? Have there been previous problems with vandalism at the SSO location? If Yes, explain: What security measures have been put in place to prevent similar ❑ Yes ❑ No occurrences in the future? Comments: ►1 a ❑ NE ❑ NE Fortin CS-SSO Page 10 Debris in line (Rocks, sticks, raps and other items no- mowed in the collection system, etc.) What type of debris has been found in the line? Suspected cause or source of debris: Are manholes in the area secure and intact? ❑ Yes ❑ No ®NA [] NE When was the area last checked/cleaned? Have cleaning and inspections ever been increased at this location ❑ Yes ❑ No ®NA [] NE due to previous problems with debris? Explain: Are appropriate educational materials being developed and distributed ❑ Yes ❑ No ONA ❑ NE to prevent future similar occurrences? Comments: V0000ud Foam CS-SSO Page 11 Other (Pictures and police report, as applicable, must be available upon request.) Describe: Were adequate equipment and resources available to fix the problem? If Yes, explain: If the problem could not be immediately repaired, what actions were taken to lessen the impact of the SSO? Comments: ❑ Yes ❑ No ®NA ❑ Yes ❑ No ®NA ❑ NE ❑ NE Form CS-SSO Page 12 Pipe Failure (Break) T a6Ed Pipe size (inches) What is the pipe material What is the approximate age of the line/ pipe (years old) Is this a gravity line? Is this a force main line? Is the line a "High Priority" line? Last inspection date and findings If a force main then, Was the break on the force main vertical? Was the break on the force main horizontal? Was the leak at the joint due to gasket failure ? Was the leak at the joint due to split bell? ❑ Yes ❑ No ONA ❑ NE [] Yes ❑ No ®NA ❑ NE ❑ Yes ❑ No IONA ❑ NE ❑ Yes ❑ No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE [] Yes ❑ No ONA ❑ NE ❑ Yes ❑ No NNA ❑ NE When was the last inspection or test of the nearest air -release valve to determine if operable? When was the last maintenance of the air release performed? If gravity sewer then, Does the line receive flow from a force main immediately upstream ❑ Yes ❑ No ®NA ❑ NE 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? If line collapsed, what is the condition of the line up and down stream of the failure? What type of repair was made? If temporary, when is the permanent repair planned? Have there been other failures of this line in the past five years? [:]Yes [:]No MNA ❑ NE If so, then describe auoyd � AW WOJJ IuaS SOOO011d Form CS-SSO Page 13 a System Visitation ORC Backup Name: Timothy J Stallings Certification Number: 994914 Date visited: 12/30/2015 Time visited: 1030AM T a6Ed How was the SSO remediated (i./e. Stopped and cleaned up)? Pumps ran full capacity during event, lime will be broadcast around area as soon as weather permits (stops raining), Debris were collected and removed froin area. As a representative for the responsible Raft I certify that the information contained In this report Is true and accurate to the best of my knowledge. Person submittin claim: T. Justin Stallings Date: 12/31/2015 �44 Signature: Title: W"S+ew4er oNC Telephone Number: 704-431-3138 Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five business days of first knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this form is completed, if used). TOOOOud Form CS-SSO Page 14 Collection System SS® 24-Hour Notification Collection System: Number and Name WQCS#- Incident Number from BIMS 20150 / Incident Reviewed (Date): Incident Action Taken: BPJ NOV 2015-DV DV-2015- A a W C O A man a BA Q e 9 U moma H9 A Ana Ban A A0 a H am MIR 9 a a mom a Maas am am a s no a a a MR cam Manson Spill Date P % Time a a pm — Reported Date . 9 Time a �mfm Reported To SWP Staff or EM Staff s Reported By Phone Address of Spill County' City �c Cause of.Spill . Total Estimated Gallons — ai 000 Est. Gal to Stream tp Stream — 4ANG 25tyc&Gish Kill: Yes No ' Number Species Non Required Information and other comments relating to SSO incident: Response time minutes Zone Map Quad tit lvtsion of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources Collection System Sanitary Sewer Overflow Reporting Form Form CS-SSO PART I: This form shall be submitted to the appropriate DWR Regional Office within five business days of the first knowledge of the sanitary sewer overflow (SSO). / { Permit Number: 0016942 (WQCS# If active, otherwise use WQCSD#) �( � � / 5 Facility: Town of Mount Pleasant Incident #: Owner: Town of Mount Pleasant Region: Mooseville City: Mount Pleasant County: Cabarrus 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.): Summer Street pump station Manhole #: n/a Latitude (degrees/minute/second): Longitude (degrees/minute/second): Incident Started Dt: 12/22/2015 Time: 0530AM Incident End Dt: 12/22/2015 Time: 0630AM (mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM Estimated volume of the SSO: 2000 gallons Estimated Duration (round to nearest hour): 1 hour(s) Describe how the volume was determined: Approximated inflow from contributing pump stations Weather conditions during the SSO event: 1..5 inches of rain, duration approximatley 2 hours Did the SSO reach surface waters? ❑ Yes ® No ❑ Unknown Volume reaching surface waters: 0 gallons Surface water name: Did the SSO result in a fish kill? ❑ Yes ® No ❑ Unknown If Yes, what is the estimated number of fish killed? N/A 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 II) 24-hour verbal notification (name of person contacted): Barbara Sifford ®DWR ❑Emergency Management Date (mm-dd-yyy): 12/22/2015 Time: (hh:mm AM/PM): 0930AM Per G.S. 143-215.1 C(b), the owner or operator of any wastewater collection system shall: In the event of a discharge of 1,000 gallons or more of untreated wastewater to the surface waters of the State, issue a press release to all print and electronic news media that provide general coverage in the county where the discharge occurred setting out the details of the discharge. The press release shall be issued within 24 hours after the owner or operator has determined that the discharge has reached surface waters of the State. In the event of a discharge of 15,000 gallons or more of untreated wastewater to the surface waters of the State, publish a notice of the discharge in a newspaper having general circulation in the county in which the discharge occurs and in each county downstream from the point of discharge that is significantly affected by the discharge. The Regional Office shall determine which counties are significantly affected by the discharge and shall approve the form and content of the notice and the newspapers in which the notice is published. WHETHER OF NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED SEE PAGE.13 Form CS-SSO Page 1 In order to submit a€::claim for justification of an SSO, you must use Part 11 of form CS-SSO with additional documentation as necessary. DWR stiff will review the justification claim and determine if enforcement action is appropriate. PART II: 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 SECTONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I (in the check boxes below, NA = Not Applicable and NE = Not Evaluated) A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS IS HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM Form CS-SSO Page 2 Severe Natural Conditions (hurricane, tornado, etc.) Describe the "severe natural condition" in detail: Approximatley 1.5 inches of rain in a 2 hour period How much advance warning did you have and what actions were taken in preparation for the event? No advanced warning of estimated rainfall Comments: Form CS-SSO Page 3 Grease (Documentation such as cleaning, inspection, enforcement actions, past overflow reports, educational material and distribution date, etc. should be available upon request.) When was the last time this specific line (or wet well) was cleaned? Bar screen is cleaned twice weekly, wetwell is maintained on an as need basis for grit and debris. Do you have an enforceable grease ordinance that requires new or retrofit of grease traps/interceptors? ❑ Yes Have there been recent inspection and/or enforcement actions taken on near- by restaurants or other nonresidential grease contributors? ❑ Yes Explain: FOG program is enforced by WSACC Have there been other SSOs or blockages in this areas that were also caused by grease ❑ Yes When? If yes, describe them: Have cleaning and inspections ever been done at this location? ❑ Yes Explain. Have educational material about grease been distributed in the past? ® Yes 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: Wet wells are checked twice weekly during routine visits ❑No ®NA ❑NE ® No DNA ❑ NE ® No ❑NA ❑ NE ❑ No ®NA ❑ NE ❑ No ❑NA ❑ NE Were the floats clean? ® Yes ❑ No DNA ❑ NE Comments: Floats are checked for function and cleaned once a month during end of month pump station inpections. Form CS-SSO Page 4 Roots Do you have an active root control program on the line / area in question? ® Yes ❑ No ❑NA ❑ NE Describe: Jetting and inspections are completed regularly, main has been lined with CIPP to prevent root intrustion. Have cleaning and inspections ever been increased at this location because of roots? Explain: What corrective actions have been accomplished at the SSO location (and surrounding system if associated with the SSO)? ❑ Yes ® No ❑NA ❑ NE What corrective actions are planned at the SSO location to reduce root intrusion? N/A main is lined with CIPP Has the line been smoke tested or videoed within the past year? ❑ Yes ® No ❑NA . ❑ NE If Yes, when? Comments: Form CS-SSO Page 5 Inflow and Infiltration Are you under an SOC (Special Order by Consent) or do you have a schedule ❑ Yes ® No ❑NA ❑ NE in any permit that addresses Ill? Explain if Yes: What corrective actions have been taken to reduce or eliminate I & I related overflows this spill location within the last year? Broken cleanout caps in this area have been recently replaced as well as manhole inspections completed on a regular basis. Has there been any flow studies to determine 1/1 problems In the ❑ Yes ® No [:]NA ❑ NE collection system 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? ❑ Yes ® No ❑NA ❑ NE If Yes, when and what actions are necessary and the status of such actions: Are there 1/1 related projects in your Capital Improvement Plan? ® Yes ❑ No ❑NA ❑ NE If Yes, explain: Manhole lining is taking place currently addressing high priority areas Have there been any grant or loan applications for Ill reduction projects? ❑ Yes 0 No ❑NA ❑ NE If Yes, explain: Do you suspect any major sources of inflow or cross connections ❑ Yes ® No ❑NA ❑ NE with storm sewers? If Yes, explain: Have all lines contacting surface waters in the SSO location and upstream ® Yes ❑ No ❑NA ❑ NE been inspected recently? If Yes, explain: Drainage basins in this area have been inpected as well as possible sources from wet weather ditches What other corrective actions are planned to prevent future 1/1 related SSOs at this location? Smoke testing of entire system should be completed by spring of 2016. This area is currently scheduled last for inspection as there are several other high prority areas in the gravity side of the system. Comments: Form CS-SSO Page 6 Pump Station Equipment Failure (Documentation of testing records etc should be provided upon request) What kind of notification/alarm systems are present? Auto-dialer/telemetry (one-way communication) ® Yes Audible ® Yes Visual ® Yes SCADA (two-way communication) ❑ Yes Emergency Contact Signage ® Yes Other ❑ Yes If Yes, explain: Describe the equipment that failed: N/A What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high water, etc.)? Were notification/alarm systems operable? ® Yes ❑ No DNA ❑ NE In no, explain: If a pump failed, when was the last maintenance and/or inspection performed? Both pumps operational What specifically was checked/maintained? Pumps are greased in regular intervals, auto dailers are checked for operation twice weekly as well as checking both pumps in the hand operation position. If a valve failed, when was it last exercised? Were all pumps set to alternate? ® Yes ❑ No DNA ❑ NE Did any pump show above normal run times prior to and during the SSO event? ❑ Yes ® No ❑NA ❑ NE Were adequate spare parts on hand to fix the equipment ❑ Yes ❑ No ®NA ❑ NE Was a spare or portable pump immediately available? ❑ Yes ❑ No ®NA ❑ NE If a float problem, when were the floats last testers? How? If an auto -dialer or SCADA, when was the system last tested? How? Auto dialers are checked twice weekly by calling into the dialer and verifying proper operation. Comments: Form CS-SSO Page 7 Power outage (Documentation of testing, records, tec., should be provided of alternative power source upon reguest.) What is your alternate power or pumping source? Standby generator, trailer mounted. Power outage was not a condition of this event. Did it function properly? Describe? ❑ Yes ❑ No ®NA ❑ NE When was the alternate power or pumping source last tested under load? generator is load tested on a pump station once a year. If caused by a weather event, how much advance warning did you have and what actions were taken to prepare for the event? No advanced warning of possible rainfall totals. Comments: Form CS-SSO Page 8 Vandalism Provide police report number: Was the site secured? ❑ Yes ❑ No ®NA ❑ NE If Yes, how? Have there been previous problems with vandalism at the SSO location? If Yes, explain: What security measures have been put in place to prevent similar ❑ Yes ❑ No ®NA ❑ NE occurrences in the future? Comments: Form CS-SSO Page 9 r Debris in line (Rocks, sticks, rags and other items not allowed in the collection system etc.) What type of debris has been found in the line? N/A Suspected cause or source of debris: Are manholes in the area secure and intact? ❑ Yes ❑ No When was the area last checked/cleaned? Have cleaning and inspections ever been increased at this location ❑ Yes ❑ No due to previous problems with debris? Explain: Are appropriate educational materials being developed and distributed ❑ Yes ❑ No to prevent future similar occurrences? Comments: ®NA ❑ NE ®NA ❑ NE Form CS-SSO Page 10 Other Pictures and police report, as applicable, must be available upon request.} Describe: Were adequate equipment and resources available to fix the problem? ® Yes ❑ No ❑NA ❑ NE If Yes, explain: contributing pump stations with adequate capacity were shut down to allow station to recover from above average flow condition. If the problem could not be immediately repaired, what actions ❑ Yes ❑ No ®NA ❑ NE were taken to lessen the impact of the SSO? Comments: 1 Form CS-SSO Page 11 Pipe Failure (Break) Pipe size (inches) What is the pipe material What is the approximate age of the line/ pipe (years old) Is this a gravity line? Is this a force main line? Is the line a "High Priority" line? Last inspection date and findings If a force main then, . Was the break on the force main vertical? Was the break on the force main horizontal? Was the leak at the joint due to gasket failure ? Was the leak at the joint due to split bell?. ❑ Yes ❑ No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE ❑ Yes [:]No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE ❑ Yes [:].No ®NA ❑ NE ❑ Yes ❑ No ®NA ❑ NE When was the last inspection or test of the nearest air -release valve to determine if operable? When was the last maintenance of the air release performed? If gravity sewer then, Does the line receive flow from a force main immediately upstream ❑ Yes ❑ No ®NA ❑ NE 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? If line collapsed, what is the condition of the line up and down stream of the failure? What type of repair was made? If temporary, when is the permanent repair planned? Have there been other failures of this line in the past five years? ❑ Yes ❑ No ®NA ❑ NE If so, then describe Form CS-SSO Page 12 V System Visitation ORC ® Yes Backup ❑ Yes Name: Timothy J Stallings Certification Number: 994814 Date visited: 12/22/2015 Time visited: 0600AM How was the SSO remediated (I./e. Stopped and cleaned up)? contributing pump stations with adequate capacity were shut down to allow station to recover from above average flow condition, area is limed. 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: T. Jusin Stallings Signature: Telephone Number: 704-431-3138 Date: 12/22/2015 Title: W--- - Wwc'r Q A C Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five business days of first knowledge of the SSO with reference to the Incident number (the incident number is only generated when electronic entry of this form is completed, If used). Form CS-SSO Page 13 Collection System SSO 24-Hour Notification Collection System: Number and Name WQCS# rid �a5 Incident Number from BIMS 20150©!`:�) l Incident Reviewed (Date): Incident Action Taken: r/ BPJ NOV-2015-DV DV-2015- 0 0 0 9 0 0 0 a 0® 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0® 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0® B 0 0 0 0 M 0 0 0 0 0 0 0® 0 0 a 0 0 0 0 0 0 0 0 0 I Spill Date Time a pm Reported Date Time Reported To SWP Staff or EM Staff Reported By ��� Phone Address of Spill County Labarrq� City M Cause of.Spill e"'a, MWO Total Estimated Gallons 1 C-) Est. Gal to Stream r Stream -- JV4MSOAx4U 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 Permit # Owner and Facility Name WQCS00253 Bradfield Farms Water Company CS WQCS00171 Greater Badin CS WQCS00196 Carolina Water Service Cabarrus Woods CS WQCS00322 Aqua Country Woods East CS WQCS00233 Carolina Water Service Hemby Acres CS WQCS00222 Town of Boiling Springs CS WQCS00001 Charlotte -Mecklenburg CS WQCS00341 Town of China Grove CS WQCS00016 City of Albemarle CS WQCS00231 Town of Cleveland CS WQCS00046 City of Belmont CS WQC.S00058 Town of Cramerton CS WQC300107 City of Bessemer City CS WQCS00165 Town of Dallas CS WQCS00089 City of Cherryville CS WQCS00342 Town of E. Spencer CS WQCS00221 City of Claremont CS WQCS00328 Town of Harrisburg CS WQCS00326 City of Concord CS WQCS00343 Town of Landis CS WQCS00088 City of Conover CS WQCS00310 Town of Longview CS WQCS00017 City of Gastonia CS WQCS00120 Town of Maiden CS WQCS00020 City of Hickory CS WQCS00344 Town of Marshville CS WQCS00327 City of Kannapolis CS WQCS00043 Town of Mooresville CS WQCS00036 City of Kings Mountain CS WQCS00125 Town of Mt Pleasant CS WQCS00040 City of Lincolnton CS WQCS00153 Town of Norwood CS WQCS00164 City of Lowell CS WQCS00190 Town of Oakboro CS WQCS00026 City of Monroe CS WQCS00325 Town of Stanfield CS WQCS00059 City of Mount Holly CS WQCS00180 Town of Stanley CS WQCS00044 City of Newton CS WQCS00135 Town of Taylorsville CS WQCS00019 City of Salisbury CS WQCS00258 Town of Troutman CS WQCS00037 City of Shelby CS WQCS00345 Town of Wingate CS WQCS00030 City of Statesville CS WQC300054 Union County CS WQCS00149 East Lincoln CS WQCS00009 WSA Cabarrus Co. CS 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 CS WQCSDO117 Duke Energy Marshall Steam Station WQCSD0257 Fallston WQCSD0116 Goose Creek Utilities Fairfield Plantation WWTP WQCSDO101 Harborside Dev LLC-Midtown T CS WQCSDO095 Kennerly Dev. Group LLC-Boardwalk Villas CS WQCSD0098 Kennerly Dev. Group LLC-Kings Point CS WQCSD0105' Kennerly Dev. Group LLC-Moon Bay Condos CS Kennerly Dev. Group LLC-Schooner Bay CS enner y Dev. Group LLC-Spinnaker Point CS WQCSD0258 Kingstown WQCSD0112 Lake Norman -South Point CS WQCSDO104 Lake Norman -Villas S Harbour CS WQCSDO102 Lake Norman -Vineyard Pt Resort CS Permit# Owner and Facility Name WQCSDO064 Lincoln County CS WQCSDO097 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 WQCSDD049 Town of Spencer Mountain CS WQCSD0252 All spills which do not have a permit number assigned Apr. 1,0.2015. 2:44PM Town of Mt Pleasant No, 0744 P. 1 Town of Mount Pleasant 4-7-15 SSO Forms ATN: Barbra Sifford Apr. 10.2015 2:45PM Town of Mt Pleasant No.0744 , P. 2 State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources Collection System Sanitary Sewer Overltow Reporting Torre Division of Water Resources Foim CS-SSO PART 1: This form shall be submitted to the appropriate DWR Regional Office within five days of the first knowledge of the sanitary sewer overflow (SSO)_ Permit Number: W /Q� US 0 0 (41 +2 (WQCS# If active, otherwise use WQG,9D#) Facility. ,1 own Of M01144 Pi E&604 Incident P NIA Owner. t own of M o�-Ad�- Region: N Q0C'0TV*tk City: MOU4 Qle ,,i-I county: C,_c.br,yrrv_5_ _ Source of SSO (check applicable): ❑ Sanitary Sewer 9. Pump Station I Lift Station SPI=CIFIC location of the SSO (be consistent In descri lion from past reports or documentation - i.e. Pump Station 6, Manhole at Westall & Bragg Street, etc.): arrirw�e r S+. fiA !!v p K,-4 A/) Manhole #: N1 A Lalltude (degrees/minute/second): Longitude (degrees/minute/second). Incident Started Vt " - 15_Time: Incident End Dt: Time: a ` �G pM (mm-dd-yyyy) (hh:mm) AMIPM (mm-dd-yyyy) (hh:mm) AM/PM Estimated volume of the SSO' i SQ a gallons Estlmale:•r d Duration (round to nearest hour): hour(s) Describe how (he volume was determined: ''s fi m 4 o n &6e`on " rb-k C'A b'R f Wet t eve` Weather conditions during the SSO event: Fn 1 r ue.4eC r D KV Did the SSO reach surface waters? JgL Yes ❑ No ❑ Unknown Volume reaching surface waters: \ Q Q 0 gallons Did lhd SSO result In a fish kill? ❑ Yes JANo ❑ Unknown If Yes, what is the estimated number of fish killed? SPI=CIFIC cause(A) of the SSO: ❑$evere Natural Conditions ❑ Grease ❑Pump Station Equipment Fallure ❑ Power Outage Surface water name: Nn'0'(4E � aA�-(� 6 ice ORoots ❑Inflow & Infiltration ❑Vandalism ❑ Debris in line IPPipe Failure (Break) ©Other (Please explain in Part It) 24-hourverbal notification (name of person contacted): VaPWR ❑Emergency Management Date (mm-dd-yyy): +- -7 - i _ Time: (hh:mm AMIPM):-3 -39 PA\ Per G.S. 143-215, 1 C(b). the owner or operator of any wastewater collection system shall: In the event of a discharge of 1.000 gallons or more of untreated wastewater to the surface waters of the State, issue a press release to all print and electronic news media that provide general coverage in the county where the discharge occurred setting out the details of the discharge. The press release shall be Issued within 24 hours after the owner or operator has determined that the discharge has reached surface waters of the State. In the event of a discharge of 15,000 gallons or more of untreated wastewater to the surface waters of the State, publish a notice of the discharge in a newspaper having general circulation in the county in which the discharge occurs and in each county downstream from the point of discharge that is significantly affected by the discharge. The Regional Office shall determine which counties are significantly affected by the discharge and shall approve the form and content of the notice and the newspapers in which the notice is published. WHETHER OF NOT PART II 13 GQMPLETED. A SIGNATURE 13 REQUIREI] SEE PACE 13 Form CS-SSO Page 1 Apr, 10, 2015, 2:45PM Town of Mt Pleasant No, 0744 P. 3 The Director. Division of Water Resources, may take enforcement action for SSOs that are required to be reported to P_vision unless It Is demonstrated than 1) the discharge was cause by sever natural conditions and there were no feasible alternative to the discharge; or 2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the 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 Justlficaflon claim for either of the above situations. This Information will be the basis for the determination of any enforcement action, Therefore, it is important to be as complete as possible PART 0: ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART I OF THIS FORM AND INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRIED COMPLETE ONLY THOSE SECTONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I (in the check boxes below, NA a Not Applicable and NE - Not Evaluated) A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAI, 04I05 UNLESS IS HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM Form CS-SSO Page 2 Apr. 10. 2015 2:45PM Town of Mt Pleasant No, 0744 P, 4 , Severe Natural Conditions (hurricane.tornado, etc.) Describe the "severe natural condifion" in detat O f A Now much advance warning did you have and what actions were taken In preparation for the event? Comments, Form CS-SSO Page 3 Npr.1.0.2015. 2:45PM Town of Mt Pleasant No, 0744 P. 5 Grease (Documentation such as cleaning, Inspection, enforcement actions, past overflow reports, educational material and distribution date, etc. should be available upon request.) When was the last time this specific line (or wet well) was cleaned? A Do youhave an enforceable grease ordinance that requires new or retrofit of grease trapstnterceptors? Q Yes Q No NA Q NE Have then: been recent Inspection andtor enforcement actions taken on nearby restaurants or other nonresidential grease contribulors? ❑ Yes ❑ No MPNA ❑ NE Explain, Have there been other SSOs or blockages In this areas that were also caused by grease ❑ Yes ❑ No PNA ❑ NE When? If yes, describe them: Have cleaning and inspections ever been done at this location? 1 v A ❑ Yes Explain: ❑ No '$NA ❑ NE Have educational material about grease been distributed in the past? ❑ Yes ❑ No 'NA ❑ NE When: and to whom' Explain: If the SSO occurred at a pump station, when was the wet well and pumps last checked (�jA A for grease accumulation: Were the floats dean? Comments: Form CS-SSO ❑ Yes ❑ No 'KNA ❑ NE Page 4 Apr,10,2015 2:45PM Town of Mt Pleasant No, 0744 , P. 6 Roots Do you have an active root control program on the line / area In question? ❑ Yes ❑ No JANA ❑ NE Describe: Have cleaning and inspections over been increased at this location because of roots? ❑ Yes []No ItNA ❑ NE Explain: What corrective actions have been acdompllshed at the SSO location (and surrounding system if associated vfith the SSO)? What corrective actions are planned at the SSO location to reduce root intrusion? Has the line been smoke tested or videoed Within the past year? ❑ Yes ❑ No If Yes, when? Comments: tNA ❑ NE Form CS-SSO Page 5 AP0,0.2015. 2:45PM Town of Mt Pleasant No, 0744 P. 7 Inflow and Infiltration Are you under an SOC (Special Order by Consent) or do you have a schedule ❑ Yes ❑ No JNA TTT'"' ❑ NE in any permit that addresses Ili? Explain if Yes: What corrective actions have been taken to reduce or eliminate I & I related overflows this spill location within the last year? _ Has there been any flow studles to determine III problems In the ❑ Yes ❑ No J�NA ❑ NE collection system at the S80 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? ❑ Yes ❑ No '6NA ❑ NE It Yes, when and what actions are necessary and the status of such actions:, Are there III related projects In your Capital Improvement Plan? ❑ Yes ❑ No - NA ❑ NE If Yes. explain: Have there been any grant or loan applications for IA reduction projects? ❑ Yes ❑ No ZNA ❑ NE If Yes, explain' Do you suspect any major sources of inflow or cross connections ❑ Yes ❑ No - DNA ❑ NE with storm sewers? If Yes, explain: Have all lines contacting sWace waters in the SSO location and upstream ❑ Yes ❑ No 10 VA ❑ NE been Inspected recently? If Yes, explain: What other corrective actions are planned to prevent future III related SSOs at this location? Comments: Form CS-SSO page 7 Apr. 10. 2015 2:45PM Town of Mt Pleasant No, 0744 . P. 8 , Pump Station Equipment Failure (Documentation of to inq records, etc should be provided Upon request) What kind of notification/alarm systems are present? Auto-dialerltelemetry (one -Way communication) }.Yes Audible Myes Visual Yes SCADA (two-way communication) ❑ Yes Emergency Contact signage Yes Other `❑ Yes /-- If Other, explain: `�1 ►p S� t0 t)5 'J n 5pe cicl� MQAo \( c 4)l I"r-i �� Describe the equipment that failed: _KQ CCC ('s 'IN EXt` to lion -Jel A©C) TT ^l`rofm -6� T�( 3. (3� What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high water, etc.)? Were notification/alarm systems operable? ,Yes ❑ No [:]NA © NE In no, explaln: If a pump failed, when was the last maintenance and/or Inspection performed? N What specifically was checked / maintained? If a valve failed, when was It last exercised? K-A Were all pumps set to alternate? nYes d No DNA ❑ NI= Did any pump show above normal run times prlor to and during the SSO event? ❑ Yes I$ No DNA ❑ WE Were adequate spare parts on hand to fix the equipment %.Yes ❑ No DNA ❑ WE Was a spare or portable pump Immediately available? ,Yes ❑ No DNA ❑ NE If a float problem, when were the floats last tested? How'? NiN If an auto-dlaler or SCADA, when was the system last tested? How? �),Ae r 1$ Comments, L Q"(, � WC S-' V, Par= CS-SSO Page 9 Apr.10,2015 2:45PM Town of Mt Pleasant No.0744 P. 9 Power outage (Documentation of testing, records, tec., should be provided of alternative power source upon request.) What is your alternate power or pumping source? Tt,��e C CY\0064e� ] F 0rCK+0 r Did it function property? [ ] Yes LINO PA ❑ NE Describe? When Was the alternate power or pumping source last tested under load? If caused by a weather event, how mach advance Warning did you have and what actions were taken to prepare for tho event? Commenls: %orrnCS-SSO Page 10 Apr,10,2015 2:45PM Town of Mt Pleasant No, 0744 _ P. 10. Vandplism, Provide police report number: al Was the sile secured? ❑ Yes ❑ No . %NA ❑ NE If Yes, how? Have there been previous problems with vandalism at the SSO location? If Yes, explain: �{ What security measures have been put in place to prevent similar ElYes ❑ No L NA ❑ NE occurrencei in the future? Cbmments: Farm CS-SSO page t t Apr,10,2015 2:45PM Town of Mt Pleasant No.0744 P. 11 Debris in line (Flocks, sticks, rags and other items not allowed in the collection system, etc_) What type of debris has been found In the line? !v A Suspected cause or source of debris: Are manholes in the area secure and intact? ❑ Yes. ❑ No MNA ❑ NE When was the area last cheekedlcleaned? Have cleaning and Inspection ever been Increased at this location ❑ Yes ❑ No [ [NA ❑ NE due to previous problems wllh debris? Explain: Are appropriate educational materials being developed and distributed ❑ Yes ❑ No MNA ❑ NE to prevent future similar occurrences? Comments, ForinCS-SSO Page 12 Apr, 10. 2015 2:45PM Town of Mt Pleasant No, 0744 _ P, 1Z Other (Pictures and police report, as applicable, must be available upon request.) Describe: Were adequate equipment and resources available to fiX the problem? ,Yes ❑ No [-]NA ❑ NS If Yes, explain'. �P me n o.11 r Qoa f c 6m p were or) k. A� o.,il � Frog y If the problem could not be immediafely repaired, what aclions ❑ Yes ❑ No $NA ❑ NE were Taken to lessen the impact of the SSO? Comments: Form CS-SSO page 13 Apr,10.2015 2:45PM Town of Mt Pleasant No, 0744 P. 13 Pipe Failure (Break) Pipe size (inches): What is the pipe material;� irpll What is the approximate age of the line/ pipe (years old): J S Is this a gravity line? Is this a force main line? is the Ilne a "High Priority" line? Last inspection date and findings: If a force main then. Was the break on the force main vertical? Was the break on the foroe main horizontal? ❑ Yes V9 No DNA ❑ NE Yes ❑ No ❑NA ❑ NE ❑ Yes �qNo DNA ❑ NE Yes ❑ No DNA ❑ NE ❑ Yes F�-No ❑NA ❑ NE Was the leak at the Joint due to gasket failure ? ❑ Yes gNo ❑NA ❑ NE Was the leak at the joint due to split bell? ❑ Yes %No ❑NA ❑ NE When was the last inspection or test of the nearest air -release valve, (to determine if operable? I V When was the last maintenance of the air release performed? l`r t� If gravity sewer then, Does the line recelve flow from a force main immediately upstream ❑ Yes ❑ No nNA ❑ NE 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? If line collapsed, what Is the condition of the line up and down stream of the failure? What type or repair was made? If temporary, when is the permanent repair planned? Have there been other failures of this line In the past five years? If so, then describe: _ Q Yes Q No VNA ❑ NE Porn CS-SSO Pago 14 Apr, 10, 2015 2:45PM System Visitation Name: Certilrcation Number: Date visited: Time visited: Town of Mt Pleasant ORC Backup qq Ayes P.Yes No, 0744 _ P- 14, How was the SSO remediated (i./a. Stopped and cleaned up)? �bCG� 1Mai [\ r,.ror5 ��Pairt:' � ,,.1i'i% o� Wlnp Q,rotn('1� r✓�ovn� O�fl� 5't'Gt�� a`fl ► � WoS ire e-. As a representative for the responsible cagy. I certify that the information contained in this report is true and a=rate to the best of my knowledge. Person submitting riaim: Date: Signature: Tide: (Qt1tCP')115 © RC Telephone Number: 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 referenoe to the incident number (the incident number Is only generated when electronle entry of this form Is completed, if used). Form CS-SSO Page 15 Collection System SSO 24-Hour Notification Collection System: Number and Name WQCS# Incident Number from BIMS 20140 Incident Reviewed (Date): Incident Action Taken: BPJ NOV-2014-DV DV-2014- .......................................... 0 M M 0 0 M ............ 0 M M 0 0 x ...... 1 Spill Date & l Time Reported Date Time am/ pm am/ pm Regional Water Quality Staff reported to or EM Staff in Raleigh SSO reported by IN�170M Address of Spill C�25 )CCZE; 9AS County ""'^'` <,s+ _ Cause of Spill Total Estimated Gallons Est. Gal to Stream Stream Fish Kill: Yes No 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# co(2 Incident Number from BIMS Zwo e -)rLk �_ Incident Reviewed (Date): Incident Action Taken: BPJ NOV-2011-DV I® G i a! E 2 a 0 m® 0 a a I® a Y a f a a a H i C a® V x® a 0 a . a a a® a s n e® o a a a c c 0 c a 6 e E® 9®®® e a s a® e e a n -■ Spill Date I/it Time j a y r pm Reported Date k/if Time 3 am/fir Reported To SWP Staff or EM Staff 70LI _ ?q ` g Reported By e-- �i�.r�c ., Wore- 36S 3 °) Address of Spill /Lk,0J"4,L County City 49 A �.j L Cause of Spill Total Estimated Gallons Est. Gal to Stream G c7 Stream r9Jr-ca'L Fish Kill: YesoN 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# 00 ins Incident Number from BIMS 20130 /3 /,:1, Incident Reviewed (Date): Incident Action Taken: BPJ NOV-2013-DV DV-2013- 616 u irrrrrrrrerrrerrrrrrrrrerrrreerorrrrr�rererrerrrrrrreererrreererrrrre■ ■■ V"� fD � 6a Spill Date j/,!'9/43 Time — am Reported Date Time `7 - �� am/ pm Reported To SWP Staff or EM Staff ���iCtill�Cr� Reported By Phone Address of Spill M'&U 64 County/,�Clii'Lc S �iD , City �i ]� �l�Ct,OCc"�, Cause of Spill !1 _kat Total Estimated Gallons GG��15(-' Est. Gal to Stream dovti 4_W_JWCW 3tMMW- DO6 Fish Kill: Yes No Number Species Non Required Information and other comments relating to SSO incident: Response time minutes Zone Map Quad c v (?eae 1W .4e J�2 � (? F 1 �Cl/ )gam I, v 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 Telephone: 704-663-1699 Fax: 704-663-6040 Phone: Date: "`� — o�(� lJ Re: '5— 6q t, V D /Y'l CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle )D�- ass -a«(-e qo�- Jul, 2. 2013' 2:44PM—" Town of Mount Pleasant I —No. 692200-,,P. 23 F-423 - Form CS-SSO,. Collection System Sanitary Sewer Overflow Reporting Form "` V 112009 PART 1 This form shall be submitted,to the approprlate DM Regional Office within We days of the first knowledge of the sanitary sewer oyerflow (SSO), Permit Number; WQCS00125 (WOCS# if acbVe, otherwise use WQCSDn) FarAity 1232 SUMMERR STREET Incident# _ 0 0�3 Owner TOWN OF MOORESVILU, NC MOUNT PLEASANT NC Region; City; ' ff44t1 County: t,,ABAR17U5 NC ' Source of SSO (cheek applicable) : ❑ Unitary Sewer t p Pump Station 1lift Station SPECIFIC locakun of the 860 (be Consistent n de cr don m at r or documentation - i e. Pvrnp Station 6, Manhole at Westall & Bragg Street, etc.) Manhole# Latitude (degreeSlmtnutelsecond): IncidentStarted Dt- 6/28/13 Time: 10:00 -PM (mrn-dd-yyyy) hh:mm AMIPM Estimated volume bf the S� 'O� -_ gallons Descfjbe how the volume was determined: Longituds(dogreeslminuWsecond): — Incident End 01: 6/29/13 Time: 1230 AM (mm-dd-yyyy) hh;mm AM/PM estimated guratlon (Round to nearestbour)- 2 1/2 hrs. undetermined — Weather conditions during SSO event heavy rain Did SSO reaoh surface waters? By Unknown Volume reachin® surfacewaters (gallons): 5000 Surface water name: TRIG.TOADK Did the SSO result in a fish kill? t__1 Yes O Not_t Unknown If Yes, what Is tha estimated number of fish killed?,.-.;_ SPECIFIC cause(s) of the SSfl_ r� Severe Natural Condition U Inflow and Infiltration ❑ Vandal -Earn © Pipe Failure (Break) 24-hour Verbal notification (name of person ❑ DWo D Emergency Mgmt. ❑ Grosse ❑ Pump Station Eggipment Failure ❑ Debris in line ❑ Root® © Power outage ❑ Other (Please explain In Part 11) Gate (mm-dd-yyyy):�—/ , /3 Time (hh:mm AWPM)• If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped. Per G-& 143-215,1C(b), the responsible party of a discharge of 1,000 gallong Or more of untreated wastewater to surface waters shall issue a press release within 45-hours of Ifrst knowledgo to all print and electronic news media providing general coverage In the ooungi e-itscharge occurred. When 4000 gallons or more of untreated wootowater enters surface waters, a public notice shall be pubrished within 10 days and proof of publication shall be provided to the Division within 34 days, Referto there statute for furtherdetelt The Director, Division of Water Quality, may take enforcement action for SSOs that are required to be reported to Division unteas it Es moms e 1) the discharge was Caused by severe natural conditions and there ware no fusible Alternatives to the discharge, or 2),the discharge was exceptional, unintentional, temporary and caused byfaotors beyond th9 reasonable control of the Permiltge and/or owner, and the discharge could not have been prevented by the exeroiaa of reasonable =trol- Part If mint be Completed td provide a justification claim for either of thO above situations;. This information will be the basis for the determination of any enfomement action, Therefore, it- is important to be as Complete as possible. W14ETHER OR NOT PART II IS COMPLIETED, A SIGNATURE IS REQUIREp AT THE END OF THIS FORM. CS-eSO Form Page 1 Jul, 2, 2013 2:44PM Town of Mount Pleasant. No.6922 P. 1 MountPleasant �1otb �a QoQ� FAX COVER SHEET TO: k) ft('b ft.(- COMPAN Y: Fax#: 3 FROM: in # OF PAGES: L DATE SENT: Return fax # . (704) 436-292I + A If you do not receive all pages, please call (704) 436-9803 8590 Park Drive: P.O. Box 787 : Mount Pleasant, North Carolina 28124, tel. 704.436,9803 : fax 704.436.2921 wwwTownofMnuntPleasamNC.org J;l. 2• ,2013 2:45PM'-" Town of Mount Pleasant 1-No. 6922)vjv'yP. 3',1 r-UJ Severe Natural Condition (hurricane. tornado, etc.) Describe the "severe natural condhion" in detail? /j Q HEAVY RAIN FOR SEVERAL DAY AND THE. CREEK OVERFLOWED Now muoh advance waming did you have and whst actions were Wken in preparation for the event? NONE CommonW SHUT OFF OTHER PUMP STATION THAT FEED INTO SUMMZR STREET TO SLOW DOWN FLOW CS-S80 Fenn Page 3 Jul. 2, 2013- 2:45PM""' Town of Mount Pleasant S enn visitation ORc JOSEPH HAROLD ELLINGTON Backup THOMAS ALEXANDER tvame: JOSEPH ELLINGTON Carl# .98778 Date visited: 7/1/13 Time visited: 8.00 AM How was the SSO remediated (i.e. Stopped and cleaned up)? REGEEDED i—No.6922"ObP. 4h -423 r v"b U yes As s fe rtesentative for (he responsible party, I ceffifir that the infortrtation contained in this report is true and accurate to e best of my Eftpw ge. Person submil:14 claim: JOSEPH. ELLINGTON psi_ 7/2/13 Signature; Telephone Dumber: 704-791-6379 Title; �R, Any additional Information desired to be submltmd should be sent to the appropriate Division RQglonal Office within five days of first knowledge of the Sso with ta%ranco to the incident npmbor (the incident number is only generated when electronic entry of this form is oompleted, If used). CS-SSO Form page 15