text: CSOs differ from sanitary sewer overflows in that the latter are caused by sewer system obstructions, damage, or flows in excess of sewer capacity (rather than treatment plant capacity.) Sanitary sewer overflows may occur at any low spot in the sewer system rather than at the CSO relief structures. Absence of a diversion outfall often causes sanitary sewer overflows to flood residential structures and/or flow over traveled road surfaces before reaching natural drainage channels. Sanitary sewer overflows may cause greater health risks and environmental damage than CSOs if they occur during dry weather when there is no precipitation runoff to dilute and flush away sewage pollutants.