HomeMy WebLinkAboutWPO201900003 Transfer of Ownership Agreement WPO VSMP 2020-01-28VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Permit Coverage Number (VAR10####): VAR10M834 _
Construction Activity Name: Pleasant Green
Section I. Current Construction Activity Operator/Permittee Information. Operator information as it appears on the
current, active permit coverage.
Construction Activity
Operator Name: SM Charlottesville, LLC
Contact Person: Jeremy Swink
Address: 11710 Plaza America Dr, Suite 1100
City, State and Zip Code: Reston, VA 20190
Phone Number: 434-975-7445
Primary Email: swinkjw@StanleyMartin.com
CC Email: chollandsworth@wetlands.com
"I (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges
of Stormwater from Construction Activities (VAR10)."
Printed Name: Jeremy�ink
Signature: +t/"
Date: 24
Section 11. New Construction Activity Operator/Permittee Information. Permit coverage will be transferred to this
person or entity.
Construction Activity
Operator Name (NEW): Stanley Martin Companies, LLC
Contact Person: JeremySwink
Address: 11710 Plaza America, Dr, Suite 1100
City, State and Zip Code: Reston, VA 20190
Phone Number: 434-97S-7445
Primary Email: swinkjw@StanleyMartin.com
CC Email: chollandsworth@wetlands.com
"I (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges
of Stormwater from Construction Activities (VAR10)."
Printed Name:
Signature:
Date:
Rev 04/2019
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. VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Section III. New Construction Activity Operator/Permittee Billing Information. This entity will receive Annual Permit
Maintenance and Permit Modification Fee invoices (if applicable). Leave this section blank if same as the New Operator
as identified in Section II. A. above.
Billing Entity Name:
Contact Person:
Address:
City, State and Zip Code:
Phone Number:
Primary Email:
CC Email:
May we transmit correspondence electronically? You must choose YES and include a valid email in order to pay by
credit card and to receive your transfer approval letter via email; YES ® NO ❑
Section IV. Instructions.
A properly authorized individual as specified in the General VPDES Permit for Stormwater Discharges from Construction
Activities (VAR10), Part III K (Signatory Requirements) must physically sign this Transfer of Ownership Agreement.
Please retain a copy of this agreement form for your records and include a copy in your Stormwater Pollution Prevention
Plan (SWPPP).
Submit this form to the VSMP Authority. If the locality is the VSMP Authority, please submit your Transfer of Ownership
Agreement directly to the locality; do NOT send this form to DEQ. A list of local VSMP Authorities is available here:
VSMP Authorities.
If DEQ is the VSMP Authority please send to:
Department of Environmental Quality
Office of Stormwater Management Suite 1400
PO Box 1105
Richmond VA 23218
con structiongp@deg.virsinia.eov
If the locality is the VSMP Authority, please send to:
ne Local
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