WQCS00364_Renewal (Application)_20240506

ifrs .
ROY COOPER i t. `
Governors., , i
�ELIZABETH S.BISER `��'^a�°^"
c."Secretory �RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
May 06, 2024
Rockingham County
Attn: Roanld Tate, Public Utilities Director
371 NC 65
Wentworth, NC 27375
Subject: Permit Renewal
Application No. WQCS00364
Rockingham County Collection System
Rockingham County
Dear Applicant:
The Water Quality Permitting Section acknowledges the May 6, 2024, receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's Non-discharge
permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://www.deq.nc.gov/permits-rules/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely
Wren T dford
Administrative Assistant
Water Quality Permitting Section
cc: Madelyn Mills-Envirolink, Inc.
ec: WQPS Laserfiche File w/application
D E Q,) Nor h Carolina Depanmem of Environmemal Qualh y Division of Water Resources
Winston-Salem Regional Office 450 West Hanes M III Road.Suhe 300 Winston-Salem North Carohoa 27I05
�, ___ 33b 776 97300

April 30, 2024
NCDEQ-DWR
Water Quality Permitting Section,PERCS Unit RECEIVED
1617 Mail Service Center
Raleigh,NC 27699-1617 MAY 0 Tb2024
Subject: Collections System Permit Renewal Application NCDEQ/DWR/NPDES
Permit Number: WQCS00364
Rockingham County Collections System
Rockingham County
To Whom It May Concern,
The WQCS permit for the Rockingham County Collections System is nearing its expiration on April
30, 2024. Thus, it is our desire to renew this permit by means of this permit renewal application
package.
You will find subsequent to this cover letter:
• Application form CSA 04-16
• Pump Station List
• High Priority Lines List
• Annual Budget for Collection System(Updated and Approved)
• Capital Improvement Plan(Updated and Approved)
• Response Action Plan
• Contingency Plan
• Comprehensive Collection System Map
• Copy of Existing Permit
• Summary of Compliance Updates
It is our request that this package be processed and our permit to discharge treated wastewater be
renewed following the expiration of the current permit on October 31,2024.
Sin ly,
Madelyn Mills
Envirolink,Inc.
Cc: Ronnie Tate, Rockingham County
Ashley Herndon, Rockingham County
Todd Robinson, Envirolink, Inc.

State of North Carolina
Department of Environmental Quality
Division of Water Resources
paiR 15A NCAC 02T.0400—SYSTEM-WIDE WASTERWATER COLLECTION SYSTEMS
Civisfort at hlttit-Xesoure_ INSTRUCTIONS FOR FORM CSA 04-16&SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the System-wide Collection System Permitting website:
General—When submitting an application to the Pretreatment,Emergency Response,&Collection Systems(PERCS)Unit,
please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of requested
additional information. RECEIVED
•
The Applicant shall submit one original and one copy of the application and supporting documentation.
MAY 0 ft 2024
A. Cover Letter
NCDEQ/DWR/NPDEC
® Submit a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required
➢ No application fee is necessary. The permittee will be billed an annual fee upon issuance of the permit
➢ The appropriate annual fee for systemwide wastewater collection system permits may be found at:
➢ Annual Non-Discharge Fees
C. System-Wide Wastewater Collection System(FORM: CSA 04-16)Application:
® Submit the completed and appropriately executed System-wide Wastewater Collection System (FORM: CSA 04-
16) application. Any unauthorized content changes to this form shall result in the application package being
returned. If necessary for clarity or due to space restrictions,attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
❑ If the Applicant Type in Section I.3 is a Privately-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity(CPCN)from the North Carolina Utilities Commission demonstrating the Applicant is
authorized to hold the utility franchise for the area to be served by the wastewater collection system,or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area
or that franchise approval is expected.
❑ If the Applicant Type in Section I.3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
> The Authorized signing official listed in Section I.4 should match with that of the Applicant certification page in
accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c),an alternate person may be designated
as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T
.0106(b).
> NOTE - Public Works Directors are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION Page 1 of 5

E. Summary of Attachments Required:
© Instruction A: Cover Letter
❑X Instruction C: Application
❑ Instruction C: Ownership Documentation(i.e.CPCN) (If necessary)
❑ Instruction D: Delegation Letter(If necessary for signing official)
© Section IV.3 Pump Station List
® Section IV.4 High Priority Lines List
® Section V.4 Annual Budget for Collection System(Updated and Approved)
0 Section V.6 Capital Improvement Plan(Updated and Approved)
© Section VI.2 Response Action Plan
® Section VI.4 Contingency Plan
® Section VI.6 Comprehensive Collection System Map
® Section VII Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery:
Attn:PERCS Unit Supervisor 512 N.SALISBURY ST. Suite 925
1617 MAIL SERVICE CENTER RALEIGH,NORTH CAROLINA 27604
RALEIGH,NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 04-16
&SUPPORTING DOCUMENTATION Page 2 of 5

I. APPLICANT INFORMATION:
1. Applicant's name(Municipality,Public Utility,etc):Rockingham County
2. Facility Information: Name: Rockingham County Collection System Permit No.:WQCS00364
3. Applicant type: ❑X Municipal ❑State ❑Privately-Owned Public Utility
❑County ❑Other:
4. Signature authority's name:Ronald Tate per 15A NCAC 02T.0106(b)
Title:Director of Public Utilities
5. Applicant's mailing address:371 NC Hwy 65
City:Reidsville State:NC Zip:27320
6. Applicant's contact information:
Phone number:[phone] Fax number:( )= Email address:[e-mail]
II. CONTACT/CONSULTANT INFORMATION:
1. Contact Name:Madelyn Mills
2. Title/Affiliation:Compliance Coordinator,Envirolink,Inc.
3. Contact's mailing address:773 Sanford Avenue
4. City:Mocksville State:NC Zip:27028
5. Contact's information:
Phone number:[phone] Fax number:( ) - Email address:[e-mail]
III. GENERAL REQUIREMENTS:
1. New Permit or Permit Renewal? ❑New ❑X Renewal
2. County System is located in: Rockingham County
3. Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s):City of Eden;Town of Mayodan
4. WWTF Permit Number(s): WOCS00018;NC0021873
5. What is the wastewater type? 95%Domestic or 5%Industrial(See 15A NCAC 02T.0103(20))
Is there a Pretreatment Program in effect?❑Yes or® No
6. Wastewater flow:0.06233 MGD(Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 17.5 MGD
8. Explain how the wastewater flow was determined:❑ 15A NCAC 02T.0114 or IX)Representative Data
9. Population served by the collection system:38.000
IV. COLLECTION SYSTEM INFORMATION:
APPLICATION CSA 04-16 Page 3 of 5

1. Line Lengths for Collection System:
Sewer Line Description Length
Gravity Sewer 21.3 (miles)
Force Main 12.8 (miles)
Vacuum Sewer 0(miles)
Pressure Sewer 0(miles)
2. Pump Stations for Collection System:
Pump Station Type Number
Simplex Pump Stations(Serving Single Building)
Simplex Pump Stations(Serving Multiple Buildings)
Duplex Pump Stations 16
3. Submit a list of all major(i.e.not simplex pump station serving a single family home)pump stations. Include the following
information:
D. Pump Station Name
➢ Physical Location
➢ Alarm Type(i.e.audible,visual,telemetry,SCADA)
> Pump Reliability(Can convey peak hourly wastewater flow with largest single pump out of service)
➢ Reliability Source(permanent/portable generator,portable pumps)
➢ Capacity of Station(Pump Station Capacity in GPM)
4. Submit a list of all high priority lines according per 15A NCAC 02T.0402(2) known to exist in the collection system. Head
the list with"Attachment A for Condition V(4)"and include the system name.
➢ Use the same line identification regularly used by the applicant
> Indicate type of high priority line(i.e.aerial),material and general location
V. COLLECTION SYSTEM ADMINISTRATION:
1. Provide a brief description of the organizational structure that is responsible for management, operation and maintenance of
the collection system.
The collections system is owned by Rockingham County and is managed by the Rockingham County Public Utilities
Department,LKC Engineering,and operated by Envirolink,Inc.The Operator in Responsible Charge is Charles Homback
(Envirolink,Inc.).
2. Indicate the current designated collection system operators for the collection system per 15A NCAC 08G.0201
Main ORC Name: Charles Hornback Certification Number: 993898
Back-Up ORC Name: Alvis Pike Certification Number: 230561
See the"WOCS Contacts and ORC Report"for a current listing of the ORC(s)the Division has on file for WQCS permit
3. Approximate annual budget for collection system only: $$674,309.00
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budget for the collection system only: $$674,309.00
6. Submit a copy of your current capital improvement plan.
7. Is this collection system currently a satellite system® Yes or❑No
APPLICATION CSA 04-16 Page 4 of 5

8. Do any satellite systems discharge to this collection system❑Yes or® No(If yes complete table below)
Satellite System Contact Information(Name,Address,Phone Number)
Complete for Satellite Systems that have a flow or capacity greater than 200,000 GPD(Average daily flow)
9. List any agreements or ordinances currently in place to address flows from satellite systems:
N/A
VI. COLLECTION SYSTEM COMPLIANCE:
1. Is a Response Action Plan currently in place®Yes or❑No
2. If Yes,submit a copy of the Response Action Plan or see table 6 below.
3. Is a pump station contingency plan currently in place? ©Yes or❑No
4. If Yes,submit a copy of the pump station contingency plan or see table 6 below.
5. Is a comprehensive collection system map currently in place? ❑X Yes or❑No
6. Submit a submit a copy of the collection system map(CD or hardcopy)or indicate a schedule for completion
7. Thoroughly read and review the System-Wide Collection System Permit Conditions. Typically compliance schedules
are only offered to NEW permit applicants and NOT permit renewals. Any compliance dates must be included within
the permit prior to issuance or the permit holder will be found in violation upon inspection.
Current If no,Indicate a Typical
Permit Condition Compliance Compliance
Compliance? Date Schedule
I(4)—Grease ordinance with legal authority to inspect/enforce ®Yes ❑No 12—18 mo.
I(5)— Grease inspection and enforcement program ElYes ❑No 12—18 mo.
I(6)—Three to five year current Capital Improvement Plan. ®Yes ❑No 12— 18 mo.
I(8)—Pump station contingency plan 0 Yes ❑No 3 mo.
I(9)—Pump station identification signs. © Yes ❑No 3 mo.
I(11)—Functional and conspicuous audible and visual alarms. ® Yes ❑No 3—6 mo.
II(5)—Spare pumps for any station where one pump cannot
handle peak flows alone(in a duplex station,the 2nd pump is ❑X Yes ❑No 6-9 mo.
the spare if pump reliability is met).
II(7)—Accessible right-of-ways and easements. LI Yes El No 6—12 mo.
II(9)—Response action plan with Items 9(a—h). 0 Yes ❑No 3 mo.
III(3)—Comprehensive collection system map ❑X Yes ❑No 10%per year
APPLICATION CSA 04-16 Page 5 of 5

has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
S 10,000 as well as civil penalties
up to S25,000 per violation. /,
Signature: � lti�u�t Q Date: �l/ 4fi 2�
APPLICATION CSA 04-16 Page 6 of 5

Rockingham County Collections System 04-2024
High Priority Lines
High Priority Line# Location Material Type
HPL-1 Eden Bridge Ductile Iron Aerial
HPL-2 Fishing Creek PVC Under Creek
HPL-3 Fishing Creek PVC Under Creek
HPL-4 NC 87 PVC Under Creek
HPL-5 Crumpton Rd. PVC Under Creek
HPL-6 Butter Rd. PVC Under Creek
HPL-7 Town of Wentworth PVC Under Creek
HPL-8 NC 65 PVC Under Creek
HPL-9 NC 65 PVC Under Creek
HPL-10 NC 65 PVC Under Creek
HPL-11 NC 65 PVC Under Creek
HPL-12 NC 65 PVC Under Creek

Rockingham County Collections System 04-2024
High Priority Lines
HPL-13 NC 65 PVC Under Creek
HPL-14 N• C 65 PVC Under Creek
HPL-15 NC 65 PVC Under Creek
HPL-16 N• C 65 PVC Under Creek
HPL-17 NC 65 PVC Under Creek
HPL-18 NC 65 PVC Under Creek
HPL-19 NC 65 PVC Under Creek
HPL-20 NC 65 PVC Under Creek
HPL-21 Bear Branch Outfall PVC Under Creek
HPL-22 B• ear Branch Outfall PVC Under Creek
HPL-23 Bear Branch Outfall PVC Under Creek
HPL-24 Bear Branch Outfall PVC Under Creek
HPL-25 Bear Branch Outfall PVC Under Creek
HPL-26 Bear Branch Outfall PVC Under Creek

Rockingham County Collections System 04-2024
High Priority Lines
HPL-27 Bear Branch Outfall PVC Under Creek
HPL-28 Bear Branch Outfall PVC Under Creek
HPL-29 Bear Branch Outfall PVC Under Creek
HPL-30 Bear Branch Outfall PVC Under Creek
HPL-31 Bear Branch Outfall PVC Under Creek
HPL-32 Bear Branch Outfall PVC Under Creek
HPL-33 Bear Branch Outfall PVC Under Creek
HPL-34 Bear Branch Outfall PVC Under Creek
HPL-35 Bear Branch Outfall PVC Under Creek
HPL-36 A&E Lift Station PVC Under Creek
HPL-37 Hogan's Creek PVC Under Creek

Rockingham County Collections System-Pump Station List
US 220 Wastewater Collection System
Pump station Information
Generator Size
PS# Lift station Name Lift station address Type Motor HP Electrical Capacity TDH Alarm (KW) Generator status
Hogans Creek Pump 4246 US 220
1 Station Madison,NC 27025 Gorman_Rupp(4 40 3-460 V 800 173 Scada/telemerty 200 permanent
Huntsville Elem.School 2020 Sardis Church Rd.
2 PS Madison,NC 27025 Gorman-Rupp(2) 7.5 3-460 V 80 62 Scada/telemerty 40 portable
200 Old 220 Loop
3 Gold Hill Pump station Madison,NC 27025 Gorman-Rupp(2) 40 3-460 V 500 107 scada 125 permanent
2053 HWY 220
4 Red Birch Pump station Stokesdale,NC 27357 Gorman-Rupp(4) 15 3-460 V 300 128 scada 80 permanent
Kalo Foods Pump 119 Carlton Oark Dr.
5 station Stokesdale,NC 27257 2 1-230 V 80 105 telemetry plug for portable
9842 NC 65
6 65 Lift station Stokesdale,NC 27257
101 Friddle Rd.
7 Friddle Rd.Lift station Stokesdale,NC 27257
Wentworth Wastewater Collection System
Pump station Information
Generator Size
PS# Lift station Name Lift station address Type Motor HP Electrical Capacity TDH Alarm (KW) Generator status
Fishing Ceek Pump 1051 Harrington HWY
1 Station Eden,NC 27288 Gorman-Rupp(2) 40 3-460 V 525 84 telemetry 230 permanent
Bear Branch Pump 300 Bear Branch Trail
2 Station Reidsville,NC 27320 Gorman-Rupp(4) 40 3-460 V 500 232 telemetry 200 permanent
560 County Home Rd.
3 RCC Pump Station Reidsville,NC 27320 Gorman-Rupp(2) 15 3-460 V 125 88 telemetry 60 portable
School Center Pump 335 County Home Rd.
4 Station(Armory A&E) Reidsville,NC 27320 Gorman-Rupp(2) 15 3-230 V 200 63 telemetry 60 permanent
182 High School Rd.
5 Middle/High School PS Reidsville,NC 27320 Gorman-Rupp(2) 15 3-230 V 180 72 Scada/telemerty 60 portable
Wentworth Pump 180 High School Rd.
6 Station(@High School Reidsville,NC 27320 Gorman-Rupp(4) 15 3-230 V 200 124 scada 60 permanent
111 Wilson Way Rd.
7 DMV Pump Station Reidsville,NC 27320 Myers(2) 2 3-460 V 20 26 telemetry plug for portable
Wentworth Elementary 8806 NC-87
8 PS (New Wentworth Reidsville,NC 27320 Gorman-Rupp(2) 5 3-230 V 80 26 Scada/telemerty plug for portable
Sunflower Rd.Pump 206 Sunflower Rd.
9 Station Reidsville,NC 27320 Keen(2) 7.5 3-230 V 80 105 scads portable

,
EXPENDITURES - Department Requested Budget Report
Budget Object 2021/22 2022/23 2023/24 2023/24 2023/24 2024/25
and Description Actuals Actuals Original Adjusted 10-April Department Comments
YTD Request
510-Water-Sewer Enterprise Fund
51 -Utilities
5120 -Sewer
4611010-Regular 0 0 15,638 15,638 11,578 16,162
Salaries
Per Salary Forecast 16,162
4612110-Health 0 0 3,968 3,968 2,934 3,968
Insurance
Per Salary Forecast 3,968
4612210-FICA 0 0 1,197 1,197 837 1,236
Per Salary Forecast 1,236
4612310-Regular 0 0 2,017 2,017 1,496 2,206
Retire
Per Salary Forecast 2,206
4612410- 0 0 91 91 91 91
Unemployment
Per Salary Forecast 91
4612510-Workers' 0 0 21 21 21 106
Compensation
Per Salary Forecast 106
4623010- 0 0 26,000 10,206 9,295 26,000
Professional Services
Engineering contract half$26,000 26,000
4623040-Prof Svc- 0 0 0 152,250 0
DEQ AIA Grant
4624010-Utility 0 0 26,000 26,000 23,001 35,000
Services
Sewer pump station telephone lines paid on the main phone system 35,000
bill,half Scada Modem line#2, Armory Pump station,Century Link
Fisher Creek and Kalo Foods,Duke Energy,Energy United,
Duke Energy $25,000.00
Energy United $4000.00
AT&T $4000.00
Century Link $2000.00
*Increase for new equipment coming online*
4624011 -Water/ 0 0 230,000 190,000 152,198 230,000
sewer/gas
Apr 29,2024 1 10:43:51 AM

EXPENDITURES - Department Requested Budget Report
Budget Object 2021/22 2022/23 2023/24 2023/24 2023/24 2024/25
and Description Actuals Actuals Original Adjusted 10-April Department Comments
YTD Request
Town of Madison(1)bill- $14,600 230,000
City of Eden$215,000
Dan River Sunflower Road$400
4624030-Serv.Maint. 0 0 113,409 104,436 59,214 89,000
Contracts
Envirolink-for heavy cleaning 15,000 ft of sewer main 45,000
lines and CCTV,Smoke testing, 10 lateral sewer lines
cleaning,Road Traffic Safety. The pipes will then be
visually inspected using a closed-circuit television system,
including a color,pan tilt camera coupled with a personal computer
equip with a digital video recorder and inspection reporting
software. Each pipe will be inspected to evaluate its overall
condition,connectivity and to identify specific defects. Town of
Madison is currently jetting/cleaning sewer mains but are limited to
providing this service to us due to short staff. NCDEQ requires that
County's maintains at least 10%of their sewer lines each year.
Nixon-Generator preventative maint contract 14 generators$9200 44,000
Norfield-half$250
NC811 -half$420
Customer Billing(CUSI)half-$4050
Carbon Fuels(polishing fuel for generators)-$14,000
Tredway-$10,020 pump stations
Funds for contractor to mow outfalls-$6,060
4624031 - 0 0 118,000 117,950 97,275 133,265
Service/Maint.-O&M
Environ Link(half)$95,000 133,265
Pay for repairs,materials p/m,on 17 stations$38,265
4625010-Postage 0 0 1,200 1,200 960 1,200
Cost to bill customers and flyers and brochures required mailing 1,200
4625020-General 0 0 6,866 6,866 6,866 8,280
Insurance
GENERAL INSURANCE 8,280
4625030- 0 0 12,000 12,000 8,498 14,000
Communications
Missions Communications for 19 stations 14,000
4625065-Dues 0 0 1,800 1,800 2,730 1,800
WPCSOCC Eric Thompson,Ronnie Tate, 1,800
$450 and NCDENR Permit Collection System$1,350.00
4625085-Staff 0 0 500 500 0 500
Training
Ronnie Tate&Eric Thompson Continuing Education$500 500
4626010-General 0 0 1,000 1,000 676 1,000
Supplies
Toshiba copier charges,central printing orders,forms for billing or 1,000
Apr 29,2024 2 10:43:51 AM

EXPENDITURES - Department Requested Budget Report
Budget Object 2021/22 2022/23 2023/24 2023/24 2023/24 2024/25
and Description Actuals Actuals Original Adjusted 10-April Department Comments
YTD Request
items needed from IT for Sewer,half office supplies for water/sewer
billing
4626025-Fuel 0 0 4,500 4,500 1,638 5,000
Fuel for 19 generators 5,000
Fuel increases
4626090-Misc. 0 0 150 150 0 150
Supplies
Fire ext.Inspection-$150 150
4629900-Reserve 0 0 59,089 59,089 0 75,723
Contribution
To balance budget 75,723
4657015-Capitalized 0 0 13,500 13,500 0 13,500
Capital
3 sewer taps 13,500
4657060-Capitalized 0 0 0 11,734 11,733
Capital-SBITAs
4729705-Principal 0 0 35,945 35,945 35,944
4729706-Principal- 0 0 0 0 5
Lease
4729707-Principal- 0 0 0 2,517 2,517 4,253
SBITAs
Core&Main 4,253
Subscription Princ
4729710-Interest 0 0 1,438 1,438 1,438
4729712-Interest- 0 0 0 0 0 408
SBITAs
Core&Main 408
Subscription Inter
TOTAL-5120-Sewer 0 0 674,329 776,013 430,945 662,848
Apr 29,2024 3 10:43:51 AM

EXPENDITURES - Department Requested Budget Report
Budget Object 2021/22 2022/23 2023/24 2023/24 2023/24 2024/25
and Description Actuals Actuals Original Adjusted 10-April Department Comments
YTD Request
51 -TOTAL 0 0 674,329 776,013 430,945 662,848
Apr 29,2024 4 10:43:51 AM

Capital Improvements Plan April 2024
Rockingham County Infrastructure Projects Identified to Support Maintenance & Growth Strategies
Summary of Designated Projects
Priority Water&Wastewater Infrastructure High Priority Projects
Project Name Cost Comments
1 1-73 Sewer Capacity Improvements(2.0 MGD Capacity) $24,000,000.00 Upgrade for County stations to account for new development(current)
1 Mayodan Wastewater Capacity Purchase for 1.25 MGD $7,500,000.00 Capacity purchase to Mayodan for needed upgrades at the facility
1 Mayodan Influent Pump Station at WWTP $1,600,000.00 Upgrade existing influent pumps to meet NCDEQ Design standards
1 Hogan's Creek Booster Pump Station Replacement $1,791,500.00 Upgrade for County system to supply increased flow capacity(current)
1 Fishing Creek Pump Station Relocation from Flooding $1,725,000.00 Flood prone station relocation,funded by NCDEQ
1 Booster Pump Station-Incr. I-73 Capacity(Madison) $1,250,000.00 Upgrade for Town system to supply increased flow capacity(current)
1 Booster Pump Improvements along US 220 $4,000,000.00 Upgrade for County stations to maintain flow&pressure (current)
2 Replace Existing 16"Water Main along US 220 $1,200,000.00 1Replacement project in area that has experienced multiple breaks
$43,066,500.00
Misc. Capital Projects- Water Extensions
2a Water Transmission Main-Through Madison $3,250,000.00 Sys. improvements to support water supply transmission from Madison
2a Mayodan Water Plant-Plate Settlers $1,500,000.00 Improvements to support capacity for US 220 water system
3 Lemons Road Water Main Extension $1,400,000.00 Project to support designated growth area-planning report
3 Boone Road Water Main Extension $700,000.00 Project to support designated growth area-planning rep.
Misc. Capital Projects-Sewer Extensions
2 Mebane Bridge Force Main Relocation r $1,300,000.00 NCDOT is currently completing this at no cost to Count
3 Corporate Park Sewer Outfall to Boone Road ': $600,000.00 Project to support designated growth area-planning report
,H.
3 Corporate Park Gravity Sewer-North Property $800,000.00 Project to support designated growth area-planning report
3 Madison-Sewer Provision across US 220 at NC 704 $2,900,000.00 Project to support development of US 220/NC 704 Exit
3 Sardis Church Road Sanitary Sewer Improvements $3,500,000.00 Project to support designated growth area-planning report
Longer Range Wastewater Treatment Options-Planning Period beyond 5-10 Years
LR-2 Regional WWTP Upgrade(Add 3.0 MGD for FUTURE Capacity) $28,000,000.00 Options-Mayodan WWTP Upgrade or New Facility
Longer-Range Water Supply Projects-Planning Period beyond 5-10 Years
LR-1 Madison Water Treatment Plant Upgrade-Add'I Capacity $13,500,000.00 $8,350,000 funded in NC State Budget NCDEQ
LR-2 Booster Pump Station&Chioramination US 158 $4,000,000.00 This project will require operational understanding/discussion

ROCKINGHAM COUNTY
PROCEDURES FOR CLEANUP AND REPORTING OF SEWAGE SPILLS
PURPOSE:
To protect the Citizens of Rockingham County,North Carolina, and the environment by
ensuring a timely and thorough response to Sanitary Sewer Overflows(SSOs).
SCOPE:
This procedure applies to the operators of the Rockingham County collections system that,in
the course of their work may deal with SSOs. At a minimum,these procedures will be
reviewed on an annual basis or whenever revised guidance from state or federal authorities
dictate a revision is necessary.
REFERENCES:
A. 40 Code of Federal Regulations (CFR)Part 122-124. The Clean Water Act, 1969.
B. North Carolina General Statute 143.215.1
C. Title 15A,North Carolina Administrative Code, Subchapter 2H .0100-.0200
D. NC-DEQ Wastewater Collection System Permit#WQCS00364.
RESPONSE TIME REQUIREMENTS:
Utility Outage or Spill Response Time: Upon notification of a spill or utility outage in the
cantonment area, Envirolink,Inc. shall respond and take action to safeguard life and the
property during business hours and non-business hours. With the ORCs both residing locally,
the expected worse-case response time is estimated to be one hour.
PROCEDURE:
The following procedure should be followed upon notification of a sewage spill of 1000
gallons or more,or any spill in which wastewater reaches the surface waters of the State
(Note: Conveyances such as drainage ditches and storm sewers are considered waters
of the State). Discharges of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a press release within 48 hours of first knowledge to the Newspaper.
Discharges of 15,000 gallons or more of untreated wastewater to surface waters shall
publish a certified public notice within 10 days and proof shall be provided to the
Division within 30 days.All other spills less than 1,000 gallons and are not to NC
Surface Waters will be cleaned up to NC DEQ standards,but will not be reported to
NC DEQ as a Reportable Spill.
REPORTING SSOs:
Before any SSO is reported to the State, the ORC or the Backup ORC must visit and evaluate
the spill site within 24 hours. Once the spill site has been evaluated by the ORC or the Backup
ORC,the responsible person should discuss the spill, determine estimated volumes and causes
before calling the Division within the 24-hour time frame.
Containment

Upon learning of such an occurrence, the first priority shall be to assess the situation and
mobilize resources necessary to remove the blockage, contain the SSO, and stabilize the
overflow condition to the max extreme. If someone other than the ORC or BORC
identifies an SSO prior to the ORC, notification should be sent to the ORC
immediately.As soon as the extent of the SSO has been determined, a containment berm or
a dam should be established at the lower edge of the SSO or at an area that meets the needs
of containment and clean up operations. The containment dam should be large enough to
prevent breaching in dry weather conditions.
Force Main or Inaccessible Gravity Sewer Spill
In the event a spill occurs at a pump station with no bypass capability or at a force main or
gravity sewer where no access to a dump point exists,pump and haul or bypass operations
will be considered. Where pump and haul operations are deemed the best solution, sewer
will be collected from the closest tanker access point for continuous loading operations while
causing minimum environmental damage. Consideration should be made for traffic control,
noise, access, etc.
24 hour Pump Service Providers&Repair
1. Gopher Utilities Phone# [phone]
2. City Plumbing Phone# [phone]
3. Charles Underwood Phone# [phone]
24 hour Pump and Haul Tanker Services
1. Gopher Utilities Phone# [phone]
2. Envirolink, Inc. Phone#[phone]
3. Gann Bros Phone#[phone]
**See attached Pump and Haul Record Form-Complete for each load
SSO affecting Waters of the State
1. Take conductivity and dissolved oxygen readings of the receiving stream to determine the
proper placement of a dam within the intervals on the Conductivity Readings Form.
While taking the conductivity readings, be sure to notate them on the Spill&
Conductivity Reporting Form. The dam needs to be constructed near a manhole or at a
location which is accessible to the jet/vacuum truck. Placement of the dam should be at a
point where the lowest conductivity reading is measured.
2. Build the dam using dirt that is capable of handling creek and hydrant flow without
breaching during dry weather conditions. Position two pumps at the dam capable of
handling creek and hydrant flow with one pump in use and the second as backup. Have a
backhoe at the site with additional material at all times so that the earthen dam can be
rebuilt if a breach does occur. Pump SSO release from the dam into the manhole.
3. Put up warning tape,"Danger Do Not Enter" from the SSO site to the pump site on both
sides of the creek in populated areas. In unpopulated areas restrict access where there is
any chance of human contact with the SSO.
4. Flush the stream with de-chlorinated water from a sufficient number of hydrants to
remove the waste product from the creek. Continue to pump and flush the stream until

the conductivity measurements or readings are equivalent to upstream receiving stream or
hydrant water conductivity readings,whichever is higher. Make sure that all readings
taken during cleanup are recorded on the Spill& Conductivity Reporting Form and
taken within the intervals on the form.
5. If there is rip-rap in the creek,wash down with high water pressure until there is no
noticeable waste residue remaining on or within the rip-rap structure.
6. If the creek flows into a body of water used for recreation and/or drinking water supply,
notify the affected officials as soon as possible.
7. Continue periodic monitoring of conductivity and Dissolved Oxygen readings. All
additional readings should be notated on the Spill and Conductivity Reporting Form.
Take an upstream and downstream fecal coliform every 24 hours as needed until the
waterway is restored to pre-event condition.
SSO not reaching Waters of the State
1. In open areas spread powdered lime heavily over the spill site,till into the ground
and then repeat the procedure again but not within 24 hours of predicted rain fall
event. Seed the disturbed area and place straw over the tilled area. Soil may need to
be removed and replaced with clean fill material for a large spill where the ground has
become saturated.
SSO REPORTING PROCEDURES
1. Upon discovery of a possible SSO,notify the Collection System ORC or Back up
ORC
Charles Hornback(ORC) Cell#336-635-8159
Alvis Pike(BORC) Cell#252-235-7933
Todd Robinson(Envirolink, Inc.Area Manager) Cell#252-235-8809
Madelyn Mills (Envirolink,Inc. Compliance) Phone#[phone]
2. The ORC/Backup ORC should be notified immediately so they have an opportunity to
visually see the spill. This will allow the ORC/Backup ORC to provide better estimated
volumes. The ORC or the Backup ORC is also required by the Collection System
Permit to visit the spill site.
3. The individuals listed above will be the Point of Contact between Rockingham County
and the NC-DEQ or the Division of Emergency Management on SSO matters. These
individuals will report overflows from any sewer line or pump station, or the bypass of
any wastewater treatment system or any component thereof. If Media communications
become apparent,the Town Manager will be the POC for all Media questions.
4. Reportable spills must be called into the NC-DEQ Winston-Salem Regional Office
(336-776-9800)within 24 hours of first knowledge of discharge. Document on the
Spill Report Form the date,time, incident number and person contacted.
5. During weekends and holidays when DEQ cannot be reached,The Division of
Emergency Management will be called at 1-800-858-0368,providing the information
requested. Document on the Spill Report Form the date,time, and person contacted.
Upon arriving to work after the weekend or a holiday, a representative of the Winston-
Salem Regional office should be contacted to receive the incident number for the
reported spill, at(336) 776-9800.

6. The Area Manager or Compliance Coordinator must fill out the State approved Sanitary
Sewer Overflow Form after gathering necessary information about the spill from the
ORC/BORC. A legible copy will be emailed within five(5)days to NC-DEQ,Winston-
Salem Regional office. If the Compliance Coordinator is unavailable,the ORC will
ensure that the necessary paperwork is completed. Records of spills, including those that
are not required to be reported will be maintained for at least three(3)years and will be
made available to NC-DEQ staff upon request.
AVAILABLE MATERIALS FOR SSO
Transducer Emergency Floats
Voltage Analyzer Lime, Straw, Soil, Gravel
Mini Excavator Bobcat Skid Steer
(2) Dump Trucks
Water Quality Stream Monitoring Devices
Dissolved Oxygen/pH/Conductivity Meter
SSO TELEPHONE CONTACT NUMBERS
NC DEQ (Winston-Salem Regional Office) 336-776-9800
NC Division of Emergency Management 1-800-858-0368
Envirolink, Inc. 252-235-4900
Rockingham County Public Utilities 336-342-8100
Charles Homback, ORC 336-635-8159
Alvis Pike, BORC 252-235-7933
Todd Robinson,Area Manager 252-235-8809
Madelyn Mills, Compliance Coordinator 984-365-9160
Ronnie Tate, Rockingham County Public Utilities 336-342-8104
Ashley Herndon, Rockingham County Public Utilities 336-342-8371

Further resources on SSO reporting procedures can be found at:
https://www.deq.nc.gov/aboutldivisions/water-resources/permitting/municipal-npdes-
pretreatment-and-collection-system/collection-systems/information-sewer-system-overflows
WASTEWATER SPILL REPORTED AT THE ROCKINGHAM COUNTY
Rockingham County, NC, October x, 2007 —Rockingham County's wastewater collection
system experienced a wastewater overflow on Monday,October 2,at approximately_p.m.According
to Envirolink,the spill of an estimated 2,000 gallons occurred when a contractor working on
Street struck a force main carrying the wastewater,which flowed into a storm drain. The incident lasted
for approximately_hours.
The company found no evidence that the spill impacted surface water in the Tar River Basin. However,as
of Water Qualityon October 3.The agency is reviewing
aired Envirolink notified the state Division
q g Y
the matter.
Envirolink operates the Rockingham County's wastewater system,providing service to the Town. This
notice is required by North Carolina General Statutes Article 21 Chapter 143.215.0
Example-Notice of Sewer Spill

Spill and Conductivity Rcportin2 Form
Location of Spill:
Time of Spill: AM or PM Date of Spill:
Time of Clearing Spill: AM or PM Date of Clearing Spill:
Cause of Spill:
Did spill reach surface water?: Time ORC was notified:
Conductivity/DO Readings
Initial DO Initial 2nd 2nd 3rd 3rd
Conductivity DO Conductivity DO Conductivity
Entry Point
Time Recd.
50'
Downstream
Time Recd.
100'
Downstream
Time Recd.
150'
Downstream
Time Recd.

200'
Downstream
Time Recd.
250'
Downstream
Time Recd.
**Note: 2nd and 3rd readings are to be taken during cleanup.
**More readings may be necessary depending upon the size of the spill and the time period in
which the stream is being flushed to maintain water quality.
Pump and Haul Record
Date: Page_of
Tanker Tanker Drivers License Destination Time
Company Capacity Name Plate# Loaded
1

ATA
MbENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
October 6, 2014
To: Owners or Operators of Wastewater Treatment or Collection Systems
From: Deborah Gore, Supervisor,PERCS Unit
Subject: Reporting Requirements
Senate Bill 729 ratified by the North Carolina General Assembly on August 20th, 2014 and effective
September 20th, 2014 revised reporting requirements for entities that own or operate wastewater
treatment and collection systems. This letter is provided as guidance to assist you in meeting the
revised reporting requirements. This letter also replaces and supersedes the October 19th, 1999
reporting memo issued by the Division of Water Resources(Division).
G.S. a 143-215.1C : Report system
performance.to wastewater s stem customers on
( � P Y
No changes were made to this reporting requirement. An annual report for wastewater collection
systems or treatment works is still required for systems that have an average annual flow greater
than 200,000 gallons per day. Additional information related to the annual report can be found on
the Division's website.
G.S. 143-215.1C(a1): Report discharge of untreated wastewater to the Department.
This section was added and requires the owner or operator of any wastewater collection or treatment
works to report a discharge of 1,000 gallons or more of untreated wastewater to the surface waters
of the State to the Department as soon as practicable, but no later than 24 hours after the owner or
operator has determined that the discharge has reached the surface waters.
Note that all System-Wide Collection System permits (both deemed and permitted systems), as per
G.S. 143-215.9B are required to report a discharge to the Division of Water Resources no later than
24 hours following first knowledge of the occurrence of either of the following:
• Any SSO and/or spill over 1,000 gallons or greater to the ground surface
• Any SSO and/or spill,regardless of volume that reaches the surface water
The Division will continue to utilize this more stringent reporting requirement in accordance with
15A NCAC 02T .0113(c) & 15A NCAC 02B.0506 and the applicable individual system-wide•
collection system permit condition.
Owners or operators of any wastewater collection or treatment works not permitted under the
System-Wide Collection System program must continue to report per any existing permit
requirements.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Phone:[phone] Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

G.S. 143-215.1C(b)(1): Publication of Notice of Discharge of Untreated Wastewater
This section was modified to require issuance of a press release 24 hours (originally 48 hours) after
the owner or operator has determined that the discharge has reached surface waters of the State.
This applies to a discharge of 1,000 gallons or more of untreated wastewater to the surface waters of
the State. No other modifications were made. For these situations,the owner or operator must:
• Issue a press release to all print and electronic news media that provide general coverage in
the county where discharge occurred
• Set out details of the discharge
• Issue the press release within 24 hours after it has been determined the discharge has
reached the surface waters of the State
• Retain a copy of the press release and a list of the news media it was sent to for at least one
year
• Make the release available to the public upon request
U.S. 143-215.1 C(b)(2): Publication of Notice of Discharge of Untreated Wastewater
This section was not modified by Senate Bill 729, however the October 19, 1999 memo issued by
the Division allowed the owner or operator to notify the county in which the discharge occurred and
the county immediately downstream for discharges less than 1,000,000 gallons.
Effective September 20th, 2014, the Division will require owners or operators to adhere to a more
stringent interpretation of the general statute. In the event of a discharge of 15,000 gallons or more
of untreated wastewater to surface waters of the State,the owner or operator must:
• 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 Secretary (or delegated authority) 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.
• Publish within 10 days after the Secretary (or delegated authority) has determined the
counties that are affected by the discharge and approved the notice and newspapers in which
the notice is to be published.
• File a copy of the notice and proof of publication with the Division within 30 days after the
notice is published.
• In addition to the Notice,requires a press release per subdivision(1)of this subsection.
U.S. 143-215.1C(c)(1) & (c)(2): Publication of Notice of Discharge of Untreated Wastewater
These sections, applicable to the owner or operator of a non-municipal, non-domestic wastewater
collection or treatment works,were modified in the same manner as G.S. 143-215.1C (b) (1) and (b)
(2), above and the same notification procedures are required.

Press Release Format
General Statute 143-215.1C requires that the owner or operator of any wastewater collection or
treatment works to issue a press release when an untreated wastewater discharge of 1,000 gallons or
more reaches surface waters.
In accordance with that regulation, the following news release has been prepared and issued to
media in the affected county:
The (Utility, Municipality, District, etc.) had a discharge of untreated wastewater on (date) of an
estimated (amount) gallons at (location). The untreated wastewater was discharged into (creek,
river,unnamed tributary) in the (Name) River Basin.
The Division of Water Resources was notified of the event on (date) and is reviewing the matter.
For more information contact(Utility,Municipality,District,etc.)at(Phone Number).
Example Press Release:
Notification of Discharge of Untreated Wastewater
General Statute 143-215.1C requires that the owner or operator of any wastewater collection or
treatment works to issue a press release when an untreated wastewater discharge of 1,000 gallons or
more reaches surface waters.
In accordance with that regulation, the following news release has been prepared and issued to
media in the affected county(ies):
The Town of Greenwood Valley had a discharge of untreated wastewater on July 1, 2014 of an
estimated 15,000 gallons at Pump Station # 1, located near the intersection of First Street and
Broadway Boulevard. The untreated wastewater was discharged into Turner's Creek in the
Savannah River Basin.
The Division of Water Resources was notified of the event on July 1, 2014 and is reviewing the
matter. For more information contact the Town of Greenwood Valley at(754) 833-9276.

Public Notice Format
Minimum content for public notice:
• Caption must be: "Notice of Discharge of Untreated Sewage"
• Name of the facility(treatment facility,collection system component,outfall, etc.)
• Location of discharge
• Estimated volume of untreated wastewater discharged to surface water
• Time and date discharge occurred
• Duration of discharge
• Water body that was discharged into
• Action taken to prevent further discharge
• Contact person and phone number
NOTICE OF DISCHARGED OF UNTREATED SEWAGE
The (Utility, Municipality, District, etc.) had a discharge of untreated wastewater from our
(collection system,treatment facility,pump station, etc.) located at street/highway of approximately
(amount) gallons. The discharge occurred on (date) for approximately (amount) hours. The
untreated wastewater entered into (creek, river,unnamed tributary) in the (Name)River Basin. The
(list action taken) to prevent further discharge. This notice was required by North Carolina General
Statutes Article 21, Chapter 143.215C. For more information contact (Name, Title) at (Phone
Number).
Example Public Notice:
NOTICE OF DISCHARGED OF UNTREATED SEWAGE
The Town of Greenwood Valley had a discharge of untreated wastewater from our wastewater
collection system at Pump Station # 1 located at the intersection of First Street and Broadway
Boulevard of approximately 15,000 gallons. The discharge occurred on July 1, 2014 for
approximately 5 hours. The untreated wastewater entered into Tuner's Creek in the Savannah River
Basin. The pump station was repaired and placed back into serve by replacement of a pump to
prevent further discharge. This notice was required by North Carolina General Statutes Article 21,
Chapter 143.215C. For more information contact John Doe, Public Information Officer at (754)
833-9276.

State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Division_of Wat °'- 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: (WQCS#if active,otherwise use WQCSD#)
Facility: Incident#: Owner:
Region: City: County:
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.):
Manhole#:
Latitude(degrees/minute/second): Longitude(degrees/minute/second):
Incident Started Dt: Time: Incident End Dt: Time:
(mm-dd-yyyy) (hh:mm)AM/PM (mm-dd-yyyy) (hh:mm)AM/PM
Estimated volume of the SSO: gallons Estimated Duration (round to nearest hour): hour(s)
Describe how the volume was determined:
Weather conditions during the SSO event:
Did the SSO reach surface waters? ❑ Yes ❑ No ❑ Unknown
Volume reaching surface waters: gallons Surface water name:
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 ['Roots ❑Inflow&Infiltration
['Pump Station Equipment Failure ❑ Power Outage ['Vandalism ❑ Debris in line ['Pipe Failure(Break)
['Other(Please explain in Part II)
24-hour verbal notification (name of person contacted):
❑DWR ['Emergency Management Date(mm-dd-yyy): Time: (hh:mm AM/PM):
Per G.S. 143-215.1C(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.
WHETHER OF NOT PART II IS COMPLETED,A SIGNATURE IS REQUIRED SEE PAGE 13
Form CS-SSO Page 1

In order to submit a claim for justification of an SSO,you must use Part II of form CS-SSO with additional documentation as
necessary. DWR staff will review the justification claim and determine if enforcement action is appropriate.
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 HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Form CS-SSO
Page 2

Severe Natural Conditions (hurricane, tornado,et )
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:
Form CS-SSO Page 3

Grease (Documentation such as cleaning, inspection, enforcement actions, past overflow reports, educational
material and distribution date, etc. should be available upon request.)
When was the last time this specific line(or wet well)was cleaned?
Do you have an enforceable grease ordinance that requires new or retrofit of
grease traps/interceptors? ❑Yes ❑ No ❑ NA ❑NE
Have there been recent inspection and/or enforcement actions taken on near-
by restaurants or other nonresidential grease contributors? ❑ Yes ❑ No DNA ❑ NE
Explain:
Have there been other SSOs or blockages in this areas that were also caused
by grease ❑ Yes ❑ No DNA ❑ NE
When?
If yes, describe them:
Have cleaning and inspections ever been done at this location? ❑ Yes ❑ No DNA ❑ NE
Explain.
Have educational material about grease been distributed in the past? ❑ Yes ❑ No ❑NA El NE
When:
and to whom:
Explain:
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 DNA ❑ NE
Comments:
Form CS-SSO Page 4

Roots
Do you have an active root control program on the line/area in question? ❑ Yes ❑ No ❑NA ❑ NE
Describe:
Have cleaning and inspections ever been increased at this location because
of roots? ❑ Yes ❑ No ❑NA ❑ NE
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? ❑ Yes ❑ No ❑NA ❑ NE
If Yes,when?
Comments:
Form CS-SSO Page 5

Inflow and Infiltration
Are you under an SOC(Special Order by Consent)or do you have a schedule ❑ Yes ❑ No DNA ❑ NE
in any permit that addresses I/I?
Explain if Yes:
What corrective actions have been taken to reduce or eliminate I&I related overflows this spill location
within the last year?
Has there been any flow studies to determine I/I problems in the ❑ Yes ❑ No DNA ❑ NE
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? ❑ Yes ❑ No DNA ❑ NE
If Yes,when and what actions are necessary and the status of such actions:
Are there I/I related projects in your Capital Improvement Plan? ❑ Yes ❑ No DNA ❑ NE
If Yes,explain:
Have there been any grant or loan applications for I/I reduction projects? ❑ Yes ❑ No DNA ❑ NE
If Yes,explain:
Do you suspect any major sources of inflow or cross connections ❑ Yes ❑ No DNA ❑ NE
with storm sewers?
If Yes,explain:
Have all lines contacting surface waters in the SSO location and upstream ❑ Yes ❑ No DNA ❑ NE
been inspected recently?
If Yes, explain:
What other corrective actions are planned to prevent future I/1 related SSOs at this location?
Comments:
Form CS-SSO Page 6

Pump Station Equipment Failure (Documentation of testing records, etc should 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
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? ❑ Yes ❑ No DNA ❑ NE
In no,explain:
If a pump failed,when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
If a valve failed,when was it last exercised?
Were all pumps set to alternate? ❑ Yes ❑ No DNA ❑ NE
Did any pump show above normal run times prior to and during the SSO event? ❑ Yes ❑ No ❑NA ❑ NE
Were adequate spare parts on hand to fix the equipment ❑ Yes ❑ No ❑NA ❑ NE
Was a spare or portable pump immediately available? ❑ Yes ❑ No DNA ❑ NE
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:
Form CS-SSO Page 7

Power outage (Documentation of testing, records,tec., should be provided of alternative power source upon
request.)
What is your alternate power or pumping source?
Did it function properly? ❑ Yes ❑ No ❑NA ❑ NE
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:
Form CS-SSO Page 8

Vandalism
Provide police report number:
Was the site secured? ❑ Yes ❑ No ❑NA ❑ NE
If Yes,how?
Have there been previous problems with vandalism at the SSO location?
If Yes,explain:
What security measures have been put in place to prevent similar ❑ Yes ❑ No ❑NA ❑ NE
occurrences in the future?
Comments:
Form CS-SSO Page 9

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:
Are manholes in the area secure and intact? ❑ Yes ❑ No ❑NA ❑ NE
When was the area last checked/cleaned?
Have cleaning and inspections ever been increased at this location ❑ Yes ❑ No ❑NA ❑ NE
due to previous problems with debris?
Explain:
Are appropriate educational materials being developed and distributed ❑ Yes ❑ No ❑NA ❑ NE
to prevent future similar occurrences?
Comments:
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? ❑ Yes ❑ No ❑NA ❑ NE
If Yes,explain:
If the problem could not be immediately repaired,what actions ❑ Yes ❑ No ❑NA ❑ NE
were taken to lessen the impact of the SSO?
Comments:
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? ❑ Yes ❑ No ❑NA ❑ NE
Is this a force main line? ❑ Yes ❑ No DNA ❑ NE
Is the line a"High Priority"line? ❑ Yes ❑ No DNA ❑ NE
Last inspection date and findings
If a force main then,
Was the break on the force main vertical? ❑ Yes ❑ No DNA ❑ NE
Was the break on the force main horizontal? ❑ Yes ❑ No DNA ❑ NE
Was the leak at the joint due to gasket failure? ❑ Yes ❑ No DNA ❑ NE
Was the leak at the joint due to split bell? ❑ Yes ❑ No DNA ❑ 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 DNA ❑ 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 DNA ❑ NE
If so,then describe
Form CS-SSO Page 12

System Visitation
ORC ❑ Yes
Backup ❑ Yes
Name:
Certification Number:
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 the
best of my knowledge.
Person submitting claim: Date:
Signature: Title:
Telephone Number:
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

Rockingham County
Pump Station Contingency Plan RECEIVED
Permit # WQCS00364 MAY O 2024
NCDEQ/DWR/NPDES
1. 15 Duplex lift stations
• 5 mutter phase 1 pumps in inventory at Public Works shop.
• Town of Norwood staff pull pumps and send to Randall Supply in
Monroe, NC.
• Town owns a portable 4" pump for emergency pumping.
• 11 onsite generators & 1 portable generator at Public Works shop.
• Spare parts located at Public Works shop or ordered online/in-
store.
2. 50 Single home simplex lift stations
• 11-12 brand new simplex pumps at Public Works shop.
• 7-8 Refurbished simplex pumps at Public Works shop.
• Town of Norwood Public Works pull pumps and work on the
pumps.
• Spare parts located at Public Works shop or ordered online/in-
store.
3. Contractors:
• Gopher Utilities - Edwin Mullis [phone]
• Underwood
• Charles Underwood [phone]
• Russell Underwood [phone]
• Randall Supply Inc. [phone]

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