Form MJ17-2020 "Marijuana Producer Application" - Oregon

What Is Form MJ17-2020?

This is a legal form that was released by the Oregon Liquor Control Commission - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 6, 2020;
  • The latest edition provided by the Oregon Liquor Control Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MJ17-2020 by clicking the link below or browse more documents and templates provided by the Oregon Liquor Control Commission.

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Download Form MJ17-2020 "Marijuana Producer Application" - Oregon

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Marijuana Producer Application
Form Instructions
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:
o
A
Marijuana Applicant Questionnaire
containing a complete list of individuals and legal entities who
qualify as applicants for the license.
o
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.
Marijuana Producer Application Instructions (Page 1 of 1)
Revised 20201106
Marijuana Producer Application
Form Instructions
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:
o
A
Marijuana Applicant Questionnaire
containing a complete list of individuals and legal entities who
qualify as applicants for the license.
o
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.
Marijuana Producer Application Instructions (Page 1 of 1)
Revised 20201106
OREGON LIQUOR CONTROL COMMISSION
Marijuana Producer Application
Section 1 – Business Information
Licensee Name:
Premises Address:
City:
State:
OR
ZIP:
Section 2 – Premises Information
Yes
No
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
Initial Designated Square Feet of Mature Canopy
Indoor
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 No
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.
[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 1 of 5
OREGON LIQUOR CONTROL COMMISSION
Marijuana Producer Application
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.
[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 2 of 5
OREGON LIQUOR CONTROL COMMISSION
Marijuana Producer Application
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
Month
Electricity used
Water used
kilowatt-hours (kWh). Specify a unit of
(by kilowatt-hour (kWh))
(include unit of measurement)
measurement for your water use estimates.
JANUARY
To determine how many kWh a piece of
FEBRUARY
equipment uses, follow these steps:
MARCH
Determine the wattage of the device by
APRIL
checking manufacturer specifications.
Multiply this by the number of hours
MAY
each month the device will be in use to
JUNE
determine watt-hours.
JULY
Divide each month’s watt-hours by 1,000
to determine kWh. Round to three
AUGUST
decimal places.
SEPTEMBER
Repeat this for each piece of equipment
OCTOBER
and total the amounts for each month.
NOVEMBER
You may also use the energy estimate
worksheet provided by the Oregon
DECEMBER
Department of Energy:
Total:
https://energy.odoe.state.or.us/cannabis
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.
[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 3 of 5
OREGON LIQUOR CONTROL COMMISSION
Marijuana Producer Application
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.
[FORM MJ 17-2020] mj_app_pro_packet (rev 20201106) Page 4 of 5
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