WQCS00174_Report_20211201

State of North Carolina
�.partment of Environment and Natural Resources
Division
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: NC0064564 (WQCS# if active, otherwise use WOCSD#)
Facility: Neuse Colony WWTP Incident : 2021112805 Owner: Aqua North Carolina
Region: Raleigh City: Clayton County: Johnston
Source of SSO (check applicable): Sanitary Sewer El 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.): Mill Creek subdivision in Flowers Plantation on easement behind 64
Barrowby Drive
Manhole #:
Latitude (degrees/minute/second): 35.667 Longitude (degrees/minute/second): e78.3712
Incident Started Dt: 11/27/2021 Time: 03:00 PM Incident End Dt: 11/28/2021 Time: 12:OOPM
(mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 8,000 gallons Estimated Duration (round to nearest hour): 8 hour(s)
Describe how the volume was determined: estimated based on average flow and duration
Weather conditions during the SSO event: cold, dry
Did the SSO reach surface waters? ® Yes ❑ No ❑ Unknown
Volume reaching surface waters: 7,000 gallons Surface water name: Mill Creek
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 ❑Roots ❑Inflow & Infiltration
❑Pump Station Equipment Failure ❑ Power Outage ®Vandalism ® Debris in line ❑Pipe Failure (Break)
❑Other (Please explain in Part ll)
24-hour verbal notification (name of person contacted): Ms. Nicolaysen via after hours Emergency reporting number
®DWR ❑Emergency Management Date (mm-dd-yyy): 11/28/2021 Time: (hh:mm AM/PM): 12:15PM
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.
gal
Form CS-SSO Page 1

Vandalism
Provide police report number: 2021®5556
Was the site secured?
If Yes, how? Manhole covers
Have there been previous problems with vandalism at the SSO location? No
If Yes, explain:
What security measures have been put in place to prevent similar
occurrences in the future?
® Yes Ij No LJNA Lj NE
Comments: See comments in debris section. Asphalt was placed in the collection system.
Form CS-SSO Page 10

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? Asphalt
Suspected cause or source of debris: Upstream neighborhood has recently been paved, Aqua suspects kids threw rogue
blocks of asphalt into the collection system.
Are manholes in the area secure and intact? ® Yes ® No ®NA NE
When was the area last checked/cleaned? this area has not had historical issues with debris, grease, or other
materials. Aqua jetted the line during SSO and has scheduled additional jetting for that area to occur as soon as possible.
Have cleaning and inspections ever been increased at this location ®Yes No NA ®NE
due to previous problems with debris?
Explain: Portions of the system are jetted annually. Aqua will monitor areas with to reduce the risk of these kinds of
incidences
Are appropriate educational materials being developed and distributed 0 Yes No NA NE
to prevent future similar occurrences?
Comments: Aqua sends out annual FOG educational material semi-annually, and Aqua will include language regarding
vandalisim in the 2022 documentation.
Form CS-SSO Page 11

System Visitation
Name:
Certification Number:
Date visited:
Time visited:
ORC N Yes
Crackup Lj Yes
Andy Stevens
1005680
11/29/2021
3:30 pm
How was the SSO remediated (i./e. Stopped and cleaned up)?
a large piece of asphalt, largerequipment was • to the site.Thespillyintermittant
over
r course is
hourshe 8 y• pumps bypassing the blockage and pumping around it to the next clearmanhole.
spillnitial • on bank of ^ creek and was remediated with lime. Hayplaced in the creek
wprecaution, i dispatched to the site to assess the creek i provide further
assistanceby spill additional hay bales and pumping sedout of ^. creek,
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: Katie Dickens Date: 12/1/2021
J
Signature:
Telephone Number: 910-695-5846
Title: c. % LA 1) � rz L�
A
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 15