WQ0037464_Application (FTSE)_20141110

MCDAVID ASSOCIATES, INC.
Engineers • Planners • Land Surveyors
CORPORATE OFFICE
[phone] • Fax [phone]
E-mail: [e-mail]
3714 N. Main Street • P.O. Drawer 49
Farmville, NC 27828
Mr. Al Hodge
Environmental Regional Supervisor
Washington Regional Office
Division of Water Quality
943 Washington Square Mall
Washington, North Carolina 27889
Subject:
Dear Mr. Hodge:
November 10, 2014
GOLDSBORO OFFICE
[phone] • Fax [phone]
E-mail: [e-mail]
109 E. Walnut Street • P.O. Box 1776
Goldsboro, NC 27533
Fast Track Application
CN 225-Goldsboro Veterinary Hospital
Fork Township Sanitary District
Wayne County, NC
A Fast Track Application is being submitted for a pump station and force main installation at a the
Goldsboro Veterinary Hospital located at 2343 US Highway 70West, Goldsboro, Wayne County, NC.
The Veterinary Hospital has two (2) doctors on staff each day and by 2T rules will have a
wastewater flow of 500 gallons/day (250 gpd/practitioner/shift). The applicant proposes to install a
duplex semi -positive displacement submersible pump station tied to the existing eight (8) inch force
main via a 1.25" HDPE force main. The existing eight (8) inch force main serves the Walmart
Shopping Center at the intersection of NC Highway 581 and US Highway 70. The force main carries
wastewater to FTSD's pump station #1 that pumps to the City of Goldsboro sewer system.
The pump station will be equipped with duplex pumps that will alternate run times. Each pump is
sized to handle peak flow.
An existing septic tank on site will be used for additional storage to hold one day's flow in the event
of a power outage or pump failure. Should a power outage occur, the facility will close for patient
visits. The pump station's control panel will be equipped with a generator receptacle and auto switch
to accept power from FTSD's portable generator.
Please find attached two copies of the following items supporting this application:
1. Fast -Track Application (FTA 08-13)
2. Check in the amount of $480.00 from C4 Development, LLC (Check No. 1104, dated
08/25/14)
3. Flow Tracking/Acceptance for Sewer Applications Form completed by Fork Township
Sanitary District to address their downstream pump station
4. Flow Tracking/Acceptance for Sewer Applications Form completed by City of Goldsboro to
address their downstream pump stations and their acceptance of the flow at the WWTP
5. Watershed Classification Attachment for Sewer Systems (Form WSCAS 08-13)
AG-G4S\D 1005\DEG\20I4 1 141110
FTSD-CN225-Goldsboro Vet-FTA-LTR.docx

6. USGS Topographic Map
✓ 7. Aerial and Street Level Views
8. Floodplain Map
9. Design Notes supporting Fast Track Application
Please process the Fast Track Application as soon as possible. Should you have any questions, do
not hesitate to call me.
Sincerely,
VIDSOC • TES,
David E. Gurley,
Goldsboro Office
DEG:
Attachments
cc: FTSD (w/attach)
\\G-G4S\D 1005\DEG\2014 2
FTSD-CN225-Goldsboro Vet-FTA-LTR.docx
, P.

DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
FAST -TRACK APPLICATION (FTA 08-13)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 3).
A. Cover Letter:
Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
w The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
El Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
▪ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
1 Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving wastewater treatment plant.
Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE 08-13.
G. Site Map (All Application Packages):
®. Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable)
Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
E Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
J. Alternative Sewer Systems
Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
• Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
Water Quality Section
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
Water Quality Section
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
Water Quality Section
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
Water Quality Section
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 3 of 6

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number:
(to be completed by DWR)
64
Z
0
H
re
0
LL
Z
Z
0
J
a
a
/. Owner/Permittee:
la. Fork Township Sanitary District
Full Legal Name (company, municipality, HOA, utility, etc.)
lb. Henry Braswell, Chairman
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
1 c. The legal entity who will own this system is:
❑ Individual 0 Federal ❑ Municipality 0 State/County 0 Private Partnership 0 Corporation ® Other (specify): San.Dist
ld. P.O. Box 1515 le. Goldsboro
Mailing Address
1f. NC
City
lg. 27533
State Zip Code
lh. 919-736-2551 li. 919-735-6565 1j. ftsd2©bellsouth.net
Telephone Facsimile
2. Project (Facility) Information:
2a. Goldsboro Veterinary Hospital 2b. Wayne
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Tony McCabe
E-mail
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919-736-2551
Phone Number
3c. [e-mail]
E-mail
1. Project is ® New 0 Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3))
❑ Private (go to Item 2(a))
2a. If private, applicant will be:
O Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
Z 3. City of Goldsboro
ix5a. Fork Township Sanitary
District
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Goldsboro WWTP 4b. NC 0023949
Name of WWTF WWTF Permit No.
0
LL
H
2
cc
W
0
m
Owner of Downstream Sewer
6. The origin of this wastewater is (check all that apply):
5b. 6"
Receiving Sewer Size
❑ Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
0 School
❑ Restaurant
® Office
❑ Gravity
® Force Main c. Unknown
Permit # of Downstream Sewer (Instruction F)
100% Domestic/Commercial
% Industrial
(Attach Description)
% Other
(Attach Description)
7. Volume of wastewater to be allocated or permitted for this particular project: 500 gallons per day
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
O Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
O Flow has already been allocated in Permit No.
O Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 4 of 6

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
Proposed vet facility has 2 practitioners/shift, From 15A NCAC 02T .0114, daily flow is 250 gpd/practitioner/shift
2 practitioners X 250 gpd/practitioner = 500 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
1.25
Length (feet)
85
New Gravity or Additional
Force Main
Force Main
11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: 1 (self chosen - as shown on plans/map for reference)
Longitude: 35.416764 Latitude: -78.046274
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS;
2 - portable generator w/MTS
0.000832
13.75 @ 20
2
Force Main Size Force Main Length
1.25"
85
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2" d treatment facility :
RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 08-13 APPLICATION Page 5 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Trout Buffer Waiver?
Stormwater?
❑ Yes ❑ No ® N/A
❑ Yes ❑ No ® N/A
❑ Yes ❑ No Z N/A
❑ Yes ❑ No Z N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
1 a.
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Henry Braswell, Chairman , attest that this application for Goldsboro Veterinary Hospital has
been reviewed by me and is accurate and complete to the best of my knowledge. i understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as well as civil penalties up to $25,000 per violation.
1,4/0" r.641,4e04:0-4r)
igning Official S' nature
9 9
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, David E. Gurley, III, P.E. ,attest that this application for Goldsboro Veterinary Hospital
_ has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my
knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance
with Division guidance. Although other professionals may have developed certain portions of this submittal package,
inclusion of these materials under my signature and seal signifies that / have reviewed this material and have judged it to
be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.68, any
person who knowingly makes any false statement, representation, or certification in any application shall be .uilty of a
Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $ 000 per
2a. David E. Gurley, III
Professional Engineer Name
2b. McDavid Associates, Inc.
Engineering Firm
2c. P.O. Box 1776
Mailing Address
2d. Goldsboro
City
2e. NC 2f. 27533
State Zip
2g. 919-736-7630 2h. 919-735-7351 2i. [e-mail]
Telephone Facsimile E-mail
:0
'ft' 22,56
• • D[: FHG NE�
ElR* G ‘N,
NC PE Seal, Signature & Date
FTA 08-13 APPLICATION Page 6 of 6

W A-i- State of North Carolina
OG Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Fork Township Sanitary District
Project Name for which flow is being requested: Goldsboro Veterinary Hospital, US 70 West
More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Goldsboro Water Reclamation Facility
b. WWTP Facility Permit #: NC 0023949
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
14.2
1.583343
8.804
0.0005
10.387843
73.15 %
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Little Cherry Pump Station 0.65 mgd 0.15 MGD
Big Cherry Pump Station 1.0 mgd 0.26 MGD
Highway 117 Pump Station 7.1 mgd/firm 4.39 MGD
_Westbrook Pump Station 18 mgd/firm 8.81 MGD
III. Certification Statement:
I, Scott A. Stevens , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for whi h I am the�esponsible party. Signature of this form indicates
acceptance of this wastewater flow.
Signing Official Signature / City Manager Date

DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Fork Township Sanitary District
Project Name for which flow is being requested: Goldsboro Veterinary Hospital
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
PS #1
0.576 0.230 0.021 0.000 0.021 0.209
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Page 1 of6
FTSE 08-13

III. Certification Statement:
I Henry Braswell, Chairman certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
11
S gningcia Signature Date
.,t-Doidd
Page 2 of 6
FTSE 08-13

USGS TOPOGRAPHIC MAP

Existing
FTSD PS #1
Proposed
Goldsboro Vet
Pump Station
'66
'68
Peele Acres
2'30' '69
Th e'Ca
2i
The Canal
l`
st,/,
Netis

AERIAL AND STREET LEVEL VIEWS

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feet
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400

G) gl earth feet
meters
10
4

FLOODPLAIN MAP

Leg end
Panels Flood Hazard Areas
I Po Mica! Areas AE
Stream Centerline Arr APPr Floodwav (AE)
Cross Sections 0.216 Chance Annual Flood Hazard
1CC Levee Future Condnions lit Annual Chance Flood Hazard
9/24/2014
North Carolina
Floodplain Mapping Program

DESIGN NOTES

Goldsboro Veterinary Hospital
Pump Station
Force Main
Fork Township Sanitary District
Design Notes
To Support Request
for
Fast Track Application
September 26, 2014
\\\`\��lll1Il•
David E. Gurley, III, P.E.
McDavid Associates, Inc
P.O. Box 10806
Goldsboro, NC 27533
[phone]
Firm License No. C-131
Q. SEAL
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FTSD-CN225-Goldsboro Vet -PUMP DESIGN.docx
1 140926

PUMP/FORCEMAIN DESIGN CALCULATIONS
The Goldsboro Veterinary Hospital is located along US Highway 70 West in Goldsboro, NC.
Two (2) doctors/veterinarians work each shift. According to the 2T Rules, a veterinarian facility shall be
designed for 250 gpd/practitioner/shift. Therefore, the design flow for this facility is 500 gpd. Goldsboro
Veterinarian Hospital has requested Fork Township Sanitary District (FTSD) provide sewer service. The
proposed pump station location is adjacent to the proposed building at elevation 130.5, which is clearly
outside the 100-year floodplain according to panel 2660 J of the Firm Flood Insurance Maps for North
Carolina. The closest flood prone area is 5,000 feet away, at elevation 82'. The proposed project is at
elevation 131'. More than two vertical feet of protection is provided.
The closest stream is an unnamed tributary to Little River, located on Northwest Goldsboro
USGS Quad Sheet. Little River is classified C;NSW and is in the Neuse River Basin. Attached is the
USGS Map with the proposed pump station located. Also attached is Form WSCAS 08-13 "Watershed
Classification Attachment for Sewer Systems". The proposed pump station is approximately 2,000 feet
away from the nearest stream.
FTSD intends to install a duplex semi- positive displacement grinder pump station, and
approximately 85 LF of 1.25-inch HDPE force main for connection to an existing eight (8) inch force
main. A receptacle for portable standby power is being provided in the pump station control panel. The
existing eight (8) inch force main is owned by FTSD. The primary function of the eight (8) inch force
main is to serve the Walmart Shopping Center at the intersection of NC Hwy 581 and US Hwy 70. The
eight (8) inch force main discharges into Pump Station No. 1 owned and operated by FTSD This pump
Station discharges into Little Cherry Pump Station, which is owned and operated by the City of
Goldsboro.
The proposed lead lag alternating semi -positive displacement grinder pumps will pump via 185 If
of 1.25-inch polyethylene force main to the existing eight (8) inch force main. The proposed semi -
positive displacement grinder pumps are rated at 13.75 gpm and 20' TDH will provide 2.9 feet per second
scour velocity in the 1.25-inch HDPE force main.
In order to determine if the proposed pumps operate satisfactorily, it must be evaluated under
minimum (low head) and maximum (high head) conditions. If both low head conditions, and high head
conditions are within the pump curve's operating range, then all other conditions will be somewhere
between; and therefore, considered acceptable. A profile sketch is attached which demonstrates the
pumping system that the proposed pump station must address. The proposed pump station is located at F.
There are 80' of equivalent pipe in fittings, and 85' of 1.25" HDPE Pipe. Then the pipe joins the existing
8" pipe at location E. There is 3,860' of 8" force main to a point, G, which is a high point in the force
main. From that point, there is 125' of existing 8" PVC pipe to the Kangaroo force main connection
located at H. There is an additional 3,700' of 8" PVC pipe from the Kangaroo connection to the
discharge location at point J. Piping considered in the calculations is presented in the following table:
\\G-G4S\D 1005\DEG\2014
FTSD-CN225-Goldsboro Vet -PUMP DESIGN.docx 2 140926

Piping
Size
Description
Length
1.25 - Inch
Proposed Goldsboro Vet Hospital on -site FM
85 LF
1.25 - Inch
Equivalent Length Minor Losses
80 LF
8 - Inch
Existing PVC FM from Goldsboro Vet Connection to High Point
of 125.00' at Sta 106+00
3,860 LF
8 - Inch
Existing PVC FM from Sta 106+00 High Point to Kangaroo
Connection
125 LF
8 - Inch
Existing PVC FM from Kangaroo Connection to to Discharge
Elev. = 117.25' (Manhole upstream of PS #1 Bar Screen)
3,700 LF
LOW HEAD CONDITION
For the low head condition, assume the proposed Goldsboro Veterinary Hospital Pump Station is
pumping and no other pumps are pumping along the route. Static head is -7.00 feet based on the "Pumps
Off' elevation of 124.25 at the grinder pump station, and a discharge point of 117.25 at the manhole
upstream of PS #1. To calculate the low head system curve, the friction head losses associated with
operation of the centrifugal pump are added to the constant static head of -7.00 feet.
a) a)
> o)
cow 0 o 2^ o.
20 0 c0 `0 riio = - _8� w u0j
_ 0) �n c0
u N� O N c I~iv c �-0 O 15
OCD
N LL (6 Y l6 O �U O
O II 4# 0 0 O 3 0 (6 ` = U' m - O
- LL O O = LL O c c O �" '
(n . . ❑ g v7 m cn a, c> w o a�i Y o �t
0 o v)a. 0 aci cca o 0 0� per' o -rj c 1
0i L0 CCU Y F-C7 LL0 U) I� tip cCa LL _ 1-
0 0 0 0 0 0 -7 0.00 0.00 0.00 -7.00
5 0 0 0 5 5 -7 1.18 0.00 0.00 -5.81
10 0 0 0 10 10 -7 4.27 0.01 0.01 -2.70
15 0 0 0 15 15 -7 9.05 0.03 0.03 2.11
20 0 0 0 20 20 -7 15.42 0.05 0.05 8.52
\\G-G4S\D 10051DEG12014
FTSD-CN225-Goldsboro Vet -PUMP DES1GN.docx 3 140926

HIGH HEAD CONDITION
For the high head condition to occur, all four (4) pump stations are on at the same time and the
entire length of the force main is considered. Friction head is based on flows in the respective pipe
segments.
li a)
CU > rn
C i 0 -0 E co
d 2 o - o _c
a) LT_ a3 C7 0 N m t~iv c o- o rn .N
> o cv m> Y ° o° o
2 0 0 0 0 3 2 as c 2 m 2 0
u o$ 2 - c aci c L
.Q o m 0 o a� Y rn -� _
O 000 o a�i p o o a cu 0 1- c
O S u 00 Y I-0 it (5 (n S u- ti.8 tco u Y.
0 320 12 30 332 362 -7 0.00 12.36 13.65 19.01
5 320 12 30 337 367 -7 1.57 12.71 14.00 21.29
10 320 12 30 342 372 -7 5.68 13.06 14.36 26.10
15 320 12 30 347 377 -7 12.04 13.41 14.72 33.18
20 320 12 30 352 382 -7 20.51 13.77 15.08 42.37
The system head curves are used to select a reasonable pump. After plotting the system head
curves on the pump curve it can be observed that the E One 1 HP Grinder pump will operate between
13.5 gpm and 14.5 gpm along the pump curve.
The wetwell chamber is circular and is four (4) feet in diameter. The cycle depth is 0.33'. This
results in a minimum cycle frequency of two (2) cycles per hour. The maximum cycle frequency under
peak flow conditions results in four (4) cycles per hour when the influent is at peak flow.
The high water alarm elevation is established at elevation 125.25'. There is 4.1 feet of space
above the alarm within the wetwell. Additionally, an existing 750 gallon septic tank will be piped and
retrofitted to be used for additional storage required. Under normal operation, flow will not collect in the
septic tank. However, in the event of power outage or dual pump failure, there is the ability to store one
day's flow. When the power is out, the facility will not see patients. However, there is an auto switch and
a receptacle for portable standby power. The wetwell has a lockable cover.
An autodialer will be provided with connection to the property owner's telephone line. The
control panel will be NEMA 4X with locking cover. Additionally, a sign will be provided to advise
people who to call in the event of an alarm condition.
The proposed pump station is vented.
The land area to be disturbed associated with this project is estimated conservatively at 5 SF per
LF of FM plus 600 SF. There is approximately 80 LF of FM. Therefore, the disturbed land area is
approximately 1,000 SF or Tess than 0.03 acre. A land quality permit is not required.
\\G-G4 S1D 10051DEG\2014
FTSD-CN225-Goldsboro Vet -PUMP DESIGN.docx 4 140926

Buoyancy Calculations are separately attached
Wetwell
Downward Forces = 9,245 LBS
Upward Forces = 7,810 LBS; Therefore, OK
Note: This requires a collar of concrete be placed around the base lip of the fiberglass tank that is 12"
wider in diameter than the wet well and 12" in depth.
\\G-G4S1D 10051DEG12014
FTSD-CN225-Goldsboro Vet -PUMP DESIGN.docx
5 140926

0(X0(J10
(»r'971-0GDG0 D
fn� (n�(no c o �,'c
It Lc) gtrxca3 a° 3
N ^ NJ (p N V7 D (n
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7 ? O O fl: O (p II'
CO d P N ? m II
o j TI N "11
0
o m cn
o �
Goldsboro 2
Veterinary Hospital
0 0 0 0 0 FTSD PS #2
0 0 0 0 0
Goldsboro
Wellness Center
0 0 0 0 0 Kangaroo
Flow after
o (n o 01 Goldsboro Vet
Flow after
o (n o v, o Kangaroo
0 0 0 0 0
`1 `1 ' `1 ` Static Head
()cn(nu101
01 CO A 1 O
O N O
Ni co V CO 0
0 0 0 0 o
0 0 0 0 0
( w 0 0
(D G1 0
N W O (D V
N CO A A (J1
W W V N
V W A
to
0 O CN71 O 00 (OJ1 ccoo (NJ1 O1
Ni
0 (31 0 c71 0
Goldsboro Veterinary
Hospital
0000o FTSDPS#2
0 0 0 0 0
Goldsboro Wellness
Center
0 0 0 0 o Kangaroo
N -"
O N 0 (71 0
Flow after Goldsboro
Vet
o (n o (n o Flow after Kangaroo
Static Head
HDPE Friction (n (D A 1 0
Head a o iv o HDPE Friction Head
N (7) V CO 0
Friction Head 8"
between Friction Head 8"
Goldsboro Vet and o 0 0 0 o between Goldsboro Vet
High Point 0 w o 0 0 and Kangaroo
TDH
0 0 0 0 0 Friction Head 8" from
C07i w o 00 0o Kangaroo to Discharge
0o N N V1 V
V CO 0
N 0 0
TDH
° or::).�Sr- (Cnill (Cno c13o -6Pc CV 0
wo
it NNE to ?'.O ('')in
a1uj 00 SO0a O (j)O
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m-riO'_-13 Oa d. mO
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o O(2 FT O=
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m
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IV Oo VCji
OO O O O(OJ1 cooNCJI

O 01
o (n0
Goldsboro
Veterinary Hospital
W W W W W
NNNNN FTSD PS#2
0 0 0 0 0
N N N N
Goldsboro
Wellness Center
0 0 0 0 o Kangaroo
(C7 W W W W
A W W N N
O (71 0 CPI 0
(W71 A A W W
N J N V NJ
Flow after
Goldsboro Vet
Flow after
Kangaroo
O O O O O
•J `' " `' J Static Head
cn(ncnv,(n
NJ
O NJ - • 01 -� O
A CO v 0
N N
• CO (71
-� V A -• Oo
W N
CO A Co W
V (O N co (O
co V V W
HDPE Friction
Head
Friction Head 8"
between
Goldsboro Vet and
High Point
TDH
nm (�n7r_ono �aOc
n �*r 0 3 a0 3
N 5 N (D N N U (#
j 'D j. O O d O ry I
N O Q N' N II
O j TIN
T
(D N U)
O 10
o)
00 7 N
T 2 StN.
na 'co
O (O1,
c N
Goldsboro Veterinary
0(710cn0 Hospital
W W W W
N NNNN FTSD PS#2
O O O O O
N N N N N
Goldsboro Wellness
Center
0000c, Kangaroo
Flow after Goldsboro
(J, A (A)Vet
N J N J N
W W W W W
N N.)°; (3) Flow after Kangaroo
44 Static Head
N
O N 01 — 0
s A Co V 0
W W W N N
✓ A O V W
HDPE Friction Head
Friction Head 8"
between Goldsboro Vet
and Kangaroo
(n A A . W Friction Head 8" from
o N rn 0 °; Kangaroo to Discharge
A CO N N.)
N W d) (D
N O
W 0 (O
TDH
W
V
N 0
0 O
N
(71
W
• — J A
O ▪ O O W N
O (71 co (71 (T
J �
N0
Co 0
W O-
o
Co
o
= a
N
V (D
OO _.
7
N
(Dco
I.
y
g
s

EIONE
SPD PUMP PERFORMANCE CURVE
GRINDER PUMP, 1HP, 1725 RPM -
100
95
1
1
—
230
220
90
1
1
1
—
210
85
1
1
—
200
—
1
1
—
190
80
—
LOW PRESSURE SYSTEM DESIGN PRESSURE
—
180
I
I 1
75
CONSULT
FOR INTERMITTENT
USE ABOVE
OR 185
FACTORY
80 PS
FEET TDH
—
170
70
—
160
TYPICAL OPERATING PRESSURE
TOTAL DYNAMIC HEAD (H), psig
cn o 01 o 01 o 01 o 01 o 81 o 01
—
150
—
140
—
130
—
120
—
110
cr
o
--
100
-
90 u_
0
—
—
80 w
w
70 a_
—
z
60 0
—
w
50 =
U
Z
o
-
�.w
o
_J--------
—
-10
—
-20
I
—
-30
—
-40
—
-50
LJ —
-60
0 2 4 6 8 10 12 14 16 18
DISCHARGE (0), GPM
ESD 08-0022 REV. 2, 6/08

MCDAVID ASSOCIATES, INC.
Engineers • Planners • Land Surveyors
109 East Walnut Street
P. O. Box 1776
Goldsboro, NC 27533
Phone: [phone]
Fax: [phone]
PROJECT NO.: - - 19 - t OSP- 4 ?is
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MCDAVID ASSOCIATES, INC.
Engineers • Planners • Land Surveyors
109 East Walnut Street
P. O. Box 1776
Goldsboro, NC 27533
Phone: [phone]
Fax: [phone]
PROJECT NO.: - 144 - Eo05v - ='l 1 2.c
PROJECT NAME: F` sD 14 /(-tour .e c, \ij r
PHASE NAME: E- u CcAJST 4ny-.N
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MCDAVID ASSOCIATES, INC.
Engineers • Planners • Land Surveyors
109 East Walnut Street
P. O. Box 1776
Goldsboro, NC 27533
Phone: [phone]
Fax: [phone]
PROJECT NO.: - I4 - (0OS0 - 41 ZS
PROJECT NAME: FT,5 1) f I k4 OL7S41 5i®Zf9 IV E-T
PHASE NAME: �-k./6 ( afN ST KT) IN't
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