Fill - Free fillable Form Instructions: Marijuana Producer Application (Oregon) PDF form

Marijuana Producer Application

Form Instructions

Marijuana Producer Application Instructions (Page 1 of 1) Revised 20201106

What is this form?

This document collects most of the necessary information that is required as part of your OLCC Producer license

application. Read each page carefully. If you have already submitted your application in the online licensing system, send

the completed form to OLCC staff when it is requested. If you have not yet submitted an application in the online licensing

system, upload the completed packet as a supporting document to your recreational marijuana application online at:

https://apps.oregon.gov/OLCC/Marijuana/elicense/

In addition to the information included in this packet, you will also be required to provide the following documents as

uploads into the online licensing system:



A copy of a

completed

Land Use Compatibility Statement from the city or county that authorizes land use in the

city or county in which your proposed premises is located.



A map or sketch of the premises proposed for licensure, including the defined boundaries of the premises, the

location of any primary residence located on the same tax lot as the licensed premises, and a scaled floor or plot

plan sketch of all enclosed areas. See the Premises Map Instructions for detailed information about what to

include.



Information on the structure of the business proposed to be licensed:

A Marijuana Applicant Questionnaire containing a complete list of individuals and legal entities who

qualify as applicants for the license.

An Individual History form for each individual.



A Producer Property Owner Informed Consent form.

If I am applying for a Mixed Producer license, how do I know what my canopy limits are?

The Commission has established a 4:1 ratio for outdoor and indoor canopy areas, so one square foot of indoor mature

canopy is equivalent to four square feet of outdoor mature canopy.

Example #1: A Tier II Producer who designates 1,000 sqft of indoor mature canopy area may also designate up to 36,000

sqft of outdoor mature canopy area. This is because:



A Tier II Producer may designate up to the equivalent of 40,000 sqft of outdoor mature canopy.



Using the 4:1 ratio, 1,000 sqft of indoor mature canopy is equivalent to 4,000 sqft of outdoor mature canopy:

1,000 sqft × 4 = 4,000 sqft.



40,000 sqft – 4,000 sqft = 36,000 sqft

Example #2: A Micro Tier II Producer who designates 50t0 sqft of indoor mature canopy area may also designate up to

3,000 sqft of outdoor mature canopy area. This is because:



A Micro Tier II Producer may designate up to the equivalent of 5,000 sqft of outdoor mature canopy.



Using the 4:1 ratio, 500 sqft of indoor mature canopy is equivalent to 2,000 sqft of outdoor mature canopy:

500 sqft × 4 = 2,000 sqft.



5,000 sqft – 2,000 sqft = 3,000 sqft

What if I am buying an existing licensed business?

If you are buying an existing licensed business, you will still submit all the information listed above. Once you have

submitted your application, the current licensee will need to submit a Change of Ownership request.

Remember, you cannot begin operating the business until your license has been approved and issued by OLCC.

OREGON LIQUOR CONTROL COMMISSION

Marijuana Producer Application

[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 1 of 5

Section 1 – Business Information

Licensee Name:

Premises Address:

City:

State:

ZIP:

Yes

Section 2 – Premises Information

☐

Is the proposed premises on any federal or public land?

☐

Is the proposed premises at the same address or physical location as a business with a liquor license or pending

application for a liquor license?

☐

Is the proposed premises on any reservation or tribal trust land of a federally recognized Indian tribe?

☐

Is there an existing recreational marijuana license or license application for this premises?

☐

Is the proposed premises at the same address or physical location as a medical marijuana grow site, processing site,

or dispensary?

Section 3 – License Type and Tier

Please select your Producer Type and Production Tier; see OAR 845-025-2040 for definitions and details. If this differs from the

information you submitted in the online licensing system, OLCC staff may update your application in the online licensing system.

If you are applying for a Mixed production license: You must also fill in the section identifying how many square feet of

indoor mature canopy and outdoor mature canopy you intend to designate at the time of licensure. If the areas you enter are

below the total mature canopy allowed for your Production Tier, you may request to designate additional canopy after you

receive your license. Bear in mind that you may only request to decrease your designated mature canopy of one production

method in order to increase your designated mature canopy of the other production method annually when submitting a renewal

application. See the Instruction page for examples of how to calculate Mixed production canopy area limits.

Producer Type

Production Tier

Mixed Producers Only

☐

Indoor

Initial Designated Square Feet of Mature Canopy

☐

Micro Tier I

☐

Tier I

☐

Outdoor

Sq. Ft. Indoor Mature Canopy

☐

Micro Tier II

☐

Tier II

☐

Mixed

Sq. Ft. Outdoor Mature Canopy

Section 4 – Additional Privileges

A Producer may request the following additional privileges. Licensees are responsible for knowing and following all rules

applicable to their license, including the rules for any additional privileges they are granted. Please answer the following:

Yes

☐

I am seeking a Propagation Endorsement (OAR 845-025-2045) in order to grow additional immature

marijuana plant canopy beyond the limits specified in OAR 845-025-2040(2) for the purpose of producing

immature plants for sale to other licensees.

☐

I am seeking the privilege to produce a Medically Designated Canopy (OAR 845-025-2500) to produce usable

marijuana for registered OMMP patients, providing at least 75% of the annual yield of usable marijuana from

their medically designated mature canopy to patients or to patients’ designated primary caregivers for no

consideration. I understand I will not receive this privilege unless I submit a Producer Medically Designated

Canopy Registration form and the $100 fee. (Do not submit the $100 fee until your investigator instructs you to do so)

☐

I am a applying for the Micro Tier Processing endorsement (OAR 845-025-2025) to process certain types of

cannabinoid concentrates. I understand I will not receive this privilege if I am not applying for a Micro Tier I or

Micro Tier II license or if I fail to submit a Land Use Compatibility Statement (LUCS) showing this is not a

prohibited land use (list either “Concentrate Processing” or “Micro Tier Processing” in the “Details of Proposed

Use” field). I understand this does not allow the processing of concentrates using solvents other than water.

OREGON LIQUOR CONTROL COMMISSION

Marijuana Producer Application

[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 2 of 5

Section 5 – Attestations

By signing this form, you attest that each of the following statements are true. The Commission may require a licensee to

provide proof of any of the below or below referenced documents at any time.

Section 5.1 – Right to Occupy the Premises

I have a legal right to occupy the premises. I understand that at all times I must retain control of, or the right of access to, all or

any part of the licensed premises. Except as provided in OAR 845-025-1160(5), failure to retain such control or right of access is

a Category I violation and may be grounds for immediate suspension or cancellation of the license.

If there is no direct access to the property where the premises is located from a public right-of-way, this means that I must have

an easement to allow licensee representatives and Commission staff to access the property. I understand that without such an

easement, the property owner who is entitled to control access to the premises has an ownership interest as described in OAR

845-025-1045 and must be an applicant for the license.

Section 5.2 – Cannabis Tracking System (CTS)

As required by OAR 845-025-7500, prior to licensure, at least one licensee or licensee representative has completed or will

complete required CTS training through https://www.metrc.com/oregon using their true, legal name. Once licensed and for as

long as the license remains active, at least one licensee will keep an active CTS administrator account in their name for the

premises. If the licensee designates a licensee representative to complete training on their behalf, that representative must also

keep an active CTS administrator account in their name for the premises.

Section 5.3 – Legal Source of Water

All water to be used to produce marijuana under this Producer license will be obtained from a legal source allowable for

commercial use by the licensee and for the property where the premises is located. I will retain a copy of at least one of the

following demonstrating a legal source of water for commercial agriculture: A.) a water right permit or certificate; B.) a water use

authorization form from the Oregon Water Resources Department; C.) documentation such as a billing statement or contract

from a public or private water supplier that includes the name and contact information of that supplier; or D.) other proof from the

Oregon Water Resources Department that the water to be used is from a lawful source for commercial use that does not require

a water right.

Section 5.4 – Premises Map

By signing this form, I attest that I have provided OLCC with maps or sketches of the premises that clearly show:

 The location of my proposed premises on the property;

 The boundaries of my proposed premises;

 The boundaries of my limited access area(s);

 For each indoor area, a scaled floor plan that identifies all walls and all areas of ingress and egress; and

 The location of any primary residences on the tax lot, if applicable.

I understand that, if the Commission approves my license, the Commission’s approval relies in part upon the completeness and

accuracy of the information that I provide. If I have not completely and accurately identified my licensed premises, or if my

premises is not located at the address identified in Section 1 of this form and on my signed Land Use Compatibility Statement,

that may constitute grounds to revoke my license.

I understand that I will only be entitled to exercise my license privileges within the boundaries of my licensed premises. I

understand that marijuana may never enter any part of my premises that is not designated as a limited access area, and that if I

have failed to designate my limited access area I will not have the privilege to allow marijuana to enter the premises.

I attest that my proposed premises does not include a primary residence.

OREGON LIQUOR CONTROL COMMISSION

Marijuana Producer Application

[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 3 of 5

Section 5.5 – Canopy Designation

I understand that the Commission is not requesting a copy of my canopy designation at this time, and that if I submit any

documentation showing my proposed canopy designation, the Commission will not consider it to be properly submitted and will

not evaluate my proposed canopy designation as part of the license investigation process. I understand it is the licensee’s

responsibility to designate no more than 20 separate canopy areas, including any areas designated exclusively for immature

marijuana plants, and that the total area for mature marijuana plants must be no more than the maximum allowed by my

specified production tier size.

Section 6 – Electricity and Water Use Estimate

Record your electrical use estimates in

kilowatt-hours (kWh). Specify a unit of

measurement for your water use estimates.

To determine how many kWh a piece of

equipment uses, follow these steps:



Determine the wattage of the device by

checking manufacturer specifications.



Multiply this by the number of hours

each month the device will be in use to

determine watt-hours.



Divide each month’s watt-hours by 1,000

to determine kWh. Round to three

decimal places.



Repeat this for each piece of equipment

and total the amounts for each month.

You may also use the energy estimate

worksheet provided by the Oregon

Department of Energy:

https://energy.odoe.state.or.us/cannabis

Month

Electricity used

(by kilowatt-hour (kWh))

Water used

(include unit of measurement)

JANUARY

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER

OCTOBER

NOVEMBER

DECEMBER

Total:

Section 7 – Operating and Security Plan

An Operating Plan and Security Plan are required for all license types. The Commission has set minimum standards for the

security of a licensed recreational marijuana premises. Licensees are responsible for the security of all marijuana items on the

premises and those in transit on behalf of the licensee. Adherence to the minimum requirements does not release a licensee

from this responsibility.

OAR 845-025-1405 allows any licensee or applicant to request a waiver of any of the security requirements described in OAR

845-025-1400 to 845-025-1470. A request for a security waiver must document the specific rule to be waived and document a

proposed alternative method to meet the objective of the rule. Waiver requests are subject to approval by the Commission.

Broad requests to waive all of the security requests will be refused.

By signing this form, you agree to comply with all security and operational requirements specified in rule for which you do not

have a waiver specifically approved by the Commission. You can find the full text of the OLCC’s recreational marijuana

administrative rules in the Oregon Secretary of State Oregon Administrative Rule Database: Oregon Administrative Rules

Chapter 845 Division 25.

OREGON LIQUOR CONTROL COMMISSION

Marijuana Producer Application

[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 4 of 5

Section 7.1 – Hemp on the Tax Lot

I attest that the licensee will operate in compliance with the following control measures:



Industrial hemp and hemp items will never enter any part of the licensed premises, except that a Processor, Retailer, or

Wholesaler licensed in the same location and under identical ownership may receive industrial hemp and hemp items

as described in OAR 845-025-2785.



An ODA hemp grower registration will not be obtained for any space that is part of the Producer licensed premises.



Industrial hemp and hemp items that are not tracked in CTS as described in OAR 845-025-2785 will not be present in

any vehicle transporting recreational marijuana as part of the licensed marijuana operations.

If a site is registered with Oregon Department of Agriculture for the production of industrial hemp on the same tax lot as the

licensed premises, this constitutes a Commission-approved control plan for the purposes of OAR 845-025-1115(1)(e).

Section 7.2 – Other Producer Licenses on the Tax Lot

I attest that no person who is an applicant for this license has or will obtain an ownership or financial interest in any other

Producer on the same tax lot. If there are other Producers on the tax lot, this premises will operate independently of those other

Producers. Licensees or facility managers of this license will not act as a facility manager, employee, agent, or other

representative of any other Producer licenses located on the same tax lot. If any employees, excluding facility managers or

licensees, also perform work for any other Producer licenses located on this tax lot, they will be recorded and compensated

separately for the work they do on behalf of each separate licensee.

Access to the licensed premises listed above does not require passing through any portion of another Producer licensed

premises, including unenclosed portions of a licensed premises. I am aware that marijuana from any other licensed premises

may only enter my licensed premises, including unenclosed portions of my licensed premises, pursuant to a valid manifest in the

CTS (Metrc) and in accordance with the OAR 845-025-2020.

Section 7.3 – Minor Control Plan

A minor control plan is required for all operations. By signing this form, you agree to comply with the following plan unless you

have an alternate plan explicitly approved by the Commission as part of this application:

All doors and gates will be locked at all times. Prior to allowing any person access to the licensed premises, age will be

verified by checking ID. Employee identification will be checked prior to hiring and no person will be employed who does not

have a valid marijuana worker permit. Signs will be clearly posted at all entry points indicating that minors are not permitted

on any portion of the premises. As described in OAR 845-025-1230, except for minors with a legitimate business purpose

unrelated to the licensed activity; minors passing through an area of an outdoor Producer that does not contain marijuana

items in order to reach an unlicensed area; or a minor of 18 years of age or older who is an Oregon Medical Marijuana

Program registry identification cardholder or designated primary caregiver, minors will not be permitted on the premises, At

no time will any person under the age of 21 be permitted to engage in any licensed activity. If a prohibited minor attempts to

gain access to the premises, they will be immediately told to leave and if they do not, law enforcement will be contacted.

OREGON LIQUOR CONTROL COMMISSION

Marijuana Producer Application

[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 5 of 5

Section 7.4 – Producer Public Access

In addition to the security requirements of all recreational licensed premises, a producer licensee must effectively prevent public

access to all areas of the licensed premises. The licensed premises includes indoor areas used in the production of marijuana,

outdoor areas used for cultivation, and any outdoor areas where product may be temporarily while moving between other

areas of the premises.

Select one of the following options:

☐

Fully fenced premises

All portions of the premises are enclosed by a fence or wall at least 6 feet high, including all exterior

pathways to any indoor areas and any non-rigid structures such as hoop houses; AND

The fence or wall is constructed of a series of rigid wooden or metal posts securely anchored to the ground

and a woven or welded wire mesh such as “chain-link” fencing or by a solid, rigid barrier, such as wooden

fencing planks or similar material.

☐

Fully indoor premises

All portions of the premises are enclosed within a solid, permanent structure.

☐

Partially enclosed premises

All areas where live marijuana plants will be cultivated are located within an area enclosed by a fence or wall

at least 6 feet high or within a solid, permanent structure; AND

Marijuana items present in any area of the premises that is not enclosed by a fence or structure will only be

in those areas while being moved between enclosed secure areas and will at all times be in the possession

of a licensee representative.

If you are applying for an indoor producer license, but have multiple unconnected buildings that you will move marijuana

between, you may select this option. Your premises boundary documentation will need to clearly define the licensed

outdoor areas through which you will move marijuana. Your premises must be one contiguous area and include all indoor

and outdoor areas where you will exercise the privileges of your producer license.

☐

Other methods

I am proposing to utilize methods other than fencing or a solid, permanent structure to prevent access to all

areas of production. I have attached a detailed security plan that includes the specific actions and methods I

will use to prevent public access to the premises and I am requesting the approval of this plan by the OLCC.

I recognize that this plan is subject to approval and this request may add additional processing time to my

license application.

NOTE: Stating that the proposed premises is “remote” is not on its own a specific action or method to prevent access.

Section 8 – Acknowledgement

I understand that if my answers are not true and complete, OLCC may deny my license application.

Signature:

Date:

Name:

Title:

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