HomeMy WebLinkAboutNC0036196_Report_20180905North Carolina Department of Environmental Quality
Division of Water Resources
Print or Type Use Attachments if
Permittee: C IT"( of NEV4-r0r4 NG
Facility Name: Ct1�ZRK CREEK wWTC7'
Incident Started:
Incident Ended
Level of Treatment:
Date: 4+17-0115
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Date: q`4 WI -6
Permit Number: MCOO b(o19b
County: CATM43A
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Time: t$t6 1400
Time: 14.10
_None ,i Primary Treatment _Secondary Treatment —Chlorination/Disinfection Only
Estimated Volume of Spill/Bypass: 150 (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? _Yes*( No
If yes, please list the following:
Volume Reaching Surface Waters: Surface Water Name:
Did the Spill/Bypass result in a Fish Kill? _Yes ✓ No
Was WWTP compliant with permit requirements? t Yes No
Were samples taken during event? Yes ✓ No
Source of the Upset/Solll/BypasS (Location or Treatment Unit):
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Cause or Reason for the Upset/Spill/Bypass:
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Describe the Repairs Made or Actions Taken:
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Spill/Bypass Reporting Form (August 1997)
WWTP Upset, Spill, or Bypass 5 -Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if applicable):
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Action Taken or Proposed to be Taken to Prevent Occurrences:
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Additional Comments About the Event:
24 -Hour Report Made Tom Division of Water Resources f Emergency Management
Contact Name: WES Vxi- — Date: el 4 201`o Time: 1,V? -5
Other Agencies Notified (Health Dept, etc):
Person Reporting Event: ':5c ' Phone Number: $2`6 -
Did DWR Request an Additional Written Report? _Yes f No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 1997)