WQCS00013_NOV-2022-DV-0324_Response Rvcd_20221213

NC Dept of Environmental Quality
DEC 1 3 2022
Raleigh Regional Office
December 9, 2022
Mr. Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
1628 Mail Service Center
Raleigh, NC 27699-1628
TOWN OF CARY
CERTIFIED MAIL
Subject: Notice of Violation (NOV-2022-DV-0324): Notice of Intent to Issue Civil Penalty
Dear Mr. Vinson:
On November 30, 2022, the Town of Cary Utilities Department received a Notice of
Violation with a Notice of Intent (NOV-NOI) letter dated November 14, 2022 from the
North Carolina Department of Environmental Quality, Division of Water Resources —
Raleigh Regional Office for a sanitary sewer overflow (SSO) that occurred on October 27,
2022. The NOV letter identifies the SSO with a notice of intent to enforce and allows Cary
the opportunity to provide evidence or justification within 10 business days from receipt
of the letter to address the cause of non-compliance, remedial actions, and actions to
prevent SSO recurrence.
Incident #
Start Date
Duration
(min)
Location
Cause
Total
Volume
(Gal)
Total Volume
Surface Water
(Gal)
DWR Action
202201639
10/27/2022
110
200 Block Gregory
Drive.
Debris
in line
39,270
39,270
Notice of
Violation —
Notice of
Intent
Cary takes pride in the operation and management of our nearly 1,000 miles of
wastewater collection system. We are an award winning and progressive wastewater
utility that has very few reportable or large volume SSO. We place emphasis on
responding quickly to sewer emergencies to prevent and minimize any spills that impact
our citizens, community, and environment. We appreciate the opportunity to provide
information on the recent sewer overflow, our efforts, and justification for why additional
enforcement action or civil penalty should not be assessed to the Town of Cary.
TOWN Of CARY
400 James Jackson Avenue • Cary, NC 27513 • PO Box 8005 • Cary, NC 27512-8005
tel [phone] • fax [phone] • www.townofcary.org

Donald Smith
PO BOX 8005
TOWN OF CARY-UTILITIES DEPAF
CARY NC 27512-8005
USPS CERTIFIED MAIL
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9407 1118 9876 5835 0051 71
NCDENR-Raleigh Regional Office
Mr. Scott Vinson, Regional Supervisor
1628 MAIL SERVICE CTR
RALEIGH NC 27699-1628
IIIIhIIIIIIIIIIIIIIIIII'II'I'I'IIhIIIhIIIIm 11111IPIIIIIlI'II'II
$5.92 US POSTAGE
FIRST-CLASS
Dec 09 2022
Mailed from ZIP 27512
4 OZ FIRST-CLASS MAIL FLATS RATE
ZONE 1
11923275
062S0012913542

SSO Notice of Violation - Notice of Intent December 9, 2022
Sewer Overflow Cause - On October 27, 2022, town staff while investigating an odor
complaint received from a citizen, discovered an overflowing manhole (SP76415024) at
12:00 pm at the 200 block of Gregory Drive. Cary wastewater collection system staff took
immediate action to stop the overflow. Wastewater flowed from the manhole ring and
cover base into an unnamed tributary of Black Creek. The Sewer Spill Estimation Guide
provided on the NCDEQ website along with site conditions
were used to estimate the total amount of sewer spilled
reaching the creek. Spill volume estimates were based on the
distance the sewer traveled along with average creek widths
and depths observed at the time of the spill. Cary staff used a
hydraulic sewer jetting machine to clear the blockage and stop
the sewer overflow at 1:50 PM.
The SSO cause was a 4-inch PVC sanitary tee plumbing fitting
found lodged in the 8-inch gravity sewer line that allowed
sanitary wipes and debris to accumulate leading to the
blockage. The sanitary tee was
from a 4-inch service lateral
manhole connection. We believe that this sanitary tee was
unintentionally knocked off by a plumbing contractor while
servicing a private service lateral blockage.
CCTV image gfblockage caused by tee
4-inch tee removed, from sewer line
Following the October 27, 2022, sewer spill, Cary staff
inspected upstream manholes and video inspected the
sewer lines to ensure there was no additional debris or
blockages in the sewer lines where the blockage occurred.
Sewer Spill Cleanup — After stopping the SSO, Cary staff immediately began cleaning
up the spill. A temporary dam was constructed in two locations. One dam was installed
approximately 500 feet downstream of the overflowing manhole and a second dam was
installed approximately 7,800 feet downstream in Black Creek beyond where the sewer
spill traveled. A pump was installed at the first dam closest to the manhole that spilled
where the majority of material from the spill was pumped back into the sewer system for
disposal and treatment. A jet truck water tank was used with dechlorinated water to flush
and wash down the area of the spill and the first 500 feet of creek. A pump was installed
at the second dam approximately 7,800 feet downstream in Black Creek. 381,400 gallons
of dechlorinated water was used to flush the creek. Cary staff walked the creek and
assured good stream flow to remove any accumulated wastewater. The creek was
flushed for approximately 27 hours, the water and contents in the creek were pumped to
the sanitary sewer for disposal and treatment. During the creek cleaning operation the
pumping system had a backup of approximately 750 gallons of cleanup water at the
cleanup site, but was contained and pumped to the sewer system for disposal. NCDEQ
Regional Staff were contacted, and the 750 gallons of cleanup water was reported and
determined to be associated with the initial stream cleanup efforts.

SSO Notice of Violation - Notice of Intent
December 9, 2022
We appreciate the opportunity in being able to provide information on this unfortunate
sewer spill. This is the only sewer spill that has occurred in this location of the sewer
system. We appreciate NCDEQ's consideration in evaluating this sewer spill, the cause,
and Cary's record and response to remediate and help ensure that a SSO does not
reoccur at this location. If we can answer any questions or provide any additional
information, please feel free to contact Mr. Donald Smith, Wastewater Collection System
Manager at [phone].
Sincerely,
amie RevIs, P.E.
Utilities Director
Cc: Donald Smith, Wastewater Collection System Manager
Paul Campbell, Wastewater Collection System Operator
Enclosed:
• NCDEQ Notice of Violation — NOI to issue Civil Penalty — NOV2022-DV-0324
• October 28, 2022 News Release — Blocked Pipeline Causes Sewer Spill in Cary
• November 4, 2022 Paid Advertisement — Affidavit of Publication
• Collection System Sanitary Sewer Overflow Reporting Form — Incident # 202201639

NC Dept of Environmental Quality
ROY COOPER
Guyer not
ELIZABETI-I S. BISER
Secretary DEC 13 2022
RICHARD E. ROGERS. JR.
Director
Raleigh Regional Office
Certified Mail # 7020 3160 0000 4109 0577
Return Receipt Requested
Jamie Revels, Utilities Director
Town of Cary
PO Box 8005
Cary, NC 27512-8005
- ,,. STATE n
d; r a
2=�
NORTH CAROLINA
Environmental Quality
November 14, 2022
SUBJECT: NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY
Tracking No.: NOV-2022-DV-0324
Sanitary Sewer Overflows - October 2022
Collection System Permit No. WQCS00013
Cary Collection System
Wake County
Dear Mr. Revels:
lece,VJ li/3��aDa`
A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by
Town of Cary. The Division's Raleigh Regional Office concludes that the Town of Cary violated Permit Condition I
(2) of Permit No. WQCS00013 by failing to effectively manage, maintain, and operate their collection system so
that there is no SSO (Sanitary Sewer Overflow) to the land or surface waters and the SSO constituted making an
outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit is required by G.S.
143-215.1.
The Raleigh Regional Office is providing the Town of Cary an opportunity to provide evidence and justification as
to why the Town of Cary should not be assessed a civil penalty for the violation(s) that are summarized below:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Mins) Location Cause (Gals) (Gals) DWR Action
202201639 10/27/2022 110 200 Block Gregory Debris in line
Drive, Cary NC
39,270 39,270 Notice of Violation -
Notice of Intent
This Notice of Violation / Notice of Intent to Enforce (NOV/NOI) is being issued for the noted violation. Pursuant
to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed
against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any
permit issued pursuant to G.S. 143-215.1.
North Carolina Department o' Qua' Drc'slun of Water Res,,..;
Raleigh Regional Of'ee : 3800 @a. rest Drivel Raleigh. North Carolina 27600
919.791.4200

This office requests that you respond to this Notice, in writing, within 10 business days of its
receipt. In your response, you should address the causes of non-compliance, remedial actions, and all other
actions taken to prevent the recurrence of similar situations. The response to this correspondence will be
considered in this process. Enforcement decisions will also be based on volume spilled, volume reaching surface
waters, duration and gravity, impacts to public health, fish kills or recreational area closures. Other factors
considered in determining the amount of the civil penalty are the violator's history of non-compliance, the cost of
rectifying the damage, whether the spill was intentional and whether money was saved by non-compliance.
If you have any questions, please do not hesitate to contact Mitchell Hayes with the Water Quality Section in
the Raleigh Regional Office at 919-791-4200 or via email at [e-mail].
Sincerely,
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Cc: Raleigh Regional Office - WQS File
Laserfiche
L DEQ
North Carolina Depart ment or Environmental Quality I Division ut :Rarer Resources
Raleigh Reglonal Office 3800 Barrett Drive' Raleigh, North Carolina 2760n
91•l 791 d100

Beautort Gazette
B le ille Ne•rr-Derr— .crat
Ea IIngham'Herab]
Bradenton Herald
AVM C.._,l.r�TC,� 11 Canine Daily Times
Charlotte Observer
Columbus Ledger -Enquirer
Fi- sre Bee
The Herald - F? =k Full
H'rra!d Sun - Durham
Idaho Statesman,
Island Fa=ket
Kansas City Star
Le,.lrgt.3n Herald Le-3der
Merced Sun -Star
Miami Herald
el N:r.a Herald - Kamr
Mor sto B -
Ra eigh r• ws 3 , Dbs -r- r
The vlleTi pan
Sacramento Be
Fort Worth Star-Telegrzrn
The State Columbia
=un Her d - Biro .i
Sur, News - Myrtle Beach
The News Tribune Tacoma
The Te!e graph - htecan
San Las Obispo Tribune
Tri-City Herald
Wichita Eagle
AFFIDAVIT OF PUBLICATION
Account it
Order Number
Identification
Order PO
Amount
Cols
Depth
29532
341932
Town of Cary
$200.00
2
4.00 in
Attention: Kathless Wagner
TOWN OF CARY
PO BOX 8049
CLERK'S OFFICE
CARY, NC 275128049
Public Notice
of Discharge of
Untreated Sewage
A -r a in Cary occurred on Oc`aber 27. 2022 from
a r:tar.'toe at tile 200 oiocx of Grapry skive. Cary gaff
roast pted odce comptakt around noon, aed Mooed the
sp 1 ..t 7 50 pin TF.t o t-r... sp+iI r:> unie v `, ;9270
.. rich rloore f .nto a, unnerred tribr:erf of a eckCreek
Thr r f: sas ctrstd 7y Nurtbirg pipe Fitting that rradr e
ry 'Ito the sewer pipelire, .,raa.;ng unitary wipes arr Gape-
s to noun to ^esolct-r-g flow resrlttrtt n a backup ar.'
r•> thv c overflow. A tcrro.e.. ry dirt w,es o: etai in the t rftwt rry
a..1d c ect-camated waver was used :o Abash a'td clean the cree.._
The rillyd; wrr 1rd ecan.up r•r, rays Nxn pumprd beck
Ito the sewer.ystemfor dltpte toner treatrrere. Foito w'Ig the
c ear p of tire creek. five "sh were • rmeCed by the soil•.
A.r•;„irdoylaw.ic' tlor., norir'cats•-ihosb rntriadr-to the
Stole C trer.: ci E'..ronmer.te Quaary. who AO :ester+
the ncidrnt. i.onh C.M47,13 Gr.rcrrl St3hrrs loge+^ put
melee `t the feria ea stem rele.r e-r.-..rcd try .te a rIer I.I:r1y
opez ors wahin 2J t•cvrs of the cetecton of a warewa'.e
IN( 'how a taco b alar'e Cr gn-.,'. tr w; .i ,o reochr'a st.rfacr,
...Vets. Paid advertisements are also necessary for spills of
`.00=) &Cans orgt.+.nt
STATE OF NORTH CAROLINA
COUNTY OF WAKE
Before the undersigned, a Notary Public of Dallas
County, Texas, duly commissioned and authorized to
administer oaths, affirmations, etc., personally
appeared Tara Pennington, who being duly sworn or
affirmed, according to law, doth depose and say that he
or she is Accounts Receivable Specialist of the News &
Observer Publishing Company, a corporation organized
and doing business under the Laws of the State of North
Carolina, and publishing a newspaper known as The
News & Observer, Wake and State aforesaid, the said
newspaper in which such notice, paper, document, or
legal advertisement was published was, at the time of
each and every such publication, a newspaper meeting
all of the requirements and qualifications of Section 1-
597 of the General Statutes of North Carolina and was a
qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina, and that as
such he or she makes this affidavit; and is familiar with
the books, files and business of said corporation and by
reference to the files of said publication the attached
advertisement for TOWN OF CARY was inserted in the
aforesaid newspaper on dates as follows:
No. of Insertions: 1
Beginning Issue of: 11/04/2022
Ending Issue of: 11/04/2022
\CA-tc-R-M
I certify (or declare) under penalty of perjury that the
foregoing is true and correct.
L t:fir .Gi Hi:s rtr-'
Notary Public in and for the state of Texas, residing in
Dallas County
STEPHANIE HATCHER
My Notary IC) # 13S534406
res January 14, 2026
Extra charge for lost or duplicate affidavit.
Legal document please do not destroy!

Stocked Pipeline Causes Sewer Spill in Cary
10/28/2022 10:19 AM
NEWS RELEASE
NC Dept of Environmen
October 28. 2022
DEC 13 2022 Blacked Pipeline Causes Sewer Spill in Cary
Raleigh Regional Office
• On the evening of October 27, 2022, Car; responded to a 39.270-gallon
sewer spill near the 200 Bloch of Gregory Drve.
• The spill is the result of a piece of plumbing pipe fitting that became lodged
in the sewer line, allowing sanitary wipes and paper debris to accumulate
and cause a blockage.
• The sewer spill flowed into an unnamed tributary to Blacks Creek. which was
cleaned up and flushed with dechlorinated. potable water. The spilled sewer
and clean-up :rater is being pumped back into The se'::,er system for
disposal and treatment.
CAR•Y. NC — A sewer spill in Cary occurred on October 27, 2022 from a
manhole at the 200 block of Gregory Drive. Cary staff investigated an odor
complaint around 12:00 p.m.. and stopped the spill at 1:50 p.m. The overall spill
volume was 39270 gallons. which flowed into an unnamed tributary of Black
Creek.
The spill was caused b•,• a plumbing pipe fitting that made its way into the sewer
pipeline allowing sanitary Vpes and paper debris to accumulate restricting flow
resulting in a backup and manhole overflow A temporary dam was placed fn the
unnamed tributary to Black Creek and dechlorinated water is being used to flush
and clean the creek. The spilled sewer and clean-up water is being pumped back
into the sewer system for disposal and treatment. No fish kills have been
observed with the clean up of the creek.
As required by law. additional notification has been made to the State Department
of Environmental Quality, who will review the incident_ North Carolina General
Statutes require public notice in the form of a news release issued by wastewater
utility operators v.wrthin 24 hours of the detection of a waste..4ater overflow of 1,000
gallons or greater that also reaches surface waters. Paid advertisements are also
necessary for spills of 15.000 gallons or greater.
For more on Cary's nearly 1.000 miles of v.'astewater pipelines or information on
how to report a sewer spill. visit :c-:__ : _ : _ ` or call 311 in Cary or (919;
469-4000 from outside Town limits.
Primary Contacts
If you have specific questions about Town services or operations. dial 311
anywhere in Cary. [phone] outside town limits. or email
3' `;tor
Resources
• e.. e ,731n:e7ar.ce
• ,^,1n al '..a :a• at
COPY

SSO Notice of Violation - Notice of Intent
December 9, 2022
Sewer Spill Assessment - The Town performed conductivity readings following the
overflow and during the spill cleanup to assess the spill and cleanup efforts. The following
table provides a summary of the data collected at the time of the SSO and with sewer
spill cleanup. Five minnows were affected and collected during the spill cleanup.
CONDUCTIVITY
Date/Time =>
October 27, 2022
1:45 PM
October 28, 2022
9:30 AM
October 28, 2022
4:30 PM
Location
Result (pS/cm)
Result (pS/cm)
Result (pS/cm)
Unaffected water body nearby spill
Dry UT - no flow
Dry UT - no flow
Dry UT - no flow
SSO entry point to stream
1100
400
400
50' Upstream
1000
no sample
400
650' Downstream
1000
408
400
2,400' Downstream
800
380
450
3,800' Downstream
700
375
no sample
7,800' Downstream
500
715
500
Corrective Actions — On October 28, 2022, the NCDEQ Raleigh Regional Office was
notified, and a news release was published and distributed within 24 hours following the
sewer spill (enclosed), a published advertisement was also performed on November 4,
2022 due to this sewer spill exceeding 14,999 gallons (enclosed). After clearing the
blockage, the area sewer lines were video inspected (1,800 feet video inspected) to
ensure there was no additional accumulation or partial sewer line blockages. Sixty-two
manholes upstream of the blockage were inspected, and the manhole (SP76411005) was
identified where the 4-inch PVC sanitary tee was knocked off inside the manhole.
There is a substantial history of inspections associated with this area of the sewer system
and prior to the SSO and includes:
September 1, 2022
Sewer easement inspection, including the sewer line segment
and manhole that overflowed with no issues or problems
noted.
June 23, 2022
Manhole inspection associated with a planned sewer odor
testing event. No issues were noted during the sewer odor
testing.
December 21, 2021
Performed sewer line acoustic testing with no issues noted with
blockages or obstructions in the sewer lines.
May 4, 2021
Sewer grid hydraulicly cleaned and jetted with no issues noted.
Enforcement Actions — We request NCDEQ to consider that this unfortunate sewer spill
was unexpected and caused by a private service line cleaning that Cary was unaware
occurred and that lead to the 4-inch sanitary tee plumbing fitting being knocked into the
sewer system causing the blockage and overflow. Cary believes that this situation was
beyond the reasonable control and operation of the collection system. Cary responded in
an expedited manner to quickly stop the SSO and immediately initiated cleanup efforts to
minimize the impact of the sewer spill.

DWR
NC Dept of Environmental ( nail
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
inFC 1 3 2022
Collection System Sanitary Sewer Overflow Reporting Form
Form CS-SSO
PART 9:
Raleigh Regional Office
This form shall be submittecrto the appropriate DWQ Regional Office within five business days of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number: WQCS00013 (WQCS# if active, otherwise use WQCSD#)
Facility: Cary Collection System Incident #: 202201639
Owner: Town of Cary
City: Cary
County: Wake Region: Raleigh
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): 200 Block Gregory Drive, Cary NC
Manhole #: SP76415024
Latitude (Decimal Degrees): Longitude (Decimal Degrees):
Incident Started Dt: 10/27/2022 Time: 12:00 pm Incident End Dt: 10/27/2022 Time: 01:50 pm
(mm-dd-yyyy) (hh:mm AM/PM) (mm-dd-yyyy) (hh:mm AM/PM)
Estimated Volume of the SSO: 39,270 gallons Estimated Duration (Round to nearest hour): 1:50 hours
Describe how the volume was determined: NCDEQ provided Sewer Spill Estimation Guide using area and volume of creek
Weather conditions during the SSO event: Clear, Sunny
' SSO reach surface waters? ❑J Yes ❑ No ❑ Unknown Volume reaching surface waters (gals): 39270
Surface water name: Black Creek
Did the SSO result in a fish kill? Yes ❑ No ❑ Unknown If Yes, what is the estimated number of fish killed? 5
SPECIFIC cause(s) of the SSO:
Debris in line
24 hour verbal notification (name of person contacted ): Mitchell S Hayes
DWR ❑ Emergency Mgmt Date (mm-dd-yyy): 10/28/2022 Time (hh:mm AM/PM): 09:30:00 am
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 release within 24-hours of first knowledge to all print and electronic news media providing general
coverage in 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 Division 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
WHETHER OR NOT PART III IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM
CS-SSO Form
Page: 1

PART II:
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART I OF THIS FORM AND
INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
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)
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWR REGIONAL OFFICE UNLESS IS
Debris in line
What type of debris has been found in the line?
A 4-inch sanitary tee plumbing fitting was removed along with sanitary wipes and paper debris from the 8-inch sewer line.
The sanitary tee was lodged in the pipe and allowed sanitary wipes and paper to accumulate causing the blockage.
Suspected cause or source of debris.
Lodged sanitary tee allowed sanitary wipes and debris to accumulate in the sewer line. We suspect the sanitary tee was
from a service lateral line inside of a manhole.
Are manholes in the area secure and intact? 17 Yes ❑ No E NA ❑ NE
When was the area last checked/cleaned?
6/23/2022
Have cleaning and inspections ever been increased at this location due to previous ❑ Yes IR1 No E NA 0 NE
problems with debris?
explain:
There has not been any past problems or issues identified in that sewer line segment due to debris. The sewer line and
adiacent sewer lines and manholes were inspected to ensure no additional accumulations were occurring.
Are appropriate educational materials being developed and distributed to prevent futi ❑ Yes ❑ No 7 NA D NE
similar occurrences?
Comments:
The debris issue was a result of a plumbing fitting that found its way into the sewer line allowing debris to accumulate. W
do not suspect we received excessive sanitary wipes or paper debris. The lodged plumbing fitting was the root cause of 1
back-up.
System Visitation
ORC © Yes
Backup ❑ Yes
Name:
Donald Smith
Cert#
1001030
Ite visited:
10/27/2022
CS-SSO Form Page: 2

Time visited:
1:30 PM
How was the SSO remediated (i.e. Stopped and cleaned up)?
The sewer line blockage was cleared using a hydraulic let truck. Once the blockage was cleared the spill stopped and a
vacuum truck was used to remove the accumulated sanitary wipes and paper debris. The hydraulic let dislodged the
sanitary tee plumbing fitting, and it was removed from the sewer line. The sewer spill was cleaned up by picking up any
solid debris. A temporary dam was installed on the creek below where the sewer spill flowed, and pumps were used to
pump the wastewater and clean up water back to the sewer system for disposal and treatment. Dechlorinated water was
used to flush and clean the creek to the dam and pumped to the sewer system for disposal. Staff walked the creek and
lightly raked areas to ensure the spill was flushed from the creek. 381,400 gallons of dechlorinated potable water was use
to flush and clean approximately 7,000 feet of creek affected by the sewer spill. 5 fish were collected following the spill an
creek clean up. During the cleanup of the creek, the pumping system had a 750-gallon backup at the cleanup site but we:
contained and pumped to the sewer system with the cleanup. Powdered activated lime was applied and raked in around
the manhole that spilled to treat the soil.
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: I -}���7 Date: I I f?
Signature: �!-
Telephone Number: �.k` \ 0G\
Title: iNLL
Any addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of f
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of th
n is completed, if used).
CS-SSO Form Page: 3

Spill and Conductivity Reporting Form
Amount of Spill:
Did Spill Reach a Surface Water:
Surface Water Name: UT to Black Creek
Time and Date Cleanup began: 2:30PM 10/27/2022
Time and Date Cleanup finished: 5:45PM 10/28/2022
Time the BUORC was notified: 12:45 AM or PM
Location of Spill: 200 Block of Gregory Dr
Time of Spill: 12:00 AM or PM Date of Spill: 10/27/2022
Time of Clearing Spill: 1:50 AM or PM Date of Clearing Spill: 10/27/22
Cause of Spill: Broken Tee lodged in pipe causing paper and wipes to collect
Gallons Lost
Yes or No /
Conductivity Readings
*I)e-chlorinated Water Reading (Base Line) 400
Initial Reading
2nd Reading
3rd Reading
Entry Point
1100
400
400
Time recorded
1:45PM-10/27
9:30am-10/28
4:30pm-10/28
50' Up Steam
N/A
N/A
N/A
Time recorded
50' Down Stream
1000
N/A
400
Time recorded
1:47pm-10/27
4:35pm-10/28
1000
408
450
650' Down Stream
Time recorded
1:50pm-10/27
9:40am-10/28
4:45pm-10/28
2400' Down Stream
800
380
450
Time recorded
1:57pm-10/27
9:50am-10/28
4:50pm-10/28
3800' Down Stream
700
375
Time recorded
2:05pm-10/27
10:15am-10/28
7800' Down Stream
500
715
500
Time recorded
2:15pm-10/27
11:30am-10/28
5:45pm-10/28
* Note: 2"d, and 3rd readings are to be taken during clean up.
* More reading may be necessary depending upon the size of spill and the time
period in which the stream is being flushed to maintain water quality.
*De -chlorinated water used in Cleanup of Spill 381,400 Gallons