The U.S. Environmental Protection Agency (EPA or “the Agency”) was required by Congress to develop a report on the human health and environmental impacts caused by municipal combined sewer overflows (CSOs) and sanitary sewer overflows (SSOs), including the location of discharges
causing such impacts, the volume of pollutants discharged, the constituents discharged, and the resources spent by municipalities, and the technologies used by municipalities to address these impacts. The report finds that CSOs and SSOs can have significant impacts, which are most apparent
at the local watershed level.
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