2400 33RD ST 2018-01-02 MF Import

Transfer of Coverage ,„i „,,, i,, ,,,,t Construction Stormwater General Permit EtC„0 L Ot6 �Y Permit #WAR-0073N This form transfers permit coverage for all or a portion of a site to one or more new operators This form allows two transfer options 1) Complete Transfer or 2) Partial Transfer. Determine which option applies to your situation before filling out the transfer of coverage form. Provide all information as required In option 1 or 2. 1. Complete Transfer: means the original permittee has sold or otherwise released control of the site to one or more owner/operators and no longer owns or controls any portion of the site. Either the original Permitee or the new Permittee(s) must submit the following Information to Ecology: A. Submit a list of all new owner/operators including name, aAress, phone number, email (optional), and contact name (if different) for each parcel or lot being transferred. Include a site map showing the transferred parcels or lots in relation to the originally permitted site. Indicate who owns/operates the transferred lots. B. When all portions of a permittee's site are either finally stabilized (see Condition S10 of the General Permit), or all unstabilized portions of the site have been transferred, the permittee shall submit a Notice of Termination Form (NOT) to Ecology once the transfer of the entire site is completed. C. A complete and accurate Transfer of Coverage Form (Attachment A) for each new operator. 2. Partial Transfer: means the original permittee retains control over some portion of the site after selling or releasing control over a portion of the site. Either the original Pennittee or the new Permittee(s) must submit the following information to Ecology: A. An explanation and site map showing the area(s) retained under permit coverage by the original Pennittee, and the areas transferred to the new Permittee(s): 1. include the new total disturbed acreage retained by original permittee, 2. indicate who owns/operates the transferred lots, and 3. indicate which transferred parcels or lots will now ba covered under the revised permit compared to the originally permitted site. B. A complete and accurate Transfer of Coverage Form (Attachment A) for each new operator. The original Permitee must submit an updated application form (NOI) and site map, which indicates the amended acreage of the site retained under the original Permittee's control (Total Size of Site; and Total Disturbed Acres). Following the transfer, the new operator must either: 1) use the Stormwater Pollution Prevention Plan (SWPPP) developed by the original operator and modified as necessary, or 2) develop and use a new SWPPP which meets the requirements of the Construction Stormwater General Permit. ECY 020-87a (Rev 12/05)