This document summarizes case studies of wet weather flow issues from combined and separate sewer systems. It discusses common causes of combined sewer overflows (CSOs) and sanitary sewer overflows (SSOs), such as infiltration of groundwater. Examples are provided of systems in Detroit, Southeast Oakland County, and Center Line that experience CSOs/SSOs and the corrective actions taken, including storage basins, separation of storm and sanitary sewers, rehabilitation, and flow monitoring. Regulatory requirements and approaches to address overflows are also summarized.