WQCS00179_Incident #202201496_20220930

State of North Carolina
Department of Environment 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 DWQ Regional Office within five business days of the first knowledge of the
sanitary sewer overflow (SSO).
Permit Number: WQCS00179
(WQCS# if active, otherwise use WQCSD#)
Facility: Franklin County Collection System Incident #: 202201496
Owner: Franklin County Public Utilities
City: Youngsville County: Franklin Region: Raleigh
Source of SSO (check applicable): 2 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): 391 SW Railroad St, Youngsville, NC, 27596
Manhole #:
Latitude (Decimal Degrees):
Longitude (Decimal Degrees):
Incident Started Dt: 09/30/2022 Time: 9:25 pm
(mm-dd-yyyy) (hh:mm AM/PM)
Estimated Volume of the SSO: 14,200
Incident End Dt: 09/30/2022 Time
(mm-dd-yyyy)
gallons Estimated Duration (Round to nearest hour)
Describe how the volume was determined: Gal/Min
Weather conditions during the SSO event: Hurricane Ian
11:45 pm
(hh:mm AM/PM)
2:20 hours
Did SSO reach surface waters? Z Yes ❑ No ❑ Unknown Volume reaching surface waters (gals): 10000
Surface water name: Richland Creek
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:
[� Severe Natural Con( P Inflow and Infiltration
24 hour verbal notification (name of person contacted ): Marianne Nicholaysen
❑ DWR 2 Emergency Mgmt Date (mm-dd-yyy): 10/01/2022 Time (hh:mm AM/PM): 11:16:00 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.lC(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
Severe Natural Condition
Describe the "severe natural condition" in detail?
Rain from Hurricane Ian.
How much advance warning did you have and what actions were taken in preparatio
for the event?
Projections of Hurricane direction.
Comments:
Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule in any ❑ Yes W No ❑ NA ❑ NE
permit that addresses 1/1?
Explain if Yes:
What corrective actions have been taken to reduce or eliminate I & I related overflow
at this spill location within the last year?
CCTV collection system and flow monitors.
Has there been any flow studies to determine 1/1 problems in the collection system at ❑ Yes 7 No ❑ NA ❑ NE
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:
❑ Yes 7 No ❑ NA ❑ NE
7 Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA W NE
CS-SSO Form Page: 2

Do you suspect any major sources of inflow or cross connections with storm sewers., ❑ Yes ❑ No ❑ NA W NE
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been 7 Yes ❑ No ❑ NA ❑ NE
inspected recently?
If Yes, explain:
All aerial lines and creek crossings are inspected bi-annually and after each storm event.
What other corrective actions are planned to prevent future 1/1 related SSOs at this
location?
Comments:
System Visitation
ORC
Backup
Name:
Luther P. Proctor
Cert#
A A A!1 A Il r
Date visited:
09/30/2022
Time visited:
9:15 PM
How was the SSO remediated (i.e. Stopped and cleaned up)?
Once flow stopped staff cleaned and limed area.
7 Yes
Yes
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: Luther Payton Proctor Date: 10/03/22 03:40 pm
Signature:
Telephone Number:
Title:
Any addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of 1
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: 3