NC0028223_fact sheet_20230403

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact
Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc.)
that can be administratively renewed with minor changes but can include facilities with more complex
issues (Special Conditions, 303(d) listed water, toxicity testing, instrearn monitoring, compliance
concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles Weaver 4/3/2023
Permit Number
NCO028233
Facility Name
Osprey Cove South WWTP / WW-2
Basin Name/Sub-basin number
White Oak / 03-05-02
Receiving Stream
Brinson Creek / 19-12
Stream Classification in Permit
SC -NSW
Does permit need Daily Max N113 limits?
Already present (2 mg/L year-round).
Cannot reevaluate limits due to lack of
strearnflow data in tidally influenced
streams.
Does permit need TRC limits/language?
Already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Dissolved Oxygen & Temperature
Is the stream impaired (on 303(d) list)?
For what parameter?
Yes. Chlorophyll and Copper exceedances
landed Brinson Creek on the list in 2008.
It remains impaired.
Any obvious compliance concerns?
No enforcements since 2017. One NOV
and two NODs during this permit cycle.
Any permit mods since last permit?
No
Changes to Draft Permit?
0 eDMR text has been updated.
Changes to Final Permit
0 None

NORTH CAROLINA 2022 303(D) LIST
New River White Oak River Basin
AU Name
AU Number
AU ID Description
Brinson Creek
19-12
5443 From source to New River (2.88948011398315 S Miles)
PARAMETER
IR CATEGORY CRITERIA STATUS
Chlorophyll a (40 [ig/l, AL, NQ
5 Exceeding Criteria
Copper (3 [Lg/l, AL, SW)
5 Exceeding Criteria
Classification AU_LengthArea AU —Units
SC;NSW 8.6 S Acres
REASON FOR RATING 303D YEAR
2008
Legacy Category 5 Total Metals 2008
Assessment
Northeast Creek 19-16-(3.5)a SC;HQW,NSW 412.9 S Acres
5449 From N. C. Hwy.24 to a line crossing Northeast Creek downstream of NC 24.
Mill Creek (Stones Bay) 19-30-1 SA;HQW 39.0 S Acres
5491 From source to Stones Bay
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area 2002
Muddy Creek 19-30-2
5492 From source to Stones Bay
PARAMETER IR CATEGORY CRITERIA STATUS
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria
SA;HQW
18.7 S Acres
REASON FOR RATING 303D YEAR
Prohibited Shellfish Growing Area 2002
Stones Creek 19-30-3 SA;HQW 77.0 S Acres
5493 From source to Stones Bay
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area
Millstone Creek 19-30-3-1 SA;HQW S Acres
S494 From source to Stones Creek
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area 2002
Stones Bay 19-30alb SA;HQW 155.5 S Acres
14001 DEH closure at the mouth of Stones Creek.
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Shellfish Growing Area Status (Fecal, SH, SA) 5 Exceeding Criteria Prohibited Shellfish Growing Area 2020
6/7/2022 NC 2022 303d List- Approved by EPA 4/30/2022 Page 166 of 192

I Public Notice
AFFP
North Carolina Environmental,
NOTICE OSPREY COVE
klanagernent Commission/NP-
DES Unit
Affidavit of Publication
1617 Mail Service Center
AafeJohl NO 27699-161 7
Nob'ce of Intent to Issue' a NP-
DES Wastewater Permit
STATE OF NC) Ss
NC.0028,223 Osprey Cove South
COUNTY OF ONSLOW)
WIWTP The Norih. Carolina Envir
onmenta[ Management Commis-
sion proposes to Issue a:,NPDI:S
Christy Williamson, being duly sworn, says:
wastewater discharge permit10
the�persorli(s),Ksted below. Writ -
That he is Christy Williamson, Advertising Director of the
The Daily News, a daily newspaper of general circulation,
tencomments regarding, the pro -
printed and published in Jacksonville, Onslow County NC;
posedTermft will be"aWApted U
til 30 ays after the
av date
that the publication, a copy of which is attached hereto'
publish
was published in the said newspaper on the following
of this -notice,, The Director of the
February 14, 2023
NC, Division of Watet Resources
(DWR,) may hold a public hearing -
should there. be a significant de-
gree of, public 'interest. Please
mail commente,and/or Informa-
D
tion requests'.to WR,at ths
above- addresa. Inte'rested., per -
That said newspaper was regularly issued and circulated
S. ons may vis R the DWR at 5, 12 1 N.
on those dates.
SalisbUrk,Streot R NO
SIGNED:
27604 to review the � Information
P
on file. Additional informatiomon
NPDES. permits and this notice
Christy Williamdon, Advertising Director
may be tound on our wobsite.w ht-
Subscribed to and sworn to me this 14th day of February
tps,.*'/Ide -ho.gov/public-notices-
q
2023.
heafts,or Oy callinIg - (919) 707-
3601. Osprey C040� South, LLC
(990 Highland Drive, Suite 30%
Solana Beach, CA $20751.1 has
--600dwin
applied for renewal � of NF DES
Elizabeth F4-owell,, Onslow County, NC
permit NC0028223,for the'Os-
My commission expires: July 13, 2027
prey Cove 60011 � WWTP in
Onslow County, This permitted
. / A,
facility discharges treated
........... 4,
wastewater to an, unnamed tribu
70085810 70590990
100C
tary to BrIns'on Creek in the White
Oak River Basim, Currently,
I -
WREN THEDFORD e
BOD, ammonla-nitr6gen, entero.
1. '21
DEQ- Division of Water
cocco, dissolvedoxygen., and -total
1617 Mail Service Center cou1k
residual chlorine are water qual-,
RALEIGH, NC 27699
ity limited. This discharge may
- '"y
affect future allocations in� this
portion of the WhRe Oak River
Basin.
February 14, 2,023

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Osprey Cove South, LLC
Attn: Caleb Schroeder
990 Highland Dr Ste 303
Solana Beach, CA 92075
Subject: Permit Renewal
Application No. NCO028223
Osprey Cove South WWTP
Onslow County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
June 21, 2022
The Water Quality Permitting Section acknowledges the June 21, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deg.nc.ciov/permits-reciulations/permit-quidance/environmentaI-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Administrative Assistant
Water Quality Permitting Section
cc: Jeffrey Jarman
ec: WQPS Laserfiche File w/application
re-e-- North Carolina Department of Environmental Quality I Division of Water Resources
RE Wilmington Regional Office [ 127 Candinad Drive Extension I vvllrrdngtorL North CarolIna 2W5
910.796.7215
11-1e�

NPDLS Permit Number
Facility Name
Modified Application Form 2A
NCO028223
Osprey Cove South WWT
Modified March 2021
Form
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
NPDES
the instructions may result in denial of the application.)
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.210)(1) and (9))
1.1
Facility name
Osprey Cove South WW7P
Mailing address (street or P.O. box)
990 Highland Drive, Suite 303
City or town
State
ZIP code
0
Solana Beach
CA
92075
E
Contact name
Title
Phone number
Email address
0
Caleb Schroedei
Irincipal
[phone]
[e-mail]
Location address (street, route number, or other specific identifier) Same as mailing address
U-
1820 Wilmington Hwy
City or town
—TN
State
S
Z P code
Jacksonville
(C 7F28540
1.2
Is this application for a facility that has yet to commence discharge?
Yes 4 See instructions on data submission No
requirements for new dischargers. RECEIVED
1.3
Is applicant different from entity listed under Item 1.1 above? JON 2 12022
M Yes El No 4 SKIP to Item 1.4.
Applicant name WDEUDWR/WDE,
Applicant address (street or P.O. box)
0
E
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
CL
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
El owner El Operator Both
1.5
To which entity should the NPIDES permitting authority send correspondence? (Check only one response.)
Facility El Applicant Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.)
E
a)
Existing Environmental Permits
a_
NPIDES (discharges to surface
RCRA (hazardous waste)
E] UIC (underground injection
water)
control)
E
NCO028223
F� PSD (air emissions)
Nonattainment program (CAA)
E] NESHAPs (CAA)
UJ
E] Ocean dumping (MPRSA)
Dredge or fill (CWA Section
Other (specify)
X
404)
UJ
Page I

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO028223
Osprey Cove South WWTP
Modified March 2021
1.7
Provide the colle tion system inform tion requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
(indicate percentage)
% separate sanitary sewer
11 Own 11 Maintain
qc,,c)
% combined storm and sanitary sewer
0 Own 11 Maintain
El Unknown
0 Own 11 Maintain
% separate sanitary sewer
13 Own 0 Maintain
2
% combined storm and sanitary sewer
13 Own El Maintain
.2
El Unknown
0 Own El Maintain
CL
0
% separate sanitary sewer
0 Own El Maintain
% combined storm and sanitary sewer
0 Own El Maintain
0 Unknown
11 Own El Maintain
E
% separate sanitary sewer 11 Own El Maintai�n—
% combined storm and sanitary sewer 0 Own 0 Maintain
13 Unknown 11 Own
.2
Total
U
2
0
Population
0
Served
Combined Storm and
Separate Sanitary Sewer System
Sanitary Sewer
Total percentage of each type of
% %
sewer line (in miles)
C)C,
1.8
Is the treatment works located in Indian Country?
0
El Yes El No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
Yes El No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
0.040 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.024 mgd
0.023 mgd
0.026 mgd
r— 0
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.040 mgd
0.033 mgd
0.032 mgd
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge ointsbyType
0
0- 4)
CL
Combined Sewer
Constructed
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
Overflows
2
0
1
Page 2

NPDES Permit Number
Facilit� Name
Modified Application Form 2A
NCO028223
Osprey Cove South WWTP
Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
El Yes El No -* SKIP to Item 1.14.
1.13
the location of each surface impoundment and associated discharge information in the table below.
—Provide
Surface Impoundment Location and Discharge Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
0 Continuous
gpd
0 Intermittent
El Continuous
gpd
11 Intermittent
El Continuous
gpd
0 Intermittent
0
1.14
Is wastewater applied to land?
El Yes No + SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
0
Land Application Site and Discharge Data
Continuous or
Location
Size
Average Daily Volume
Intermittent
Applied
(check one)
acres
gpd
0 Continuous
0 Intermittent
Z5
El Continuous
acres
gpd
El Intermittent
0
acres
El Continuous
gpd
El Intermittent
U)
1.16
Is effluent transported to another facility for treatment prior to discharge?
:5
0
Yes 21 No -+ SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
El Yes El No 4 SKIP to Item 1.20.
1. 19
information on the transporter below.
—Provide
Transpo r Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO028223
Osprey Cove South VVVVTP
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving F cility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
0
C)
Contact name (first and last)
Title
0
Z
Phone number
Email address
0
NPIDES number of receiving facility (if any) El None
Average daily flow rate mgd
CL
I
.W
0
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
0
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
a)
Im
;5
El Yes El No -+ SKIP to Item 1.23.
5
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
:5
0
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
0
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
42
acres
gpd
0 Continuous
0 Intermittent
El Continuous
acres
gpd
El Intermittent
E] Continuous
acres
gpd
El Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21 (n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
Discharges into marine waters (CWA Water quality related effluent limitation (CWA Section
Section 301 (h)) 302(b)(2))
>
Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
El Yes No +SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
0
Contractor name
cc
(company name)
E
8
Mailing address
(street or P.O. box)
City, state, and ZIP
code
Contact name (first and
0
U
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPIDES Permit Number Facility Name Modified Application Form 2A
NCO028223 Osprey Cove South VVVVTP Modified March 2021
SECTION 2. ADDITIONAL INFORMATION (40 CFR 122.210)(1) and (2))
3� Outfalls to Waters of the State of North Carolina
0
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
El Yes El No -+ SKIP to Section 3.
2.2
Provide the treatment works' current average daily volume of inflow aily Volume of Inflow and Infiltration
0
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
0
IE
.2
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
CL
specific requirements.)
CL
0
El Yes El No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
CID
0 Yes E] No
2.5
Are improvements to the facility scheduled?
El Yes El No SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1
E
.T
CL
2.
E
3.
U
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Impr vements
E
4)
Scheduled
Affected
Begin
End
Begin
Attainment of
>
P
Improvement
Outfalls
Construction
Construction
Discharge
Operational
CL
E
(from above)
(list outfall
number)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
Level
(MM/DD/YYYY)
2.
CD
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
F] Yes [:1 No El None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
NCO028223 Osprey Cove South WWTP Modified March 2021
SECTION 3. INFORMATION ON EFFLUENT DISCHARGES (40 CFR 122.210)(3) to (5))
3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
NC
County
Onslow
0
City or town
Jacksonville
Distance from shore
ft.
ft.
ft.
Depth below surface
Average daily flow rate
0.023 mgd
mgd
mgd
Latitude
34 44' 15" N
o
Longitude
77' 28' 15" E
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
ca
El Yes El No 4 SKIP to Item 3.4.
3.3
If so, provide the following information for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
occurs
—discharge
Average duration of each
0
discharge (specify units)
16
0
Average flow of each
mgd
mgd
mgd
W
discharge
cc
4)
co
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
El Yes [D No SKIP to Item 3.6.
3.5
Briefly describe the diffuser t pe at each applicable outfall.
CL
Outfall Number
Outfall Number
Outfall Number
c6
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
U0
one or more discharge points?
Yes No 4SKIP to Section 6,
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NCO028223 Osprey Cove South WWTP Modified March 2021
31
—Provide the receiving water and related information (if know for each outfall.
Outfall Number 00,
Outfall Number
Outfall Number
Receiving water name
UT to Brinson Creek
Name of watershed, river,
or stream system
Brinson Creek
0
U.S. Soil Conservation
U)
Service 14-digit watershed
a)
CI
code
Name of state
management/river basin
White Oak River Basin
U.S. Geological Survey
8-digit hydrologic
03020204
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
E1 Primary
0 Primary
0 Primary
Treatment (check all that
El Equivalent to
0 Equivalent to
0 Equivalent to
apply per outfall)
secondary
secondary
secondary
El Secondary
0 Secondary
0 Secondary
• Advanced
0 Advanced
0 Advanced
• Other (specify)
El Other (specify)
0 Other (specify)
0
'Z;
CL
Design Removal Rates by
Ouffall
cn
BOD5 or CBOD5
%
%
%
E
TSS
%
%
%
El Not applicable
0 Not applicable
0 Not applicable
Phosphorus
%
%
%
0 Not applicable
0 Not applicable
0 Not applicable
Nitrogen
%
%
%
Other (specify)
0 Not applicable
0 Not applicable
El Not applicable
Page 7

NPDFS Permit Number
Facility Name
Modified Application Form 2A
I NCO028223
T Osprey Cove South VVVVTP
Modified March 2021
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Liquid chlorination with sodium hypochlorite.
(D
0
Clutfall Number 001
Outfall Number
Outfall Number
.2-
Disinfection type
8
Sodium hypochlorite
CID
Seasons used
Yearly
E
Dechlorination used?
Not applicable
E] Not applicable
0 Not applicable
El Yes
El Yes
El Yes
[:1 No
[:1 No
[:1 No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
El Yes E] No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
El Yes El No -+ SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or f the receiving water near the discharge points.
Clutfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
CU
Number of tests of discharge
CIO
water
Number of tests of receiving
water
uj
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
El Yes -+ Complete Table B, including chlorine. No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
S Yes No
Have you completed monitoring for all applicable Table D pollutants required by your NPIDES permitting authority and
3.18
attached the results to this application package?
El Yes No additional sampling required by NPIDES
permitting authority,
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
I NCO028223
Osprey Cove South VVVVTP
Modified March 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
El Yes E] No + Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
El Yes No + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
(MMIDDrYYYY)
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
0
toxicity?
El Yes No SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity�
LU
3.24
Has the treatment works conducted a toxicity reduction evaluation?
El Yes El No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
E] Yes 1:3 Not applicable because previously submitted
information to the NPIDES permitting authority.
Page 9

NPDES Permit Number
er�
Facility Name Modified Application Form 2A
NCO02822�3
Osprey Cove South VVWrP Modified Marrh 2021
SECTION
6. CHECKLIST
AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
6.1
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting vAth your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1
Column 2
Section 1. . Basic Application
Information for All Applicants
[] w/ vadance request(s) w/ additional attachments
Section 2: Additional
Information
0 w/ topographic map E] wl proom flow diagram
wl additional attachments
Section 3: Information on
Effluent Discharges
w/ Table A w/ Table D
wl Table B El w/ addibonal attachments
E
wl Table C
65
Secfion 4� Not Applicable
Section 5: Not Applicable
SeCfion 6: Checklist and
0 wl attachments
Certification Statement
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance wfih a system designed to assure that qualified personnel property gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. / am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Caleb Schroeder
Official title
Officer
Signature
( f 24--
Date signed
06/14/2022

NPDES Permit Number
Facility Name
Outfall Number
NCO028223
I Osprey Cove South VVVVTP
1 001
Modified Application Form 2A
Modified March 2021
Pollutant
W-11 111111111261 lyiyj6��
Ma imurn Daily Discharge
Average Daily Discharge
Analytical
Method'
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
21 BOD5 or ci CBOD5
(report one)
6
Mg/L
3.6
Mg/L
52
OML
2 mg/L 0 MDL
Fecal coliform
N/A
N/A
OML
OMDL-
Design flow rate
0.04
MGD
pH (minimum)
7.6
pH units
62
pH (maximum)
8.2
pH units
Temperature (winter)
22.7
Degrees Celsius
15.9
Degrees Celsius
Temperature (summer)
27.4
Degrees Celsius
25.1
Degrees Celclus
66
Total suspended solids JSS)
122.8 1
mg/L
7.3
I
mg/L
52
2.5 mg/L OML
1 0 MDL
I Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter 1, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identitication Number NPUES Permit Number
I NCO028223
Name
Osprey Cove South WVVTP
ill Number
001
Modified Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical
MLorMDL
Number of
Value
Units
Value
Units
Method'
(include units)
Samples
Ammonia (as N)
<0. 2
mg/L
<0.2
nng/L
52
OML
0.2 m L 0 MDL
Chlorine
40
ug/L
26
ug/L
104
OML
(total residual, TRC)2
0 MDL
Dissolved oxygen
9.6
mglL
6.5
mg/L
340
OML
0 MDL
Nitrate/nitrite
1:1 ML
0 MDL
Kjeldahl nitrogen
0 ML
0 MDL
Oil and grease
0 ML
0 MIDIL
Phosphorus
0.651
mg/L
0.392
mg/L
4
0 ML
0 MDL
Total dissolved solids
El MIL
0 MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter 1, subchapter N or 0. See instructions and 40 CFR 122.21 (e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

EPA Identification Number
NPIDES Permit Number Facility Name Cutfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South \A(WTP 001
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Value
Units Vali
Units
Number of
Method' (include units)
Samples
als, Cyanide, and Total Phenols
Hardness (as CaCO3)
0 MIL
0 MDL
Antimony, total recoverable
0 ML
11 MDL
Arsenic, total recoverable
0 ML
0 MDL
Beryllium, total recoverable
0 ML
0 MDL
Cadmium, total recoverable
0 ML
0 MDL
Chromium, total recoverable
0 ML
0 MDL
Copper, total recoverable
0 ML
0 MIDL
Lead, total recoverable
0 ML
0 MDL
Mercury, total recoverable
0 ML
0 MDL
Nickel, total recoverable
OML
0 MDL
Selenium, total recoverable
DMIL
11 MDL
Silver, total recoverable
OML
0 MDL
Thallium, total recoverable
0 ML
0 MDL
Zinc, total recoverable
0 ML
0 MDL
Cyanide
0 ML
0 MDL
Total phenolic compounds
11 ML
0 MIDL
tile Organic Compounds
Acrolein
OML
0 MDL
Acrylonitrile
OML
• MDL
Benzene
0 ML
• MDL
Bromoform
OML
0 MIDL
EPA Form 3510-2A (Revised 3-19) Page 13

EPA Identification Number NPIDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South WWTP 001
Modified March 2021
14am:lagitljqm �Tlllw
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical MLorMDL
Value Units Value Units Number of
Method' (include units)
Samples, -,-----
Carbon tetrachloride
11 MIL
El MDL
Chlorobenzene
DMIL
0 MDL
Chlorodibromomethane
OML
0 MDL
Chloroethane
El ML
0 MDL
2-chloroethylvinyl ether
OML
0 MDL
Chloroform
OML
0 MDL
Dichlorobromomethane
OML
0 MDL
1,1-dichloroethane
11 MIL
0 MDL
1,2-dichloroethane
11 MIL
0 MDL
trans- 1, 2-dichloroethylene
DMIL
11 MDL
1, 1 -dichloroethylene
OML
0 MDL_
1,2-dichloropropane
OML
0 MDIL
1,3-dichloropropylene
0 MIL
0 MDL
Ethylbenzene
11 ML
0 MOL
Methyl bromide
OML
0 MOL
Methyl chloride
OML
0 MDL
Methylene chloride
OML
11 MDL
1, 1,2,2-tetrachloroethane
11 ML
0 MIDL
Tetrachloroethylene
DMIL
0 MDL
Toluene
0 MIL
0 MDL
1, 1, 1 -trichloroethane
OML
0 MDL
1,12-trichloroethane
0M
0
EPA Form 3510-2A (Revised 3-19) Page 14

EPA Identification Number
NPIDES Permit Number FaciI4 Name Outfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South VV\AfTP 001
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical MLorMDL
Value
Units
Value
Units
Number of
Method' (include units)
amples
Tdchloroethylene
OML
0 MDL
Vinyl chlodde
OML
0 MDL
i-Extractable Compounds
p-chloro-m-cresol
OML
0 MDL
2-chlorophenol
OML
0 MIDL
2,4-dichlorophenol
OML
0 MDL_
2,4-dimethylphenol
11 ML
0 MIDL
4,6-dinitro-o-cresol
OML
0 MIDL
2,4-dinitrophenol
OML
0 MIDL
2-nitrophenol
OML
0 MIDL
4-nitrophenol
OML
0 MIDL
Pentachlorophenol
0 ML
0 MIDL
Phenol
0 ML
0 MDL
2,,4116-trichlorophenol
11 ML
0 MDL
e-Neutral Compounds
Acenaphthene
OML
DMIDL
Acenaphthylene
0 ML
0 MDL
Anthracene
0 ML
DMIDL
Benzidine
0 ML
0 MDL
Benzo(a)anthracene
OML
0 MDL
Benzo(a)pyrene
0 ML
0 MIDL
3,4-benzofluoranthene
0 ML
0 MIDL
EPA Form 3510-2A (Revised 3-19) Page 15

EPA Identification Number NPIDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South VVWTP 001
Modified March 2021
14amnaltilagazaguil: - ag. i M"
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Value Units Value Units Number of
Method' (include units)
Sam les
Benzo(ghi)perylene
0 ML
0 MDL
Benzo(k)fluoranthene
1:1 ML
0 MDL
Bis (2-chloroethoxy) methane
13 ML
0 MDL
Bis (2-chloroethyl) ether
El MIL
0 MDL
Bis (2-chloroisopropyl) ether
0 MIL
0 MDL
Bis (2-ethylhexyl) phthalate
0 ML
D MDL
4-bromophenyl phenyl ether
0 ML
0 MIDL
Butyl benzyl phthalate,
0 ML
0 MDL
2-chloronaphthalene
0 MIL
0 MDL
4-chlorophen I phenyl ether
y
0 ML
0 MDL
Chrysene
0 ML
0 MDL
di-n-butyl phthalate
0 ML
0 MDL
di-n-octyl phthalate
0 MIL
0 MIDL
Dibenzo(a,h)anthracene
0 MIL
0 MDL
1,2-dichlorobenzene
0 ML
0 MDL
1,3-dichlorobenzene
0 MIL
0 MDL
1,4-dichlorobenzene
0 ML
0 MDL
3,3-dichlorobenzidine
OML
11 MDL
Diethyl phthalate
0 ML
0 MDL
Dimethyl phthalate
0 ML
0 MDL
2,4-dinitrotoluene
0 ML
0 MDL
2,6-dinitrotoluene
0 ML
11 MIDL
EPA Form 3510-2A (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South VVWTP 001
Modified March 2021
-allIZOINVIXIIII :10 20 VITIM
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical MIL or MDL
Value Units Value Units Number of
Method' (include units)
Sam les
1,2-diphenylhydrazine
11 MIL
0 MIDL
Fluoranthene
11 ML
0 MIDL
Fluorene
OML
• MDIL
Hexachlorobenzene
0 MIL
• MIDIL
Hexachlorobutadiene
OML
0 MIDIL
Hexachlorocyclo-pentadiene
I
0 MIDL
Hexachloroethane
11 MIL
0 MDL
Indeno(1,2,3-cd)pyrene
DMIL
lsophorone
0 MIL
0 MDIL
Naphthalene
0 ML
0 MIDIL
Nitrobenzene
0 MIL
0 MDIL
N-nitrosodi-n-propylamine
[I ML
0 MDIL
N-nitrosodimethylamine
0 MIL
0 MDL
N-nitrosodiphenylamine
0 MIL
0 MIDIL
Phenanthrene
I
0 MIDIL
Pyrene
OML
0 MIDL
1,2,4-tdchlorobenzene
1-01 MIL
0 MIDIL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter 1, Subchapter IN or 0. See instructions and 40 CFR 122.21 (e)(3).
EPA Form 3510-2A (Revised 3-19) Page 17

NPIDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO028223 Osprey Cove South WWTP 001
Modified March 2021
Ills
AWWRI:11:111VIT gw6lijig"o i
Maximu D 'I Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Number of
(list) Value Units Value Units
7
Method' (include units)
Samples
El No additional sampling is required by NPDES permitting authority.
Total Nitrogen
14.8
ni
6.4
mg/L
4
EIML
11 MDL
Enterococcus
10
CFlLl/100mL
3.4
CFU/100mL
52
EI ML
1 /100nnL
0 MDL
EIML
0 MDL
OML
• MIDL
• ML
• MDL
DMIL
0 MIDL
• ML
• MIDL
13 ML
• MIDL
• MIL
• MDL
• MIL
• MIDL
EIML
0 MIDL
EIML
0 MDL
DIAL
0 MIDL
OML
0 MDIL
OML
0 MIDL
OML
0 MDL
OML
0 MDL
1 z5ampiing snail be conducted according to sutticiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants orpollutant parameters or required
under 40 CFR chapter 1, subchapter N or 0. See instructions and 40 CFR 122.21 (e)(3).
Page 18