HomeMy WebLinkAboutWQCSD0298_Report_20210806DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
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: WQCSOO298 (WQCS# if active, otherwise use WQCSD#)
Facility: Federal Bureau of Prisons - FCC Butner Incident #: Owner: Department of Justice
Region: Raleigh City: Butner County: Granville
Source of SSO (check applicable): ® Sanitary Sewer 0 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.): Manhole parellel to Old HWY 75
Manhole #: 4
Latitude (degrees/minute/second): Longitude (degrees/minute/second):
Incident Started DI: 08/06/202 I Time: 0750 Incident End Dt: 08/06.202 I Time: 1200pm
(mm-dd-yyyy) (hh:mm) AMIPM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 15000 gallons Estimated Duration (round to nearest hour): 4 hour(s)
Describe how the volume was determined: Flow rate and visual spill calculation
Weather conditions during the SSO event: Sunny, No Precipitation
Did the SSO reach surface waters? ® Yes
❑ No ❑ Unknown
Volume reaching surface waters: 5000 gallons Surface water name: Unnamed
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 0 Grease ['Roots ['Inflow & Infiltration
❑ Pump Station Equipment Failure 0 Power Outage ❑Vandalism ® Debris in line ❑Pipe Failure (Break)
❑ Other (Please explain in Part II)
24-hour verbal notification (name of person contacted): UNK
®DWR ['Emergency Management Date (mm-dd-yyy): 08/06/2021 Time: (hh:mm AMIPM): 247pm
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 OE NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED SEE PAGE 13
Form CS-SSO p;ig 1
Debris !nine (Rocks. sticks. rags and other items not allowed in the collection system. etc.)
What type of debris has been found In the line? Concrete pieces
Suspected cause or source of debris: Suspected vehicle or state mowing crew strike to the manhole
Are manholes in the area secure and intact? ® Yes ❑ No DNA ❑ NE
When was the area last checked/cleaned? 08/2021
Have cleaning and inspections ever been increased at this location ® Yea 0 No DNA 0 NE
due to previous problems with debris?
Explain: After the previous SSO in 2020, we implemented new inspection criteria that are conducted weekly
Are appropriate educational materials being developed and distributed 0 Yes 0 No ®NA ❑ NE
to prevent future similar occurrences?
Comments:
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 DNA ❑ NE
If Yes, explaln: Contractor hired to Jet snake the sewer line.
If the problem could not be immediately repaired, what actions ❑ Yes ❑ No ®NA 0 NE
were taken to lessen the impact of the SSO?
Comments:
Fomi CS-SSO
Page 11
System Visitation
ORC
Backup
Name:
Codification Number.
Date visited:
Time visited:
How was the SSO remediated (i./e. Stopped and cleaned up)?
Sewer line was jet snaked by an outside company
❑ Yes
❑ Yes
As a napresentative for the responsible Party. I certify that the information contained In this report's true and accurate to the
best of my knowledge.,
Person submitting claim: Michael Klattenberg
Signature: / `
Telephone Number: 919-575-3900 EXT 5352
Date: 8/812f
Title: �Tt�'/•.w.�e
Any additional 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 inddent number (the incident number is only generated
when electronic entry of this form is completed. if used).
Form CS-SSO Page 13
DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
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: WQCSD0298 (WQCS# if active, otherwise use WQCSD#)
Facility: Federal Bureau of Prisons - FCC Butner Incident #: Owner: Department of Justice
Region: Raleigh City: Butner County: Granville
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.): Manhole parellel to Old HWY 75
Manhole #: 4
Latitude (degrees/minute/second): Longitude (degrees/minute/second):
Incident Started Dt: 08/06/202I Time: 0750 Incident End Dt: 08/06/2021 Time: 1200pm
(mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 15000 gallons Estimated Duration (round to nearest hour): 4 hour(s)
Describe how the volume was determined: Flow rate and visual spill calculation
Weather conditions during the SSO event: Sunny, No Precipitation
Did the SSO reach surface waters? ® Yes ❑ No 0 Unknown
Volume reaching surface waters: 5000 gallons Surface water name: Unnamed
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 0 Grease ❑Roots ❑lnflow & Infiltration
['Pump Station Equipment Failure 0 Power Outage ['Vandalism ® Debris in line ['Pipe Failure (Break)
❑Other (Please explain in Part II)
24-hour verbal notification (name of person contacted): UNK
®DWR ['Emergency Management Date (mm-dd-yyy): 08/06/2021 Time: (hh:mm AM/PM): 247pm
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 f}ugc I
Debris In line [Rocks -sticks. rafts and other items not allowed in the collection system. etc.,)
What type of debris has been found In the line? Concrete pieces
Suspected cause or source of debris: Suspected vehicle or state mowing crew strike to the manhole
Are manholes in the area secure and intact? ® Yes 0 No DNA ❑ NE
When was the area last checked/cleaned? 08/2021
Have leaning and inspections ever been increased at this location ® Yes ❑ No DNA ❑ NE
due to previous problems with debris?
Explain: After the previous SSO in 2020. we implemented new inspection criteria that are conducted weekly
Are appropriate educational materials being developed and distributed 0 Yes 0 No ®NA 0 NE
to prevent future similar occurrences?
Comments:
Other (Pictures aj.¢ Police resort. as applicable. must be available upon reauest.)
Describe:
Were adequate equipment and resources available to fix the problem?
If Yes, explain: Contractor hired to Jet snake the sewer line.
Mitre problem could not be immediately repaired, what actions
were taken to lessen the impact of the SSO?
Comments:
Form CS-SSO
®Yes No DNA ❑NE
❑ Yes ❑ No ®NA ❑ NE
Page 1
System Visitation
ORC ❑ Yes
Backup ❑ Yes
Name:
Certification Number.
Date visited:
Time visited:
How was the SSO remediated (i./e. Stopped and deaned up)?
Sewer line was Jet snaked by an outside company
As a representative for the responsible party. I cent fv that the information contained in this report is true and accurate to the
best of my knowledge.
Person submitting claim: Michael Klattenberg Date: 8/6/21
Title: � a `:',p/,.w „e .-5744eivid
Telephone Number: 919-575-3900 EXT 5352
My 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 inddent number (the incident number is only generated
when electronic entry of this form Is completed, If used).
Form CS-SSO Page 13