HomeMy WebLinkAboutWQCS00115_SSO 5-Day Report_20230124(WQCS# if active, otherwise use WQCSD#)
Facility: Weldon Collection System Incident #: 202300092
Owner: Town of Weldon
City: Weldon
State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water 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 DWQ Regional Office within five business days of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number: WQCS00115
Region: Raleigh
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): , Weldon, NC, 27890
Manhole #. 3 CONTINUOUS MHS
County: Halifax
Latitude (Decimal Degrees): 36.4169
Incident Started Dt: 01/17/2023 Time:
(mm-dd-yyyy)
Estimated Volume of the SSO: 36,547
Longitude (Decimal Degrees):-77.5969
1:30 pm Incident End Dt: 01/17/2023 Time
(hh:mm AM/PM) (mm-dd-yyyy)
gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined: Sewer Spill Estimation Guide off State website
Weather conditions during the SSO event: rain
05:00 pm
(hh:mm AM/PM)
3:30 hours
Did SSO reach surface waters? 0 Yes ❑ No ❑ Unknown Volume reaching surface waters (gals): 36547
Surface water name: ROANOKE RIVER
Did the SSO result in a fish kill? ❑ Yes 0 No ❑ Unknown If Yes, what is the estimated number of fish killed? 0
SPECIFIC cause(s) of the SSO:
0 Grease 0 Debris in line 0 Pipe Failure (Break)
24 hour verbal notification (name of person contacted ): Jason T Robinson
P DWR ❑ Emergency Mgmt Date (mm-dd-yyy): 01/18/2023 Time (hh:mm AM/PM): 09:03:00 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
Grease
When was the last time this specific line (or wet well) was cleaned?
2018
Do you have an enforceable grease ordinance that requires new or retrofit of grease [7 Yes No NA NE
traps/interceptors?
Have there been recent inspections and/or enforcement actions taken on nearby
restaurants or other nonresidential grease contributors?
Explain.
Grease educational material has been mailed to all Weldon Residents
Have there been other SSOs or blockages in this area that were also caused by
grease?
When?
If yes, describe them:
Have cleaning and inspections ever been increased at this location?
Explain.
Inspections are performed during mowing and periodic walk inspections
Have educational materials about grease been distributed in the past?
When?
5/11/2022 and 8/3/2022
and to whom?
All Weldon Residents
RjYes [7]No []NA [:]NE
Yes PINo DNA ENE
Yes RNo DNA FNE
W Yes ❑ No ❑ NA ❑ NE
Explain?
Educational material is mailed twice per year, once with CCR_an�d_ once Aih W-astewater--and Collections -System Annual
Report
If the SSO occurred at a pump station, when was the wet well and pumps last
checked for grease accumulation?
Were the floats clean?
Yes No W NA ❑ NE
CS-SSO Form
Page: 2
Comments. -
Debris in line
What type of debris has been found in the line?
raps and grease
Suspected cause or source of debris.
residents
Are manholes in the area secure and intact?
W Yes No r NA ❑ NE
When was the area last checked/cleaned?
October 2022
Have cleaning and inspections ever been increased at this location due to previous Yes W No NA NE
problems with debris?
Explain. -
Are appropriate educational materials being developed and distributed to prevent futt R Yes ❑ No ❑ NA ❑ NE
similar occurrences?
Comments:
The Town provides the educational material and tries to educate the residents
Pipe Failure (Break)
Pipe size (inches)
12
What is the pipe material?
clay
What is the approximate age of line/pipe? (years old)
62
Is this a gravity line?
Is this a force main line?
Is the line a "High Priority" line?
Last inspection date and findings
October 2022, no problems, flowing fine
If a force main then,
Was the break on the force main veritical?
Was the break on the force main horizantal?
WYes [7]No DNA r7NE
Yes R No ❑ NA [7 NE
WYes E]No El NA FNE
Yes E]No RNA ENE
Yes [:]No PNA rNE
CS-SSO Form
Page: 3
Was the leak at the joint due to gasket failure?
❑ Yes ❑ No RNA ❑ NE
Was the leak at the joint due to split bell?
When was the last inspection or test of the nearest air -release valve to determine of
operable?
N/A
When was the last maintenace of the air release performed?
N/A
If gravity sewer then,
❑Yes ❑No WNA ❑NE
Does the line receive flow from a force main immediately upstream of the failed secti, ❑ Yes W No ❑ NA ❑ NE
of pipe?
If yes, what measures are taken to control the hydrogen sulfide production?
When was the line last inspected or videoed?
October 2022
If line collapsed, what is the condition of the line up and down stream of the failure?
Good Condition
What type of repair was made?
Plastic pipe replaced clay pipe with couplings
Is the repair temporary or permanent?
Permanent
If temporary, when is the permanent repair planned?
N/A
Have there been other failures of this line in the past five years?
If so, then describe
System Visitation
ORC
Backup
Name:
Titus C. Jackson
Cert#
1007387
Date visited:
1 /18/2023
❑ Yes R No ❑ NA ❑ NE
W Yes
❑ Yes
CS-SSO Form Page: 4
Time visited:
08:30 am
How was the SSO remediated (i.e. Stopped and cleaned up)?
Stopped and cleaned up
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: Titus Cal Jackson
Signature. -
Telephone Number: 'Z5 z — — [o 8" 7I �'C—
Date: 01/18/23 01:30 pm
Title: 011C
Any addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of t
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of th
form is completed, if used).
CS-SSO Form
Page: 5