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DocuSign Envelope ID:986BB350-041E-4B91-A91A-D8114535CA35 DEQ USE ONLY DEQ USE ONLY Application#: Date Revd: Oregon. Department of Environmental Quality Legal name checked CIAmt Rcvd: Notes: DEQ Name Change and/or Permit Transfer Check#: StnetiCkegst NPDES or.WPCF Permit Revd From: ❑IND ❑DOM ❑STM ❑OSS Deposit#: ❑UIC: Receipt#: A.ACTION TO BE PERFORMED . ❑Name Change/Effective or Scheduled Date: 0 Transfer of Permit/Scheduled Date: Nov 18, 2021 B PREVIOUS-INFORMATION 1. Previous Legal Name: Pod28 LLC Previous Common Name:Hope Valley Resort 2. Facility Physical Address:8372 Enchanted Way SE 3. Permit#:103005 City, State,Zip Code: Turner, OR 97392-9334 DEQ File#:30404 County: Marion O NEW INFORMATION 1. NEW Legal Name:MHC Hope Valley, LLC 2. NEW Common Name:Hope Valley Resort 3. Responsible Official: Bardya Kahrobaie Title: Regional Vice President Mailing Address,City, State,Zip Code: 2 N. Riverside Plaza #800, Chicago, IL 60606 Email Address: environmental@equitylifestyle.com Telephone#: 312 279-1400 4. Facility Contact: Anthony Wilson Title: Manager Mailing Address,City,State,Zip Code: 8372 Enchanted Way SE, Turner, OR 97392-9334 Email Address: anthony_wilson@equitylifestyle.com Telephone#: (503) 371-0555 5. Invoice to: Diane Griffin Title: Permits/Licenses Coordinator Mailing Address,City, State,Zip Code: 2 N. Riverside Plaza #800, Chicago, IL 60606 Email Address: permits_licenses@equitylifestyle.com Telephone#: (312) 279-1458 6. Will the name change or transfer of ownership result in a change in the character of pollutants being discharged or a new or increased discharge not addressed by current permit conditions? ■❑ No ❑ Yes(attach explanation) D.SIGNATURE REQUIRED FOR NAME CHANGE I herby authorize the above referenced name change. Bardya Kahrobaie Regional Vice President Name of LegallyAut onzed,Renresentative(Type or Print) Title ',Par a t`a bOatt, 5/3/2022 I 1:20 PM PDT Signature of Legally Authorized Representative Date e4SIGNATURES,REQUIRED FOR TRANSFER OF'PERMI'E Previous owner:I hereby acknowledge the pending transfer of the above referenced permit. Name of Legally Authorized Representative(Type or Print) Title Signature of Legally Authorized Representative Date New owner: I hereby apply for permission to transfer the above referenced permit and certify that I have acquired a property interest in the permitted activity.I agree to fully comply with all terms and conditions of the permit and DEQ rules. Bardya Kahrobaie Regional Vice President Name of Legally Authorized Representative(Type or Print) Title I°�ay'`� Ia, a ol'ait- 5/3/2022 I 1:20 PM PDT Signature of_Legally Authorized Representative Date - 1 - last updated:Oct 10,2017(MRB)