Transfer_of_Authorization_Form.docx
DOCX document 16 KB Posted
- Attached to
- NPDES White Oak Pond Retrofit
- Solicitation number
- 25-011
- Issued by
- Charles County, Maryland
About this file
The document is a Transfer of Authorization Form issued by the Maryland Department of the Environment (MDE) for the National Pollutant Discharge Elimination System (NPDES) stormwater program, specifically designed to facilitate the transfer of permit coverage for construction activities. The form is intended to be completed when a permittee wishes to transfer control of permitted activities to another party, either due to site ownership changes or a transfer of project management responsibilities. The transferor must provide the transferee with a copy of the General Permit and ensure they are familiar with the program requirements.
This transfer form is directly related to the Charles County NPDES White Oak Pond Retrofit project, which seeks to retrofit an existing stormwater management pond to treat approximately 20.48 acres of impervious surfaces and reduce Total Maximum Daily Load (TMDL) in compliance with NPDES permit requirements. The form serves as a critical administrative tool to ensure continuity of environmental compliance and regulatory oversight during potential changes in project leadership or ownership, allowing for seamless transfer of responsibilities while maintaining environmental protection standards.
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Text version
TRANSFER OF AUTHORIZATION
MARYLAND DEPARTMENT OF THE ENVIRONMENT
| 1800 Washington Boulevard | - Baltimore Maryland 21230 | |
| (410) 537-3000 - | 1-800-633-6101 - | http://www.mde.state.md.us |
TRANSFER OF AUTHORIZATION
This Transfer of Authorization form is to be completed by a permittee who has applied for coverage under the General Permit for Construction Activity, in accordance with the Environmental Protection Agency’s National Pollutant Discharge Elimination System stormwater program, if the permittee intends that another person assume control of permitted activities on the site or if the site’s ownership changes. In this event, the permittee (the “transferor”) must familiarize the person who is assuming control of the permitted activities (the “transferee”) with the program and provide the transferee with a copy of the General Permit. The transferor and transferee must both sign this form. The completed forms should be submitted by the transferor to the Maryland Department of the Environment, WMA - Compliance Program, Montgomery Park Business Center, 1800 Washington Boulevard, Suite 420, Baltimore, Maryland, 21230.
NOI Identification Number (if assigned):
Name of Transferor/Permittee:
Address of Transferor/Permittee
Site Name and Location (description, including County and mailing address if available):
Name of Person to Whom Coverage is Being Transferred (i.e., Transferee):
Address of Person to Whom Coverage is Being Transferred:
Phone Number of Person to Whom Coverage is Being Transferred:
Name and Phone Number of Contact Person:
I acknowledge this transfer of authorization under the terms of the General Permit. I understand that the named transferee on this form is now responsible for complying with the terms of the General Permit.
Transferor Signature and Date Transferee Signature and Date
Form Number MDE/WMA/COM0.15 1 of 1 Revision Date 03/01/2003 TTY Users 1-800-735-2258
File details come from the government source that posted it. Updated .