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The first phase of this study aimed to evaluate the environmental impact of combined sewer overflow (CSO) events originated from 35 spillways on the Rio Vallescura catchment (Central Italy) and to understand their contribution to the deterioration of the coastal bathing water quality. A specific analytical campaign was carried out in the sewer system and a dynamic rainfall-runoff simulation model was developed and integrated with a water quality model and further validated. The simulations led to identify the most critical spills in terms of flow rate and selected pollutant loads (i.e. suspended solids, biochemical oxygen demand, chemical oxygen demand, total Kjeldahl nitrogen, Escherichia coli). Specifically, the E. coli release in the water body due to CSO events represented almost 100% of the different pollutant sources considered. In the second phase, the applicability of various disinfection methods was investigated on the CSOs introduced into the catchment. On site physical (UV) and lab-scale chemical (peracetic acid (PAA), performic acid (PFA), ozone) disinfectant agents were tested on microbial indicators including E. coli and intestinal enterococci. PFA and ozone were more effective on the removal of both bacteria (above 3.5 log units) even at low concentration and with short contact time; whereas, PAA showed a moderate removal efficiency (around 2.5 log units) only for E. coli. The highest removal efficiency was achieved in the on-site UV unit and none of the indicator bacteria was detected in the final effluent after the sand filtration and UV treatment. Finally, potential scenarios were developed in comparison to the baseline scenario for the management and treatment of CSOs where a mitigation of E. coli loads from 28% to 73% was achieved on the receiving water body, and a comparative cost assessment of the disinfection methods was provided for in situ treatment of the most critical spillway. [Display omitted] • Integrated modelling of 35 spillways that cause CSO events in an urban catchment. • The most critical spills were identified in terms of flow rate and pollutant loads. • Disinfection tests were conducted to mitigate microbial contamination. • Sand filter + UV was the most effective treatment followed by performic acid. • Possible mitigation scenarios showed an increase in the E. coli removal up to 74%. [ABSTRACT FROM AUTHOR]