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Home My WebLink AboutWQCS00092_Report_202103155 DWI Division of Water Resources State of North Carolina Department of Environment and Natural Resources Division of Water Resources Collection System Sanitary Sewer O‘,erl1ov Reporting Form Form CS-SSO PART I: This form shall be submitted to the appropriate DWR Regional Office within five days of the first knowledge of the sanitary sewer overflow (SSO). Permit Number: WQCS00092 (WQCS# if active, otherwise use WOCSD#) Facility: Town of Warrenton WW Collection Sy stem Incident #: 27261 I Owner: km n of Warrenton Region. Raleigh City: Warrenton County Warren 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.) Private Pump Station Located at Fresenius Dialysis Center - 884 US Hwy 158 Business West, Warrenton, NC 27589 Manhole#. N,A Latitude (degrees/minute/second). Longitude (degrees/minute/second): Incident Started Dt: 3-13-21 Time: Ott: 10 AM Incident End Dt: 3-13-21 Time. 11:30 AM (mm-dd-yyyy) (hh mm) AM/PM (mm-dd-yyyy) (hh.mm) AM/PM Estimated volume of the SSO. 800 gallons Estimated Duration (round to nearest hour): 3 hour(s) Describe how the volume was determined Estimated h> stali'that eye%%itnessed the ocerilow. Weather conditions during the SSO event: Sunny - 65 degrees fahrenheit temperature. Did the SSO reach surface waters? ® Yes ❑ No 0 Unknown Volume reaching surface waters: 800 gallons Surface water name Did the SSO result in a fish kill? 0 Yes ® No 0 Unknown If Yes. what is the estimated number of fish killed? SPECIFIC cause(s) of the SSO: ['Severe Natural Conditions ['Pump Station Equ'pment Failure ['Other (Please explain in Part II) 24-hour verbal notificat,on (name of person contacted): George Bernard EDWR ®Emergency Management Date (mm-dd-yyy): 3-14-21 Time: (hh mm AM/PM) 7:41 AM 0 Grease 0 Power Outage Owens Creek ['Roots ❑Inflow & infiltration ❑Vandalism 0 Debris in line ®Pipe Failure (Break) If an SSO is ongoing, please notify the appropriate Regional Office on a daily basis until SSO can be stopped. Per G S 143-215 1C(b) the responsible party of a discharge of 1,000 or more of untreated wastewater to surface waters shall issue a press re -ease within 48-hours of first knowledge to all print and electronic news media providing general coverage :n the county where the discharge occurred When 15,000 gallons or more of untreated wastewater enters surface waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Div.sion within 30 days Refer to the reference statute for further detail The Director, Division of Water Resources, may take enforcement action for SSOs that are required to be reported to Division unless it is demonstrated that: 1) the discharge was cause by sever natural conditions and there were no feasible alternative to the discharge; or 2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the Permittee and/or owner, and the discharge could not have been prevented by the exercise of reasonable control Part II must be completed to provide a justification claim for either of the above situations. This information will be the basis for the determination of any enforcement action. Therefore, it is important to be as complete as possible Fort CS-SSO I'age 1 State of North Carolina Department of Environment and Natural Resources Division of Water Resources Collection System Sanitary SokerO‘crlloN Reporting Form Division of Water Resources Form CS-SSO WHETHER OF NOT PART 1I IS COMPLETED, A SIGNATURE I5 REQUIRED SEE PAGE 13 Form CS-SSO I'ijc 2 Pipe Failure (Break): Pipe size (inches) 2.0 What is the pipe material Polyethylene and Brass What is the approximate age of the Tine/ pipe (years old) Is this a gravity line? 25 Is this a force main line? Is the line a "High Priority" line? Last inspection date and findings 3112121 Good %%orking order. ❑ Yes ® No DNA ❑ NE ® Yes ❑ No DNA ❑ NE ❑ Yes ® No DNA ❑ NE If a force main then, Was the break on the force main vertical? ❑ Yes ® No DNA ❑ NE Was the break on the force main horizontal? ® Yes ❑ No DNA ❑ NE Was the leak at the joint due to gasket failure ? ❑ Yes ® No DNA ❑ NE Was the leak at the joint due to split bell? ❑ Yes ® No DNA ❑ NE When was the last inspection or test of the nearest air -release valve to determine if operable? WA When was the last maintenance of the air release performed? N;'A 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? Permanent - cracked brass fitting %%as replaced %%ith nee% brass fitting, If temporary, when is the permanent repair planned? Have there been other failures of this line in the past five years? ❑ Yes ® No DNA ❑ NE If so, then describe Form CS-SSO Pape 13 System Visitation ORC Backup ® Yes ❑ Yes Name: William R. Pcrkinson Certification Number: 990656 Date visited: 3-13-21 Time visited: 01t:00 AM through 2:00 PM How was the SSO remediated (i /e Stopped and cleaned up)? Yes...SSO area was cleaned so that it was Free afhio-solids. 1.ime was applied libcrall) to affected soil. As a representative for the responsible party, I certify that the information conta.ned in this report is true and accurate to the best of my knowledge Person submitting claim: William R. Pcrkinson Date' 3-15-21 Signature: Wa pg., Title: Public Works Director - Town of Warrenton Telephone Number: (M) 252-425-5334 (0) 252-257-1776 Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this form is completed, if used) lone CS-SSO f'`i 14