HomeMy WebLinkAboutWPO202000043 Correspondence 2021-08-11VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Permit Coverage Number (VAR10N11110): VAR-10P973
Construction Activity Name: Airport Road Sheetz
Section I. Current Construction Activity Operator/Permittee Information. Operator Information as it appears on the
current, active permit coverage.
Construction Activity
Operator Name: Fielders Choice Enterprises, Inc.&-0\Vefm;f; C6frft.+-notjK- Ceivn(onStrutfiMV•wf
Contact Person: David Thornton
Address: 371 Expansion Drive <-- on permit, correct address Is 158Industrial Way, Suite 203
City, State and Zip Code: Hillsville, VA 24343 <- on permit, correct address Is Troy, VA 22974
Phone Number: 434.962,3573
Primary Email: DThornton@FCE-digs.com on permit
CC Email: DThornton@ccg-builds.com preferred
"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:
�av�ct "�tornJan
Section II. New Construction Activity Operator/Permittee Information. Permit coverage will be transferred to this
person or entity.
Construction Activity
Operator Name (NEW): Sheetz, Inc.
Contact Person: Lee May, Engineering/Permit Manager
Address: 2708 Mount Olive Court
City, State and Zip Code: Mount Airy, MD 21771
Phone Number: 814.552.0609
Primary Email: LMay(Sheetz.com
CC Email:
"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: 7- a-8- akn t
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 ll. 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 emali in order to pay by
credit card and to receive your transfer approval letter via email: YES N 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: If the locality is the VSMP Authorityplease send to:
Department of Environmental Quality
Office of Stormwater Management Suite 1400
PO Box 1105
Richmond VA 23218
constructionapC@dea.virainia.aov
Carla Harris
Community Development, North Wing
401 McIntire Road
Charlottesville, VA 22902
charris@albemarle.org
Rev 04/2019 Page 2 of 2