These relief structures, called "storm-water regulators" (in American English - or "combined sewer overflows" in British English) are constructed in combined sewer systems to divert flows in excess of the peak design flow of the sewage treatment plant. Combined sewers are built with control sections establishing stage-discharge or pressure differential-discharge relationships which may be either predicted or calibrated to divert flows in excess of sewage treatment plant capacity. A leaping weir may be used as a regulating device allowing typical dry-weather sewage flow rates to fall into an interceptor sewer to the sewage treatment plant, but causing a major portion of higher flow rates to leap over the interceptor into the diversion outfall. Alternatively, an orifice may be sized to accept the sewage treatment plant design capacity and cause excess flow to accumulate above the orifice until it overtops a side-overflow weir to the diversion outfall.
CSO statistics may be confusing because the term may describe either the number of events or the number of relief structure locations at which such events may occur. A CSO event, as the term is used in American English, occurs when mixed sewage and stormwater are bypassed from a combined sewer system control section into a river, stream, lake, or ocean through a designed diversion outfall, but without treatment. Overflow frequency and duration varies both from system to system, and from outfall to outfall, within a single combined sewer system. Some CSO outfalls discharge infrequently, while others activate every time it rains.
The storm water component contributes pollutants to CSO; but a major faction of pollution is the first foul flush of accumulated biofilm and sanitary solids scoured from the dry weather wetted perimeter of combined sewers during peak flow turbulence. Each storm is different in the quantity and type of pollutants it contributes. For example, storms that occur in late summer, when it has not rained for a while, have the most pollutants. Pollutants like oil, grease, fecal coliform from pet and wildlife waste, and pesticides get flushed into the sewer system. In cold weather areas, pollutants from cars, people and animals also accumulate on hard surfaces and grass during the winter and then are flushed into the sewer systems during heavy spring rains.