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HomeMy WebLinkAboutWQCSD0694_Five-Day Report - March 2023 SSO_202303300� W1 A r�;q 0 O Form CS-SSO Collection System Sanitary Sewer Overflow Reporting Form PART I This form shall be submitted to the appropriate DWQ Regional Office within five days of the first knowledge of the sanitary sewer overflow (SSO). u(A 0'T> f?to �� Permit Number: (WQCS# if active, otherwise use WQCSD#) Facility: ( \i.1L''A , " S-4S-Ire- - Incident # Owner: G`""•"� �1L ��� 4 4- Region: City:County: Source of SSO (check applicable) : Sanitary Sewer n Pump Station I Lift Station SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump Station XJ Manhole at Westall & Bragg Street, etc.) : 0 Ae— rr+cr� � L �A G' �'37 (a,J AA- •H Manhole# Latitude (deg reeslminutelsecond): 3< 1-4 11-2 Longitude(degreeslminutelsecond): YL + Z"3' ZJ 0 Incident Started Dt: I ky 173 Time: 112* `"~ Incident End Dt: 314Time: 'S� "' 2 ' (mm-dd-yyyy) hh:mm AM/PM (mm-dd-yyyy) hh:mm AM/PM Estimated volume of the SSO: 401 ^s oo gallons Estimated Duration (Round to nearest hour):- Describe how the volume was determined: Weather conditions during SSO event: ��- Dld SSO reach surface waters? U9 Yes n Non Unknown Volume reaching surface waters (gallons): v SOS 1�cfLUn n Surface water name: -1• 6 ti WtaNv- IL',-k1.A- Did the SSO result in a fish kill? n Yes IN No❑ Unknown If Yes, what is the estimated number of fish killed? SPECIFIC cause(s) of the SSO: Severe Natural Condition n Inflow and Infiltration n Vandalism Pi e Failure (Break) FX Grease Pump Station Equipment Failure n ebris in line n Roots Power outage Other (Please explain in Part II) P 24-hour verbal notification (name of person contacted)17-7111 DWQ n Emergency Mgmt. Date (mm-dd-yyyy): Time (hh:mm AMIPM): If an SSO is ongoing, please notify 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 gallons or more of untreated wastewater to surface waters shall issue a press release within 48-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 re�n-c-e-enstatute for further detail. The Director, Division of Water Quality, may take enforcement action for SSOs that are required to be reported to Division unless it is demonstrated that: 1) the discharge was caused by severe natural conditions and there were no feasible alternatives 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 11 must be completed to provide a justification claim for either of the above situations. This information will be the basis for the determination of any enforcement action. Therefore, it is important to be as complete as possible. WHETHER OR NOT PART 11 IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM. CS-SSO Form Page 1 Form CS-SSO Collection System Sanitary Sewer Overflow Reporting Form PART I I 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 SECTIONS 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 DWQ REGIONAL OFFICE UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM CS-SSO Form Page 2 Severe Natural Condition (hurricane, tornado, etc.) Describe the "severe natural condition" in detail? How much advance warning did you have and what actions were taken in preparation for the event? Comments: CS-SSO Form Page 3 Grease (Documentation such as cleaning, inspections, enforcement actions, past overflow reports, e uca Iona ma ena and distriDution date, etc. s ou a available upon reques . When was the last time this specific line (or wet well) was cleaned? Z pLZ Do you have an enforceable grease ordinance that requires new or retroft of grease traps/interceptors? ❑ Ye9 1 No'l NA❑ NE Have there been recent inspections and/or enforcement actions taken on nearby restaurants or other nonresidential grease contributors? Explain. Have there been other SSOs or blockages in this area that were also caused by grease? When? >u^A_ ZoLZ- , Oc,�AA& 7.0Z-7 If yes, describe them: Have cleaning and inspections ever been increased at this location? Explain. Have educational materials about grease been distributed in the past? When? and to whom? Explain? ,1V If the SSO occurred at a pump station, when was the wet well and pumps last checked for grease accumulation? Were the floats clean? Comments; ❑ Ye45 No ❑ NA[] NE NoNAn NE No ❑ NA❑ NE No n NAn NE ❑ YeF1 No 0 NA❑ NE CS-SSO Form Page 4 Roots Do you have an active root control program on the line / area in question? Describe Have cleaning and inspections ever been increased at this location because of roots? Explain: What corrective actions have been accomplished at the SSO location (and surrounding system if associated with the SSO)? What corrective actions are planned at the SSO location to reduce root intrusion? Has the line been smoke tested or videoed within the past year? If Yes, when? Comments: I_I4 No E] NA❑ NE No❑NAi TINE Non NA❑ NE CS-SSO Form Page 6 Inflow and Infiltration Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that addresses 1/1? Explain if Yes: What corrective actions have been taken to reduce or eliminate I & I related overflows at this spill location within the last year? Has there been any flow studies to determine 1/1 problems in the collection system at the SSO location? If Yes, when was the study completed and what actions did it recommend? Has the line been smoke tested or videoed within the past year? If Yes, when and indicate what actions are necessary and the status of such actions: Are there 1/1 related projects in your Capital Improvement Plan? If Yes, explain: Have there been any grant or loan applications for 1/1 reduction projects? If Yes, explain: you suspect any major sources of inflow or cross connections with storm sewers? If Yes, explain: Have all lines contacting surface waters In the SSO location and upstream been inspected recently? If Yes, explain: What other corrective actions are planned to prevent future 1/1 related SSOs at this location? Comments: ❑ Yes I No ❑ NA❑ NE No ❑ NA ❑ NE No ❑ NA❑ NE No ❑ NA❑ NE No ❑ NA❑ NE NoI—INAI-I NE No ❑ NA❑ NE CS-SSO Form Page 6 Pump Station Equipment Failure (Documentation of testing, records etc., shoul be provided upon request.) What kind of notification/alarm systems are present? Auto-dialer/telemetry (one-way communication) ❑ Yes Audible ❑ Yes Visual ❑ Yes SCADA (two-way communication) ❑ Yes Emergency Contact Signage ❑ Yes Other ❑ Yes 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? If no, explain: If a pump failed, when was the last maintenance and/or inspection performed? What specifically was checked/maintained? No n NAn NE If a valve failed, when was it last exercised? Were all pumps set to alternate? ❑ Ye9 1 No ❑ NA❑ NE Did any pump show above normal run times prior to and during the SSO event? 0 YeF1 No ❑ NAM NE Were adequate spare parts on hand to fix the equipment (switch, fuse, valve, seal, etc.)? ❑ YeQ No ❑ NA❑ NE Was a spare or portable pump immediately available? ❑ YeTl No ❑ NAn NE CS-SSO Form Page 7 If a float problem, when were the floats last tested? How? If an auto -dialer or SCADA, when was the system last tested? How? Comments: CS-SSO Form Page 8 Power outage (Documentation of testin etc., should be provided of alternative power source What is your alternate power or pumping source? Did it function properly? Describe? When was the alternate power or pumping source last tested under load? If caused by a weather event, how much advance warning did you have and what actions were taken to prepare for the event? Comments: Non NAi INE CS-SSO Form Page 9 Vandalism Provide police report number: Was the site secured? If Yes, how? IJ Yej-1 No n NAn NE Have there been previous problems with vandalism at the SSO location? ❑ YeQ No n NAn NE If Yes, explain: What security measures have been put in place to prevent similar occurrences in the future? ❑ YeF-1 No ❑ NAn NE Comments: CS-SSO Form 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? Suspected cause or source of debris. r ` (.^ *AM..O `y.a �OL Are manholes in the area secure and intact? Yo ❑ NA❑ NE When was the area last checked/cleaned? �� C'j",L 7.0 LZ Have cleaning and inspections ever been increased at this location due to previous problems with debris? 0 Yeo No ❑ NAILnNE Explain: Are appropriate educational materials being developed and distributed to prevent future similar occurrences? Comments: Noti NA❑ NE CS-SSO Form Page 11 Other (Pictures and police report, as applicable, must be available upon request.) Describe: Were adequate equipment and resources available to fix the problem? If Yes, explain: If the problem could not be immediately repaired, what actions were taken to lessen the impact of the SSO? Comments: No ❑ NAI_I NE CS-SSO Form Page 12 Pipe Failure (Break) Pipe size (inches) What is the pipe material? What is the approximate age of 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 TOW, r\o �1r\�1.y .4 (MneDnZ n\St - If a force main then, Was the break on the force main veritical? 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? When was the last inspection or test of the nearest air -release valve to determine of operable? When was the last maintenace of the air release performed? I ("S)r 11b, AO ,4 1 e9 1 No ❑ NAO NE I,:1Ye�No NA❑NE 10 Ye9 1 No ❑ NA ❑ NE I IYe9 INoI INAI INE ❑ YeT-1 No IJ NA ❑ N E I IYe9 INo 0 NAM NE Ye9 l No ❑ NA ❑ NE - If gravity sewer then, Does the line receive flow from a force main immediately upstream of the failed section of pipe? ❑ Ye9kI0 n NA❑ NE If yes, what measures are taken to control the hydrogen sulfide production? When was the line last inspected or videoed? � 191(P CS-SSO Form Page 13 If line collapsed, what is the condition of the line up and down stream of the failure? What type of repair was made? Is the repair temporary If temporary, when is the permanent repair planned? Have there been other failures of this line in the past five years? If so, then describe No ❑ NAn NE CS-SSO Form Page 14 System Visitation ORC ❑ Yes Backup ❑ Yes Name: Cart# Date visited: Time visited: How was the SSO remediated (i.e. 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 e best of my now a ge. Person submitting claim: �s, Vj -154 1 M' Date: 7'?a�Z3 Signature: Title: � e Ic Gn I''r ,A Telephone Number: Ylk ZSL oS7i Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five 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). CS-SSO Form Page 15