WQCS00147_SSO 5-Day Report_20221130

State of North Carolina
Department of E nvironment and Natural Resources
DWR Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Division of Water Resources 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: WQSCO0147 (WQCS# if active, otherwise use WQCSD#)
Facility: Neuse Colony Collection System Incident #: Owner: Aqua North CArolina
Region: Raleigh City: Clayton County: Johnston
Source of SSO (check applicable): 0 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.): 2060 NC 42 East, Clayton; 16-inch sewer force marl
Manhole #: n/a
Latitude (degrees/minute/second): 35°38'49.46"N Longitude (degrees/minute/second): 78°24'14.75"W
Incident Started Dt: 11/19/2022 Time: 12:00pm Incident End Dt: i 1/19/2022 Time: 9:00pm
(mm-dd-yyyy) (hh:mm) AM/PM (mm-dd-yyyy) (hh:mm) AM/PM
Estimated volume of the SSO: 30,000 gallons Estimated Duration (round to nearest hour): 9 hour(s)
Describe how the volume was determined: Size of pipe, current flow and duration.
Weather conditions during the SSO event: Dry
Did the SSO reach surface waters? ❑ Yes ® No ❑ Unknown
Volume reaching surface waters: n/a gallons Surface water name: n/a
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): Maryann Nicolaysen
❑DWR ®Emergency Management Date (mrn-dd-yyy): 11/20/2022Time: (hh:mm AM/PM): 9:35am
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.
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 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 ASREQUIRED ORDESIRED
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)
AKARDCOPYDF THISFORM SHOULD BESUBMITTED TOTHE APPROPRIATE DVVRREGIONAL OFFICE UNLESS
|SHAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Form CS-SSO Page 2

Describe the "severe natural condition" in detail:
How much advance warning did you have and what actions were taken in preparation for the event?
Form CS-SSO Page 3

material and distribution date, etc. should be available u on
When was the last time this specific line (or wet well) was cleaned?
Doyou have anenforceable grease ordinance that requires new orretrofit of
0reouetmps/intenmptom? 0Yeo Nn NA UNE
Have there been recent inspection and/or enforcement actions taken nnnear-
by restaurants or other nonresidential 0naaoe contributors? El Yes F1 No [lNA El NE
Explain:
Have there been other GS0norblockages inthis areas that were also caused
by gmua* [lYes [l No [lNA 0NE
When?
If yes, describe them:
Have cleaning and inspections ever been done edthis location?
Explain.
Have educational material about grease been distributed inthe past?
When:
and howhom:
0 Yes El No FINA F1 NE
El Yes
Explain:
If theFSO occurred atapump station, when was the wet well and pumps last checked
for grease accumulation:
Were the floats clean?
Comments�
F1 No EINA El NE
Form CS-SSO Page 4

Roots
Do you have on active root onndm| program on the line /area in question? 0 Yon Fl No DNA [| NE
Describe:
Have cleaning and inspections ever been increased atthis location because
Fly*a Fl No [lNA [l NE
of roots? ,^ �� �� ^~
Explain:
What corrective actions have been accomplished atthe 8SOlocation (and
surrounding system ifassociated with the S8O)?
What corrective actions are planned at the SSO location to reduce root intrusion?
Has the line been smoke tested orvideoedwithin the past year? El Yes [lNo F�NA El NE
|fYes, when?
Form CS-SSO Page 5

Inflow and Infiltration
Are you under an 80C (Special Order byConsent) ordoyou have aschedule
Fl You [l No [lNA
[l NE
inany permit that addresses |/1?
Explain ifYes:
What corrective actions have been taken to reduce or eliminate | & | related overflows this spill location
within the last year?
Has there been any flow studies hudetermine |/| problems in the
[l Yes Fl No [-INA
NE
collection system atthe S8Olocation?
|fYes, when was the study completed and what actions did itrecommend?
Has the line been smoke tested orvid000dwithin the past year?
[lYes FlNo [lNA
El NE
|fYes, when and what actions are necessary and the status ofsuch actions:
Are there |/| related projects inyour Capital Improvement Plan?
[l Yes Fl No [lNA
Fl NE
|fYes, explain:
Have there been any grant orloan applications for |/| reduction projects?
Yes Fl No [lNA
[l NE
|fYes, explain:
Doyou suspect any major sources ofinflow orcross connections
DYeo D No DNA
Fl NE
with storm uowom?
|fYes, explain:
Have all lines contacting surface waters in the OGO location and upstream
El Yes �� No �lNA
El NE
been inspected recently?
If Yes, explain:
What other corrective actions are planned to prevent future 1/1 related SSOs at
this location?
Comments:
Form CS-SSO Page 6

What kind ofnotification/alarm systems are present?
Auto-clialer/telemetry (one-way communication) [l Yon
Audible LJ Yes
Visual Yes
SCADA(tvo+waycommunication) El Yes
Emergency Contact Signaye L]Yex
Other �lYes
If Yes, explain:
Describe the equipment that failed:
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? D Yes 0 No [lNA \l NE
|nno, explain:
If a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
|favalve failed, when was dlast exercised?
Were all pumps set to alternate?
[���
�� No
[�NA
[l NEDid
any pump show above normal run times prior to and during the SSO event?
F1 Yes
El No
DNA
E] NE
Were adequate spare parts on hand to fix the equipment
Was aspare orportable pump immediately available?
Ifafloat problem, when were the floats last tested? How?
|fanauto-dialer orQCADA.when was the system last tested? How?
Form CS-SSO Page 7

What is your alternate power or pumping source?
Did it function properly? [lYes [l No [lNA [l NE
Describe?
When was the alternate power urpumping source last tested under load?
|fcaused byaweather event, how much advance warning did you have and what actions were taken hoprepare for the
Comments:
Form CS-SSO Page 8

Vandalism
Provide police report number:
Was the site secured? FlYno [] No
If Yes, how?
Have there been previous problems with vandalism atthe SS0iooaUon?
IfYes, explain:
What security measures have been put inplace toprevent similar [lYes [lNo
occurrences in the future?
[lNA
0 NE
Form CS-SSO Page 9

De ed in the collection system. -I- �
What type of debris has been found in the line?
Suspected cause orsource ofdebris:
Are manholes inthe area secure and intact? Fl yoo [l No
When was the area last ohookod/c|oaned?
Have cleaning and inspections ever been increased atthis location El Yes El No
due toprevious problems with debris?
Explain:
Are appropriate educational materials being developed and distributed DYeu [l No
to prevent future similar occurrences?
FlNA [lNE
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? 1Z Yes ❑ No ❑NA ❑ NE
If Yes, explain: Internal staff, internal equipment as well as third party environmental contractor
If the problem could not be immediately repaired, what actions ❑ Yes ❑ No ®NA ❑ NE
were taken to lessen the impact of the SSO?
Comments: This sewer force main was struck by a utility contractor boring cable underground for another
utility. Utility locates were present and correct. Contractor and Aqua Septic trucks were used to remediate the
area. 25,100 gallons were recovered from the site. The area was then disenfected with Iime.This SSO did not
reach the Neuse River or surface water as it was contained in a low lying area that was remediated.
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

System Visitation
ORC Yes
Backup Yes
Name: Alton Ratliff
Certification Number: 1000971
Date visited: 11/19/2022
Time visited: 12:00pm
How was the SSO remediated (i./e. Stopped and cleaned up)?
This sewer force main was struck by a utility contractor boring cable underground for another utility.Utility locates were
present and correct. Contractor and Aqua Septic trucks were used to remediate the area. 2 5, 100 gallons were recovered
from the site. The area was then disenfected with lime.This SSO did not reach the Neuse River or surface water as it was
contained in a low lying area that was remediated.
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 submittirfa claim:
Sig
Telephone Number:
Date: 11/29/2022
Title: Azl `
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