WQCSD0736_Incident Response_20210812

North Carolina Department of Environment and Natural Resources
DWR
Division of Water Resources
WWTP Upset , Spill, or Bypass 5-Day Reporting Form
Permittee: Springhill Shopping, LLC
Permit Number: Not applicable
Facility Name: Food Lion County: Wake
Incident Started: Date: Undetermined Time: Undetermined
Incident Ended: Date: 08-12-2021 Time: 12:00 hours
Level of Treatment:
nNone nPrimary Treatment nSecondary Treatment ❑Chlorination/Disinfection Only
Estimated Volume of Spill/Bypass: 450 gallons (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? nYes ✓❑No nUnknown
If yes, please list the following:
Volume Reaching Surface Waters: Surface Water Name:
Did the Spill/Bypass result in a Fish Kill? nYes nNo nUnknown
Weather conditions during bypass/upset event: Clear, dry
Was WWTP compliant with permit requirements? Yes ❑No nUnknown ❑✓ NA
Were samples taken during event? nYes nNo
Source of the Upset/Spill/Bypass (Location or Treatment Unit):
The site is located at 5621 Louisburg Road; Raleigh, NC (see figures in Attachment A). The release occurred from
grease traps and a sanitary sewer clean -out, located on the Southwest side behind the strip mall property.
Specific Cause or Reason for the Upset/Spill/Bypass:
A blockage was present in an underground sanitary sewer pipe. This caused a backup of sanitary sewage to a
grease trap on the property. Untreated sewage and grease were discharged from the grease trap. A small
volume of sewage was released from a clean out port during plumbing repairs.
Describe the Repairs Made or Actions Taken:
The blockage was cleared by jet flushing the sewer pipe. Both areas of untreated sewage release were abated.
All pooled liquids were recovered and transported off -site for proper disposal.

WWTP Upset , Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill, Clean Up and Remediate the Site (if applicable):
Untreated liquids and grease were recovered from the impacted paved areas South of the strip mall property. Two
stormwater inlets to a stormwater system were flushed and liquids recovered by a vacuum truck. The recovered
liquids were transported off -site for proper disposal. A copy of the waste disposal manifest is included in
Attachment B.
Action Taken or Proposed to be Taken to Prevent Occurrences:
The manager of the Food Lion (who is responsible for the grease trap) has been advised to implement a
maintenance program for the grease trap immediately.
Additional Comments About the Event:
The location of the discharge was from a grease trap and sanitary sewer clean -out on the commercial property.
The release was due to a clogged sewer line. The discharge impacted the ground surfaces of the complex,
impacting two stormwater inlets and eventually migrated to the basin outfall on the property located downgradient
of the release location. See photographs included in Attachment C.
24-Hour Report Made To: nDivision of Water Resources
Emergency Management
Contact Name: Justin Harcum Date: 08-12-2021 Time: 0945 hrs
Other Agencies Notified (Health Dept, etc): City of Raleigh
Person Reporting Event: Phone Number:
Did DWR Request an Additional Written Report? EYes
If Yes, What Additional Information is Needed:
None
No
As a representative for the responsible party, l certify that the information contained in this report is true
and accurate to the best of my knowledge.
Person Submittin Claim: Joe Beaman, P.G., RSM (Highlands Env. Solutions, Inc.)
Signature: Title: Principal Geologist
Telephone: [phone]

ATTACHMENT A

Drawing / Project Name
Client
Project #
DB Fig. Scale
Date
N

Food Lion

PM PG

PE

Approximate Scale
feet
0 820 410

Base diagram from Bing Maps
Site Location Diagram
Grease and Sewage Release Remediation
Raleigh, NC
600001
JB As Shown
August 2021
1 BA JB
Location of
Incident

Drawing / Project Name
Client
Project #
DB Fig. Scale
Date
N

Food Lion

PM PG

PE

Approximate Scale
feet
0 170 85

Base diagram from Google Earth
Area Diagram
Grease and Sewage Release Remediation
Raleigh, NC
600001
JB As Shown
August 2021
2 BA JB
Location of
Incident
Impacted
Paved Surfaces
Sanitary Sewer
Clean Outs
Impacted
Stormwater Inlet
Grease Trap
Underground
Concrete Culvert Pipe
Extent of Impacted
Unpaved Surfaces

ATTACHMENT B

NON -HAZARDOUS WASTE
NON -HAZARDOUS WASTE MANIFEST
Pf^aca print or typo (Form designed for use on elite (12 pitch) typewriter)
NON -HAZARDOUS
WASTE MANIFEST
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3 Generator's Name and Mailing Address
1 Generator's US EPA ID No.
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Lick() 2110 Exec fir .5,Sistzuct kiC, 2"1
4 Generators Phone ( .70� �� )6215D i( , (9}
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5 Transporter 1 Company Name
Sy �� r 6 ^US EPA ID Number A. State Transporters ID
7. Transporter 2 Company Name
8.
Manifest
Document No. VOJ r to
2 Page 1
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9. Desionited Facility Name and Site Address
10.
E.e.zN E e.2)n Stxxo NC-, 27407
7:7 cO Qr ec ScA . (9ce> S�rUt
11. WASTE DESCRIPTION
a.
US EPA ID Number
US EPA ID Number
B. Transporter 1 Phan Silje, •fog/ s`2�
C. Slate Transporters ID
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Total
Quanbty
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G. Additional Descriptions for Matenals Listed Above
H Hanoi Codes to• LYa_o1es Ls:ed Above
15. Special Handling Instructions and Additional Information
Is, NG0310
16. GENERATOR'S CERTIFICATION: 1 hereby certify that the contents of this shipment are fully and accurately described and are in all respects
in proper conmtion for transport_ The matenafs described on this manifest are not sub ect to federal hazardous waste regulations.
Pnnted/t et Name
f?e Lewle
17. Transporter 1 Acknowledgement of Receipt of Matenats
Pnnted'Typed Name
Cr1 Crs 5 J ,3
18. Transporter 2 Aci rc:•' 'dJernent of Recept of Matnriats
Signature
ISignature
Date
Month Day Yea'
C It2 Ili
Date
M;nr^ Drr e.1,
I!02.l
Date
PnntediTyped Name
19. Discrepancy Indication Space
Signalme
Monet Day Yea•
20 Facil.ty O+:ner or Operator: Cerbfrcabon o1 receipt of the waste maienats covered by this mandest. except an noted in item 19
Date
PrintedrTyped Name
Signature Month Day Year
.1 c 21XQ LABE11`1ASTER ® [phone] www.tabeenaster.com
PRPRFy ON RECYCLED PAPER pi� o w�i,
USING SOYBEANP• ( : Sail INK]
Rev 3'95

ATTACHMENT C

Photograph Number 1: Sewage and grease released behind the commercial property prior to
abatement. This photo is the grease trap release area. Photo taken on (08/12/2021).

Photograph Number 2: The release area at the grease trap prior to abatement.

Photograph Number 3: Photo of the spillage from the grease traps.

Photograph Number 4: Photo of the impacted ground surfaces. The release did not impact
surface waters.

Photograph Number 5: Photo of the wooded area South of the property. The release was
contained by earthen material and the liquids were recovered.
Photograph Number 6: A separate sewage release occurred from a sanitary clean out during
plumbing repairs and jet flushing.

Photograph Number 7: Photo of the plumbing repairs and flushing activities.
Photograph Number 8: Photo of remediation activities. Simple Green® degreaser solution was
applied and scrubbed into the areas of impacted pavement.

Photograph Number 9: Photo of the impacted area around the sanitary sewer clean out.
Pressure washing activities were completed on the impacted paved surfaces.

Photograph Number 10: Photo of the remediation activities. A vacuum truck was stationed
downgradient, utilized to recover liquids.

Photograph Number 11: Photo vacuum recovery completed at one of two impacted stormwater
inlets.

Photograph Number 12: Photo of the second impacted stormwater inlet located to the North.
This stormwater inlet was impacted during plumbing and flushing repairs.

Photograph Number 13: Photo of the ground surfaces during pressure washing activities.

Photograph Number 14: Photo of the vacuum activities completed at the stormwater outfall
located South of the commercial property.

Photograph Number 15: Photo taken post abatement at the stormwater outfall
Photograph Number 16: Photo taken post abatement at the stormwater outfall.