A
A
P
P
P
P
L
L
I
I
C
C
A
A
T
T
I
I
O
O
N
N
F
F
O
O
R
R
R
R
E
E
T
T
A
A
I
I
L
L
P
P
E
E
T
T
R
R
O
O
L
L
E
E
U
U
M
M
O
O
U
U
T
T
L
L
E
E
T
T
L
L
I
I
C
C
E
E
N
N
S
S
E
E
N
N
N
E
E
E
W
W
W
R
R
R
E
E
E
T
T
T
A
A
A
I
I
I
L
L
L
O
O
O
U
U
U
T
T
T
L
L
L
E
E
E
T
T
T
ALL QUESTIONS MUST BE ANSWERED
1
NAME OF APPLICANT:
2
ADDRESS OF PROPOSED OUTLET: (Street) (Town, Community) (Province) (Postal Code)
P.E.I.
3
OWNER OF PROPOSED OUTLET:
4
OWNER’S MAILING ADDRESS:
5
OPERATOR OF PROPOSED OUTLET:
6
OPERATOR’S MAILING ADDRESS:
7
HAS THE APPLICANT PREVIOUSLY BEEN LICENSED UNDER THE PETROLEUM PRODUCTS ACT:
Yes No If yes, please specify:
8
METHOD OF PROPOSED DISPENSING (check all that apply):
Full-serve Split-serve Self-serve Keylock Cardlock
9
TYPE OF PROPOSED OUTLET (check all that apply):
Service Station C-Store/General Store Marine Other (specify) ____________________
10
PROPOSED SUPPLIER OF PETROLEUM
PRODUCTS:
11
WHAT PETROLEUM PRODUCTS WILL BE SOLD:
12
DEFINE TYPES OF SERVICES TO BE OFFERED AND/OR BUSINESSES TO BE OPERATED IN CONJUNCTION
WITH THE SALE OF PETROLEUM PRODUCTS (IF APPLICABLE, ALSO INDICATE TYPE OF PROPOSED
PROPANE DISPENSING):
13
GIVE DESCRIPTIONS AND DIMENSIONS OF BUILDINGS TO BE ASSOCIATED WITH THE PROPOSED OUTLET:
14
HOW MANY PUMP ISLANDS AND PUMPS ARE PROPOSED:
15
WHAT HOURS DO YOU PROPOSE TO OPERATE:
Weekdays: Full Service a.m. to p.m. Self Serve a.m. to p.m.
Sundays/Holidays: Full Service a.m. to p.m. Self Serve a.m. to p.m.
16
WHAT VOLUME OF PETROLEUM STORAGE IS PROPOSED TO BE INSTALLED:
17
HOW FAR WILL PUMP ISLAND BE LOCATED FROM THE CENTRE OF THE NEAREST ROAD:
__________ feet
18
WILL PUBLIC WASHROOMS BE PROVIDED:
Yes No If yes, how many washrooms? ____________
PAGE 1 OF 2
National Bank Tower
501-134 Kent Street
P.O. Box 577
Charlottetown, PE
C1A 7L1
19
THE FOLLOWING ITEMS MUST ACCOMPANY THIS APPLICATION:
1. A PLAN INDICATING THE SPECIFIC PROPERTY LOCATION
2. A PLAN OF THE FACILITY LAYOUT
3. A LETTER OUTLINING WHY IT IS CONSIDERED THAT PUBLIC
INTEREST, CONVENIENCE AND NECESSITY REQUIRE THE
LICENSING OF AN OUTLET IN THE AREA
THE FOLLOWING ITEMS MUST BE FILED WITH THE COMMISSION BEFORE A LICENSE WILL BE ISSUED.
NOTE: NUMBER 9 IS NOT NECESSARY UNLESS YOU PROPOSE TO DISPENSE PROPANE.
4. A COPY OF THE BUILDING PERMIT OR APPROVAL IN PRINCIPLE
FROM THE AUTHORITY HAVING JURISDICTION
5. A COPY OF PRELIMINARY APPROVAL FROM THE DEPARTMENT
OF AGRICULTURE AND LAND RELATIVE TO THE
INSTALLATION OF PETROLEUM STORAGE FACILITIES
6. A FILING FEE AS OUTLINED IN THE CURRENT LICENSE FEE
SECTION FOUND ON THE COMMISSION’S PUBLIC WEBSITE
7. PROOF OF OWNERSHIP OF OUTLET
8. COPY OF PETROLEUM SUPPLY AGREEMENT
9. A COPY OF APPROVAL FROM THE INSPECTION SERVICES
DIVISION OF THE DEPARTMENT OF AGRICULTURE AND LAND
RELATIVE TO THE HANDLING OF PROPANE
20
I HEREBY DECLARE THAT THE ANSWERS MADE TO THE ABOVE QUESTIONS ARE TRUE AND, IF A LICENSE IS
ISSUED, I UNDERTAKE TO CARRY OUT IN EVERY MANNER THE REQUIREMENTS OF THE PETROLEUM
PRODUCTS ACT AND REGULATIONS.
CORPORATE
SIGNATURE: NAME:
PRINT NAME: _____________________ TELEPHONE:
(Please check) Owner Lessee Agent
TITLE: DATE:
LICENSE FEES PAYABLE TO “ISLAND REGULATORY AND APPEALS COMMISSION”.
Information on this Form is collected pursuant to the Petroleum Products Act and will be used by the Commission in the administration of the
said Act. For additional information, contact the Commission at 902-892-3501 or by email at info@irac.pe.ca.
INFORMATION FOR APPLICANTS
Issued: January, 2003
In determining applications for initial licensing of consumer outlets, the Commission is required to consider Section 20 of the
Petroleum Products Act, which reads as follows:
"When issuing a license with respect to the operation of an outlet operated by a retailer, the Commission shall
consider the public interest, convenience and necessity by applying such criteria as the Commission may from
time to time consider advisable including but not restricted to the demand for the proposed service, the
location of the outlet, traffic flows and the applicant's record of performance."
The Commission has interpreted this legislation to mean that both public convenience and necessity must be proven as they
relate to the motoring public, and not the public in general. The applicant must demonstrate a demand for the proposed outlet at
the proposed location. Public interest factors will be weighed individually based on existing circumstances.
Notwithstanding the generality of the foregoing, the following factors are among those that the Commission will consider in
determining whether initial applications for consumer outlets meet the public convenience and necessity test:
1. the promotion of competition;
2. traffic volumes and trends in the general area of the proposed location;
3. population size and trends in the general area of the proposed outlet;
4. trends in gasoline sales, especially, but not exclusively, among outlets in the general vicinity of the proposed location;
and
5. services presently available to the motoring public in the general area of the proposed location.
In considering applications for initial licensing, the Commission may invite public comment on the application and may decide to
conduct a public hearing. A decision on the necessity of a public review process, including a hearing, is made on a case-by-case
basis.
IRAC501(2020) PAGE 2 OF 2