HomeMy WebLinkAbout017 06
STATE OF WASHINGTON
County of Jefferson
In the matter of Certification for an }
Application for an Underground Storage }
Tank Community Assistance Program }
Grant; Quilcene Village Store, D&H, Inc. }
RESOLUTION NO. 17 -06
WHEREAS, Jefferson County finds that other retail suppliers of petroleum products are
located at least 10 miles from the local community; and
W!lEREAS, Jefferson County has named an individual responsible for negotiating a cost-
plus basis agreement with the applicant, if successful in receiving grant assistance, so that
government entities can purchase petroleum products under that agreement; and
WHEREAS, Jefferson County finds the applicant is capable of faithfully fulfilling the
agreement required by the State of Washington for providing financial assistance; and
WHEREAS, Jefferson County finds that the applicant, by selling petroleum products in
this area, meets a vital local government, public health, safety, or recreational need;
NOW, THEREFORE, BE IT RESOL VED, that by official action taken on the 11 th of April,
2006, Jefferson County, certifies to the State of Washington that the Quilcene Village Store
should be considered for financial assistance to be used for corrective action and repair,
replacement, reconstruction and improvement of its underground petroleum storage tank(s) and
tank site.
BE IT FURTHER RESOLVED, that the completion of this certification form is good faith
effort on the part of Jefferson County to certify that the continued operation of the Quilcene
Village Store petroleum underground storage tank(s) meets a vital local, public health, safety, or
recreational need. This certification form does not represent comprehensive research of all
applicable laws and regulations. D&H, Inc.lQuilcene Village Store remains responsible for
fulfilling all laws, ordinances and regulations in effect at the time that work commences at the
underground storage tank site.
APPROVED AND ADOPTED this 11th day of April, 2006.
ON COUNTY
COMMISSIONERS
) J
~,
:;I
John .,;' J7
Davi~-~~~
~~~ember
WED. ~A. l.t,. 2006 09: 37 AM POLWfHJ~LIABILITY
FAX No. 360-586-7187
P.003
';;;;i;;;;l~j~~~~jm;;m!ij~k~!~~!:!~!ml~~;lf.~~i~~~m~l~ji~m!;1~~~mjj~~!
_oun .............. ._............... ......._. ... .... ..__..... ..-........
seac.oI.~.O.B4OC~WA ..~
(3f!OJ 586-5fH11"'~(360) ..71ii1'
cE~nFlcAnON OF APPUCANT BUSINESS
.. _ .... ._ .AnJJ/Iidat. ofb ~~_.,:rt;lY--'!!.~~ ~ ~ ~t/g!J.C!f.~ __. _ _., . ~ _.. _.n
. ...: -.....--- -- "'lijipliiiiinioiiimeiSSIti ;ruiilOOiiijiliitetfi1S rMri. ~ 8fIii8l-iRRlItNJ'1f:B~'df-"u..c. - - - '.. .... ._~,..'
. . . paper If more space Is ;equirfI!J to ~ questiOns.', . '. '" .
. :
. .. " . .
Any local offIoIaJ who has an ownership irrter.est In, or oPerates a petr'okwm retaH
. ' busIries8 that Is sppIyIng for grant assistance under this program ,oould fake no part In
. the decision of this cetfification. . . .
Naineof~~;"~
. '32.0:reff'~
Add~
.' Q2d::fl1f1~t\r.t " WA!L~3Il6
,City:< Zip' .
C6tA ~ A d~:I\~1:zrL
, ' Title
. .
. :.:TO h r\ F. El...sd:JAd--.
Contad: Name
3bO 3lS ~ 3cg3
Telephone Number
. .
1. Does the appllca!!!pusiness I'1'te&t a vttallocal goV9fTlment, public health, safety,
fecreaUonaI ~?!SI Yes ,0 No , " . . ',. .
'. ..... """"_~.beIIIJb."""'.JJILIJI!::J_.~-::~_f1IJIlJI_I!J!!IJIlB_1I1J ~ or /ndJstJen8fIbIe aeM:e ..
pt'CNid8d frr the citizens. . . .
If yes; please 'proVlde detaled infoiTnation (please attaCh a separate sheet If I110fe room
is needed).. . _b,u&:~M!S's ~" .Ol\ty Of1jlO ~f't ~t, tJ.n.I~ 'of r"t..-tj. .
. ------ 2....P1ease expIair.I-the 1mpad(9.) on..the comlDlJDltvJfJbe.applcanlbness..did..not.seJI---
orOOntinues ~to ~I petroleum prOd~: '. 0-11 r rlbiD,,^MA lI'i'Jd tJ,J ob~llluiJ
. L\~~Jbu.+ ~ ~:~I EJL~j' h,J~,..g ~~~lIh~
h4~ ~~. V'fI.;u'Y v-n'.,b ~t\ O'"ldut- ~ t')h~".1\ ~1I..C.1s
. I _ -J .
f\.J-t-0Jl.f:). .
WED. IIA( Lt. 2006 09: 38 AM POUl1fU}4 LIABILIlY
FAX No. 360-586-7187
P.004
Where would local, state, and federal ~ entities In this .. pt.-chase
~produds~ ~ro.~i~"1""J 13,,^~"h 4..t.16ff'
0..-0
"3. What~ areas or activities would be serveCI by the availability of petroleum
atthiS~? . 0 O~"'r t4...~~ BttllL - "'6rof ~L4tJ 0 "
.' 0
.:. ...,:"-..~ 0_- _ ...:-.~ _ . .,.~.. __00" :....._ ~:.:.. ::_:..... _: _:,-.,,:: 0_0_'_:._ ~~ .:....._.: ..:......~:. ..:.:....: :..:.. _~..-., _<_: '::.... .:::: .:':..._......, ~"":":.._';:'_'...; 00 ~ ~ ~:.:
.. .....
. 0
4. ~ list any ~ ordinances. .reguIatIonS, codes~ restrictionS. or pem1b ..
that might prevent the:8PPbnt busIness.from being approved ~ upgrade and/or '
cleanup the site. Please also Include estInmed tJmeHnes for aPProval. (For ~
does thIs.1oCatIon meeUhe .colllpl'BtMJslve plan forthe 8198 and wpuld.~1 ~ns .
or ZO{llng requirements prohibit ma~enance of a petroIeun retan outlet at this site?).
NonQ.; .
. "
. .
5. PIeasG'lIsto and atIach copies of any ordinances, regulatipns, codes, restriction$, or
laws that may apply 1D.your loCaI.government entity in purohasIng petroleum products
_from a Private business. _ . of '.. .. _ _..-
"-\ 0 vi e.
.'. ..
8 Ita goO "'.JlW.8~.JRlI.~~~ oritcIas must
negotiate an agreement WIth the applicant ~ so.that: local government enIiI;ies
can purohase petroIelm PfO(tucts on a ciost~ ~~ ProVIde the, following inbmation -
about the individual whb will negotiate the cost-plus purchase ~reement with the
business:
, . J"~n ~ P;5rh~b'
Name .
. \ '.T~.l~lnbt .
. Employer '
.------ 1<A20 ~~U:ol\
Add..,
. -
G;.(::fy AcJ. ;...~~~k. .
TItle. '.
.~ 3W~>13%3
. Telephone Nuinber