HomeMy WebLinkAboutWPO202000034 Other 2022-11-21VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY
GENERAL VPDES PERMIT FOR DISCHARGES OF STORMWATER FROM CONSTRUCTION ACTIVITIES (VAR10)
TRANSFER OF OWNERSHIP AGREEMENT 2019
Permit Coverage Number (VAR10####): VAR10O868
Construction Activity Name: Belvedere Phase 5
Section I. Current Construction Activity Operator/Permittee Information. Operator Information as it appears on the
current, active permit coverage.
Construction Activity
Operator Name: New Belvedere Inc.
Contact
Address: 610 West Rio od
City, State and Zip Code: Charlottesville VA 22901
Phone Number:
Primary Email: skrohn@resortscompaniescom
CCEmail: )tageart@roudabushcom
"I (We) hereby agree to the transfer of ownership modification to the referenced General VPDES Permit for Discharges
of Stormwater from Constreirrinn Artivitie< IVARt nl."
Printed Name:
Signature:
Date:
Section II. New Construction Activity Operator/Permittee Information. Permit coverage will be transferred to this
person or entity.
Construction Activity
Operator Name (NEW): Greenwood Homes- Charlottesville, LLC
Contact Person: Andrew Holzwarth
Address: alas Wnndhnume I n.
City, State and Zip Code: Crozet. VA 22932
Phone Number: 434-989-9752
Primary Email: drew@greenwoodhomes.com
CC Email: chris.schooley@greenwoodhomes.com , jtaggart@roudabush.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 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. I I1
Billing Entity Name: �0,"VAWIQ -ib'Dw eSI LLL
Contact Person: Ckt,15 SC(naoI? j
Address: &r,35 Wo0jim,yt'L LPN.
City, State and Zip Code: GV07,&t Un, ZzA32
Phone Number: kga -
Primary Email: GI�✓i{ (,001[ IIiGG. adYto�+c . wt
CC Email: � V'6yv �,vL/lnWnJO �'`01tLGS rAv`^
G
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 M 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 Authority, please send to:
Department of Environmental Quality
Office of Stormwater Management Suite 1400
PO Box 1105
Richmond VA 23218
con st ructlonxa@ de g.vi rxi n i a.aov
Albemarle County
Department of Community Development
401 McIntire Rd.
Charlottesville, VA 22902
Rev 04/2019 Page 2 of 2