HomeMy WebLinkAboutWPO201400031 Transfer of Ownership Agreement 2020-01-30VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Permit Coverage Number (VAR10####: VAR10F988
Construction Activity Name: West Lake Hills- Phases I -IV aka Westlake at Foothill Crossing
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- c/o Stanley Martin Homes
Contact Person: Jeremy Swink
Address: 404 People Place, Suite 303
City, State and Zip Code: Charlottesville, Virginia 22911
Phone Number: 571-309-5043
Primary Email: swinkjw@stanleymartin.com
CC Email: odonnellGP@stanleymartin.com, 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
Signature:
Date: X a
Section II. 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:
Address: 404 People Place, Suite 303
City, State and Zip Code: Charlottesville, Virginia 22911
Phone Number: 571-309-5043
Primary Email: swinkjw@stanleymartin.com
CC Email: odonnellGP@stanleymartin.com, 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 Swink
Signature:
Date:
20zo
Rev 04/2019 Page 1 of 2
. 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
Rev 04/2019 Page 2 of 2