Follow the steps to successfully fill out the WV WRD 10-64N form.

1. Press the ‘Get Form’ button to access the WV WRD 10-64N form. This will allow you to open the document in an online editor.
2. Begin by entering the date of the agreement in the designated field. Specify the day, month, and year when the ownership transfer agreement was executed.
3. Fill in the 'To:' field with the appropriate details of the Department of Environmental Protection, including the address provided in the document.
4. In the section where it states 'this is to notify you that by agreement dated...', enter the relevant facility name and mailing address.
5. Complete the ownership transfer information by filling in both the existing owner's name and the proposed new owner's name and mailing address.
6. Indicate how the facility will be operated by entering the facility name or number in the corresponding field.
7. Acknowledge the liability and responsibility by selecting the appropriate option regarding environmental liability, ensuring that you provide a detailed description of existing liabilities if required.
8. Enter the WV/NPDES permit registration number and the date it was issued. Include details in the fields related to the seller’s and buyer’s signatures, names, titles, company names, telephone numbers, and email addresses.
9. Review all completed fields to ensure accuracy. Once satisfied, save your changes within the online editor.
10. You may proceed to download, print, or share the filled-out form as necessary.

Complete your WV WRD 10-64N form online today to facilitate the smooth transfer of your NPDES permit.