WQCS00055_CPA Folder_DV-2024-0081_20240731

Docusign Envelope ID: B91362A2-21E5-41BAE-9135F-FE1B4E7A57E1
DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT
Violator: City of Henderson (Incident# 202400660)
Facility Name: Henderson Collection System
Permit Number: WQCS00055
County: Vance
Case Number: DV-2024-0081
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private
property resulting from the violation;
A total of 4,800 gallons of wastewater overflowed from the Henderson Collection System due to debris in line. 4800
gallons of wastewater flowed to Red Bud Creek (classification C;NSW) in the Tar -Pamlico River Basin. Nutrients and
pathogens to surface waters.
2) The duration and gravity of the violation;
The SSO started on March 16, 2024, at 06:30 pm. The incident ended on the same day at 08:30 pm.
3) The effect on ground or surface water quantity or quality or on air quality;
The effect on surface water quality includes nutricnts and pathogens to surface waters.
4) The cost of rectifying the damage;
The cost of rectifying the damage was not provided.
5) The amount of money saved by noncompliance;
It is believed that no money was saved by the noncompliance.
6) Whether the violation was committed willfully or intentionally;
It does not appear that the violation was committed willfully or intentionally.
7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority;
There has been one (1) penalty assessment issued within the past 12 months to the permittee for violations of the
Henderson collection system permit.
8) The cost to the State of the enforcement procedures.
$95.36
7/31/2024
Date
DoeuSigned by
A�7ARddf:FOFR
John Hennessy, Section Chief
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ

Docusign Envelope ID: B91362A2-21E5-4BAE-9B5F-FE1B4E7A57E1
DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT
Violator: City of Henderson (Incident# 202400722)
Facility Name: Henderson Collection System
Permit Number: WOCS00055
County: Vance
Case Number: DV-2024-0081
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private
property resulting from the violation;
A total of 7,500 gallons of wastewater overflowed from the Henderson Collection System due to debris in line. 7,500
gallons of wastewater flowed to Sandy Creek (classification C;NSW;+) in the Tar -Pamlico River Basin. Nutrients and
pathogens to surface waters.
2) The duration and gravity of the violation;
The SSO started on March 38, 2024, at 02:30 am. The time the incident ended is unknown due to a five-day report with this
information not being submitted.
3) The effect on ground or surface water quantity or quality or on air quality;
The effect on surface water quality includes nutrients and pathogens to surface waters.
4) The cost of rectifying the damage;
The cost of rectifying the damage was not provided.
5) The amount of money saved by noncompliance;
It is believed that no money was saved by the noncompliance.
6) Whether the violation was committed willfully or intentionally;
It does not appear that the violation was committed willfully or intentionally.
7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority;
There has been one (1) penalty assessment issued within the past 12 months to the permittee for violations of the
Henderson collection system permit.
8) The cost to the State of the enforcement procedures.
$95.36
7/31/2024
Date
DmuSigned by:
AAr'PQ PA
John Hennessy, Section Chief
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ

Docusign Envelope ID: B91362A2-21 E5-4BAE-9B5F-FE1 B4E7A57E1
ROY COOPER
(;-erhor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Certified Mail # 7017 0190 0000 2485 8954
Return Receipt Requested
Terrell Blackmon, City Engineer
City of Henderson
PO Box 1434
Henderson, NC 27536-1434
NORTH CAROLINA
Environmental Quality
7/31/2024
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and Collection System Permit No. WQCS00055
City of Henderson
Henderson Collection System
Case No. DV-2024-0081
Vance County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $845.36 ($750.00 civil penalty +
$95.36 enforcement costs) against City of Henderson.
This assessment is based upon the following facts: a review has been conducted of the Sanitary Sewer Overflow (SSO)
5-Day Report submitted by City of Henderson. This review has shown the subject facility to be in violation of the
requirements found in Collection System Permit No. WQCS00055 and G.S. 143-215.1(a)(1). The violation(s) that occurred
are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that City of Henderson violated the terms, conditions or
requirements of Collection System Permit No. WQCS00055 and G.S. 143-215.1(a)(1) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty maybe assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
D Noun carorna Devarlmcnt offmironmencal Quality lDlNsfongfwaterx wrces
Raleigh Regional OPla 1700P Barrett Dn�e Rakigh. North Carolina 2�60e
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Docusign Envelope ID: B91362A2-21 E5-4BAE-9B5F-FE1 B4E7A57E1
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the
Secretary of the Department of Environmental Quality and the Director of the Division of Water Resources, I, John
Hennessy, Section Chief, Water Quality Regional Operations Section hereby make the following civil penalty assessment
against City of Henderson:
$750.00 For 1 of the 2 violations of Collection System Permit No. WQCS00055 and G.S. 143-215.1(a)(1) for
Sanitary Sewer Overflow(s) resulting in a discharge without a valid permit.
$750.00 TOTAL CIVIL PENALTY
95.36 Enforcement Costs
845.36 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of-
Attn: PERCS Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Docusign Envelope ID: B91362A2-21 E5-4BAE-9B5F-FE1 B4E7A57E1
Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282. I (b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty (30) dgys of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Attn: PERCS Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
/ RIM
Vanessa Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
1628 Mail Service Center, Raleigh
Raleigh, NC 27699-1628

Docusign Envelope ID: B91362A2-21E5-4BAE-9B5F-FE1B4E7A57E1
Option 3: File a petition for an administrative hearine with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document, you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (30) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS §15013-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
6714 Mail Service Center
Raleigh, NC 27699 6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Kevin Fowler with the Division of Water Resources staff of the Raleigh Regional
Office at [phone] or via email at [e-mail].
Sincerely,
C8DxuSigned by:
832B44CE9EB4A1...
John Hennessy, Section Chief
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: Laserfiche

Docusign Envelope ID: B91362A2-21 E5-4BAE-9B5F-FE1 B4E7A57E1
Case Number: DV-2024-0081
JUSTIFICATION FOR REMISSION REQUEST
County: Vance
Assessed Party: City of Henderson
Permit No.: WQCS00055 Amount Assessed: $845.36
Please use this form when requesting remission of this civil penalty. You must also complete the 'Request for Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

Docusign Envelope ID: B91362A2-21 E5-4BAE-9B5F-FE1 B4E7A57E1
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF VANCE
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
City of Henderson )
Henderson Collection System )
PERMIT NO. WQCS00055 ) CASE NO. DV-2024-0081
Having been assessed civil penalties totaling $845.36 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated 7/31/2024 , the undersigned, desiring to seek remission of the civil penalty, does hereby waive
the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the day of , 20
SIGNATURE
ADDRESS
TELEPHONE

Docusign Envelope ID: B91362A2-21E5-4BAE-9B5F-FE1B4E7A57E1
ATTACHMENT A
City of Henderson
CASE NUMBER: DV-2024-0081
PERMIT NO:
FACILITY:
WQCS00055
Henderson Collection System
REGION: Raleigh
COUNTY: Vance
Other Violations
INCIDENT
NUMBER
VIOLATION
DATE VIOLATION TYPE
TOTAL VOLUME
VIOLATION DESCRIPTION (GALLONS)
PENALTY
AMOUNT
202400660
3/16/2024 CSO/SSO(Sewer Overflow)
Discharge without valid permit 4,800
$750.00
202400722
3/28/2024 CSO/SSO(Sewer Overflow)
Discharge without valid permit
$0.00

DocuSign Envelope ID 613195F7F-A777-4785-94D5-AA22FI389311
ROY COOPER
Governor
ELIZABETH S. B15ER
RICHARD E. ROGERS. JR.
Certified Mail # 7017 0190 0000 2486 0582
Return Receipt R uested
Terrell Blackmon, City Engineer
City of Henderson
PO Box 1434
Henderson, NC 27536-1434
NORTH CAROLINA
Environmental Quality
April 09, 2024
SUBJECT; NOTICE OF VIOLATION & INTENT TO ISSUE CIVIL PENALTY
Tracking No.: NOV-2024-DV-0188
Sanitary Sewer Overflows - March 2024
Collection System Permit No. WQCS00055
Henderson Collection System
Vance County
Dear Mr. Blackmon:
A review has been conducted of the self -reported Sanitary Sewer Overflows (SSO's) 5-Day Report/s submitted by
City of Henderson. The Division's Raleigh Regional Office concludes that the City of Henderson violated Permit
Condition I (2) of Permit No. WQCS00055 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 City of Henderson an opportunity to provide evidence and justification
as to why the City of Henderson 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
(Mina)
Location
Cause
(Gals)
(Gals)
DWR Action
202400660
3/16/2024
120
Dr Martin Luther King Jr
Debris in line
4,800
4,800
Notice of Violation
Blvd, Henderson, NC,
Notice of Intent
27537
202400722
3/28/2024
Unknown
482 Rock Mill Road,
Inflow and
7,500
7,500
Notice of Violation
Henderson, NC, 27537
Infiltration, Severe
Natural Condition
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DocuSign Envelope ID: 6B195F7E-A777-47B5-94D5-AA22F7389311
202400666 3/18l2024 20 253 Vance Academy Rd. Debris in Line 60 60 Notice of Deficiency
Henderson, NC, 27537
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.
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 Kevin Fowler with the Water Quality Section in the
Raleigh Regional Office at 919-791-4261 or via email at [e-mail].
Cc: Laserfiche
Sincerely,
DocuSigned by:
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Michael Hall, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
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0� City of Henderson
x Public Works Department
J Post Office Box 1434 •900 S. Beckford Drive
Henderson, NC 27536-1434
Phone: [phone] / Fax: [phone]
May 29, 2024
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
Re: Response to Notice of Violation & Intent to Issue Civil Penalty
Tracking No. — NOV-2024-DV-0188
Sanitary Sewer Overflows T March 2024
Henderson Collection System
Permit No. - WQCS00055
Dear Mr. Vinson:
I am writing in response to the above -mentioned violation that we received on April 22, 2024. The cause
and actions taken for each incident are listed below.
Incident #202400660
The overflow in this incident was due to debris/rags creating a blockage in the sewer main. Crews were
able to unstop the main and pull debris out with the use of a tow behind jetter, cleaning approximately
300 feet of sewer main. We cleaned up debris and placed lime out as needed.
Incident #202400722
The overflow in this incident was due to inflow and infiltration during extended periods of heavy rainfall.
Once the rain event ended, the overflow subsided. Following the overflows, we cleaned debris and
placed lime as needed.
Henderson has hired a consultant, WK Dickson, to assist our efforts in reducing 1/I. With their help the
City of Henderson received and accepted a loan in the amount of $2.5 million and a $5 million grant
from the Clean Water State Revolving Fund for sewer rehabilitation. This project has been named Sandy
Creek Sewer Basin Find -It Fix -It. WK Dickson is working with HG Reynolds, our construction contractor,
on this project. We are using every resource available to stop sewer overflows in our system.
Incident #202400666
The overflow in this incident was due to debris/rags creating a blockage in the sewer main. Crews were
able to unstop the main and pull debris out with the use of a tow behind jetter, cleaning approximately
150 feet of sewer main. We cleaned up debris and placed lime out as needed.
We take our responsibility to maintain compliance for our collection system very seriously. I trust that
you find the City's actions for compliance are satisfactory. Thank you very much for the opportunity to
respond. Please feel free to contact our staff or myself should you need any further information.

Sincerely,
Lee Owen
Public Works Director
CC-. Edward Terrell Blackmon, City Manager
Joey Long, Assistant Public Works Director/Utilities Division — Collection System ORC
Christy Lipscomb, Water Resources Director/ORC
File

Division of Water Resources
PART I:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Collection System Sanitary Sewer Overflow Reporting Form
Form CS-SSO
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: WQCS00055
(WQCS# if active, otherwise use WQCSD#)
Facility: Henderson Collection System _ incident #: 202400660
Owner: City of Henderson
City: Henderson
County: Vance
Region: Raleigh
Source of SSO (check applicable): El 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): Dr Martin Luther King Jr Blvd, Henderson, NC, 27537
Manhole #: HEND59-MH 109
Latitude (Decimal Degrees):
Longitude (Decimal Degrees):
Incident Started Dt: 03/16/2024 Time: 6:30 pm
(mm-dd-yyyy) (hh:mm AMIPM)
Estimated Volume of the SSO: 4,800
Incident End Dt: 03/16/2024 Time: 08:30 pm
(mm-dd-yyyy) (hh:mm AMIPM)
gallons Estimated Duration (Round to nearest hour): 2:0 hours
Describe how the volume was determined: Estimated by eye (40gpm x 120minutes)
Weather conditions during the SSO event: Sunny
Did SSO reach surface waters? 0 Yes [:]No ❑ Unknown Volume reaching surface waters (gals): 4800
Surface water name: Red Bud Creek
Did the SSO result in a fish kill? ❑ Yes ❑ No 0 Unknown If Yes, what is the estimated number of fish killed?
SPECIFIC cause(s) of the SSO:
0 Debris in line
24 hour verbal notification (name of person contacted ): George Bernard
❑ DWR 0 Emergency Mgmt Date (mm-dd-yyy): 03/17/2024 Time (hh:mm AMIPM): 02:27:00 pm
If an SSO is ongoing, please notify the appropriate Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1 C(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 Il 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?
We found raps and shop towels.
Suspected cause or source of debris.
I really think people flushes them down the toilet.
Are manholes in the area secure and intact?
When was the area last checked/cleaned?
The area was lasted checked about 2 months ago.
Have cleaning and inspections ever been increased at this location due to previous
problems with debris?
Explain:
We inspect the area often because we have had problems with rags in the pass.
WYes DNo DNA []NE
R Yes ❑ No ❑ NA ❑ NE
Are appropriate educational materials being developed and distributed to prevent futl R Yes ❑ No ❑ NA ❑ NE
similar occurrences?
Comments:
System Visitation
ORC Yes
Backup r7 Yes
Name:
Joey Long Jr.
Cert#
990227
Date visited:
3-16-2024
Time visited:
6:30 P.M
How was the SSO remediated (i.e. Stopped and cleaned up)?
We used our portable ietter to unstop the main. We shot about 300 feet. All debris was raked and lime put out.
CS-SSO Form Page: 2

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:
Signature
Telephone Number:
Date:
Title:
Any addition information desired to be submitted should be sent to the appropriate Division Regional Office within five days of i
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

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H

STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
SYSTEM -WIDE COLLECTION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
City of Henderson
WQCS00055
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit issuance,
approximately 147 miles of gravity sewer, approximately 15 miles of force main, 13 duplex pump stations,
and all associated piping, valves, and appurtenances required to make a complete and operational
wastewater collection system to serve the City of Henderson and any deemed permitted satellite
communities, pursuant to the application received March 28, 2018, and in conformity with the documents
referenced therein and other supporting data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit.
This permit shall be effective from May 1, 2018 until April 30, 2026, and shall be subject to the following
specified conditions and limitations:
Page 1 of 7

I. PERFORMANCE STANDARDS
1 The sewage and wastewater collected by this system shall be treated in the properly permitted
Wastewater Treatment Facility identified in the permit application and documented in the Division's
database [15A NCAC 02T 0108 (b)]
2 The wastewater collection system shall be effectively managed, maintained and operated at all times
to prevent discharge to land or surface waters, and to prevent any contravention of groundwater
standards or surface water standards in the event that the wastewater collection system fails to
perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate
actions as per the Response Action Plan (Condition II(9)), as well as any actions that may be required by
the Division of water Resources (Division), such as the construction of additional or replacement sewer
lines and/or equipment [15A NCAC 02T 0108 (b)]
3 The Permittee shall establish by ordinance, inter -local agreement or contract its legal authority to
require new sewers be properly constructed, to ensure proper inspection and testing of sewer mains
and service laterals, to address flows from satellite systems and to take enforcement action as required
by Condition I(4) [G 5.143-215 96, G.5 143-215.1(f)(1)]
4 The Permittee shall develop and implement an educational fats, oils and grease program that shall
include at least semiannual distribution of educational material targeted at both residential and non-
residential users The Permittee shall also develop and implement an enforceable fats, oils and grease
program for non-residential users under which the Permittee can take enforcement against users who
have not properly installed, operated and maintained grease traps or grease interceptors as directed
or otherwise violated the terms of the enforcement program pertaining to fats, oils and grease
[15A NCAC 02T 0108 (b)]
5. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate funding for
reinvestment into the wastewater collection system infrastructure The CIP should address the short-
term needs and long-term "master plan" concepts. The CIP should typically cover a three to five year
period and include a goal statement, description of the project area, description of the existing facilities,
known deficiencies (over a reasonable period) and forecasted future needs Cost analysis is integral to
the CIP. [G 5 143-215.913]
6 Overflow piping from manholes and pump stations, excluding piping to approved equalization
structures, known or discovered after permit issuance shall be immediately removed or permanently
capped Plugged or valved emergency pumping connections are allowable for portable pumping or
rerouting without intentionally bypassing the wastewater treatment facility
[15A NCAC 02T .0108 (b)]
7. The Permittee shall maintain a contingency plan for pump failure at each pump station If one of the
pumps in a pump station containing multiple pumps fails, the process of repairing or replacing the pump
shall be initiated immediately and the new parts or pump shall be installed as soon as possible The
permittee shall provide justification for delay in initiating the process for repair or replacement at the
Division's request. If the pump in a simplex pump station serving more than a single building or pump
stations not capable of pumping at a rate of 2.5 times the average daily flow rate with the largest pump
out of service fails, it shall be replaced immediately [15A NCAC 02T .0305 (h) (1)]
Page 2 of 7

8 Each pump station shall be clearly and conspicuously posted with a pump station identifier and an
emergency contact telephone number at which an individual who can initiate or perform emergency
service for the wastewater collection system 24 hours per day, seven days per week can be contacted.
This emergency contact telephone number shall be coupled with instructions that the emergency
contact should be called if the visual alarm illuminates, if the audible alarm sounds, or if an emergency
is apparent [15A NCAC 02T 0305 (h) (2)]
9 Pump station sites, equipment and components shall have restricted access
[15A NCAC 02T 0305 (h) (4)]
10 Pump stations that do not employ an automatic polling feature (i e. routine contact with pump stations
from a central location to check operational status of the communication system) shall have both
audible and visual high water alarms The alarms shall be weather-proof and placed in a clear and
conspicuous location Permits issued for the construction of pump stations that included high water
alarms in the description must maintain the alarms even if simple telemetry (i a notification of an alarm
condition initiated by the pump station control feature) is installed.
[15A NCAC 02T .0305 (h) (1)]
11 For all newly constructed, modified and rehabilitated pump stations, all equipment and components
shall be sealed within a corrosion -resistant coating or encasement to the extent practicable and
equivalent to the minimum design criteria unless the permittee can demonstrate it is not practicable
or another form of corrosion resistance is employed [15A NCAC 02T 0108 (b)]
II. OPERATION AND MAINTENANCE REQUIREMENTS
1 Upon classification of the collection system by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified operator to
be in responsible charge (ORC) and one or more certified operator(s) to be hack -up ORC(s) of the
facilities in accordance with 15A NCAC 8G 0201 The ORC shall visit the system within 24 hours of
knowledge of a bypass, spill, or overflow of wastewater from the system, unless visited by the Back -Up
ORC, and shall comply with all other conditions of 15A NCAC 8G 0204
[15A NCAC 08G 0200 et seq.]
2 The Permittee shall develop and adhere to a schedule for reviewing all inspection, maintenance,
operational and complaint logs If the review process results in the identification of any recurring
problem in the wastewater collection system that cannot be resolved in a short time period, the
Permittee shall establish a plan for addressing the problem(s) [15A NCAC 02T 0108 (b))
3 The Permittee shall develop and adhere to a schedule for testing emergency and standby equipment
[15A NCAC 02T .0108 (b)]
4. The Permittee shall develop and implement a routine pump station inspection and maintenance
program which shall include the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and wet
well;
b Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment; and
d Verifying the proper operation of the alarms, telemetry system and auxiliary equipment
[15A NCAC 02T 0108 (b)]
Page 3 of 7

5 For each pump station without pump reliability (i a simplex pump stations serving more than a single
building or pump stations not capable of pumping at a rate of 2 5 times the average daily flow rate with
the largest pump out of service), at least one fully operational spare pump capable of pumping peak
flow shall be maintained on hand 115A NCAC 02T 0305 (h) (1) (A)]
S The Permittee shall maintain on hand at least two percent of the number of pumps installed, but no
less than two pumps, that discharge to a pressure sewer and serve a single building, unless the
Permittee has the ability to purchase and install a replacement pump within 24 hours of first knowledge
of the simplex pump failure or within the storage capacity provided in a sewer line extension permit
(15A NCAC 02T 0108 (b)]
7 Rights -of -way and/or easements shall be properly maintained to allow accessibility to the wastewater
collection system unless the Permittee can demonstrate the ability to gain temporary access in an
emergency situation where existing land -use conditions do not allow the establishment and
maintenance of permanent access In this case, the Permittee shall continue to observe the lines
visually, utilize remote inspection methods (e g CCTV) and use the opportunity of drier conditions to
perform further inspections and necessary maintenance [15A NCAC 02T .0108 (b)]
8 The Permittee shall assess cleaning needs, and develop and implement a program for appropriately
cleaning, whether by hydraulic or mechanical methods, the wastewater collection system At least 10
percent of the gravity wastewater collection system, selected at the discretion of the ORC, shall be
cleaned each year Preventative cleaning is not required for sewer lines less than five years old unless
inspection otherwise reveals the need for cleaning or cleaning is required by a sewer line extension
permit. [15A NCAC 02T 0108 (b)]
9 The Permittee shall maintain a Response Action Plan that addresses the following minimum items•
a Contact phone numbers for 24-hour response, including weekends and holidays,
b Response time;
c Equipment list and spare parts inventory,
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f Source(s) of emergency funds,
g. Site restoration and clean up materials, and
h Post-SSO assessment
[15A NCAC 02T .0108 (b)]
10 The Permittee, or their authorized representative, shall conduct an on -site evaluation for all SSOs as
soon as possible, but if feasible no more than two hours after first knowledge of the SSO. The Permittee
shall document in its 5-day report why it was unable to initially respond to any SSO location within two
hours. [15A NCAC 02T 0108 (b)]
11 In the event of an SSO or blockage within the wastewater collection system, the Permittee shall restore
the system operation, remove visible solids and paper, restore any ground area and restore the
surroundings. [15A NCAC 02T .0108 (b)]
Ill. RECORDS
1 Records shall be maintained to document compliance with Conditions 1(4), 11(2) - Il(4), II(7) - II(8), IV(3)
and V(1) -V(4). Records shall be kept on file for a minimum of three years 115A NCAC 02T 0108 (b)]
Page 4 of 7

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