DERR-2024-004934

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UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY
Enforceable ll/ritten Assurance Application - Bona Fide Prospective Purchaser
This is an applica ion for an Enforccable Written Assurance (EWA) as a bona frde prospective purchaser
under the Hazardous Substances Mitigation Act (Act). The EWA is issued by thc Executive Director of the
Utah Department of Environmental Quality (DEQ). The application will be processed by the Division of
Environmental Response and Remediation (DERR). Complete all sections and submit the application to the
DERR. Please submit the application well in advance of acquiring, developing or occupying the properry.
The Applicant must meet all the requirements of the Act and supporting regulations.
EWA Site N Davis West & East LLC
Address t>,4 s
state o-r-Zip Code 8.(o'lB
Property Size (acres))- *L*.ha
Property Tax Identification Number(s) O 5 tOtll,t tOO LO
I*gal Description and Site Map are rcquired
Applicant (A person who has applied to receivc an EWA based upon his status as a bona fide prospective
purchaser), The Applicant is responsible for paynent of DEQ costs of review. Provide the legal name of
the entity for which the EWA is being requested. Additional applicants are required to complete a separate
application.
Applicant DJtv t9 t)l gY+€"LL C-
Contact P.rro, f*,.r Ofir,g
7)3L il .osoo C
Lr P"'State--Qr
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Zip Code ,9qsf C.
Phone 4{?q- a2A.98rl - E-mail Address P}}l L9 q)€.Lt:}r'.rG e.allLktu. Cowt
16usin"r,Applicant is: ( ) Individual (
Is the Applicant currently registered to conduct business in the State of Utah? DY trN
Tlpe of Business: ( ) corporation QYCI-c ( ) sole proprietorship
( ) General Partnership ( ) Limited Partnership
Entity Number and State of Creation*: Bt -.,1tq lEg ? - UTRH
'Must include prmfofcurrent busincss registration and general information concetning the atpticants affifiates as an atracllmm
Enforccrblc Wrlalen Arrurrncc Applicrtlon
DEQ/DERR 0ryl9
The Applicant must submit with this application a fee in the amount of $500.00 made payable to: Utah
Department of Environmental Quality. The DEQ will bill for any costs that excecd the initial application
fee in accordance with the DEQ's approved fee schedule. By sigrring this application, the Applicant agrees
it will rcimburse the DEQ for any costs in excess of the application fee whether or not the EWA is issued
(Utah Administrative Codes R3l1600-10 and R3l l-600-13).
Name(s)Pr{rLL Drtvr 9
Organization DPU t3k a-c,r + a lr(T-L c
z N 00t00
City_LAPoIr)r State uT Zip Code 41078
E-mail address w, L, l,.JcLltAJ6 oo t4,,rtL,6aw\Phone .135-AZB -t8tf.
App licatio n I nfo rm atio n
Please execute the application in the space below and submit it to:
Utah Department of Environmental Quality
Division of Environmental Response and Remediation
Attention: Brownfields/Voluntary Cleanup Program Coordinator
195 North 1950 West
salt Lake city, utah 841l6
Co rrectness of Inform atio n
The undersigned is knowledgeable of the representations made in this application and the supporting
documentation and aflirms that the reprcsentations are true and accurate. All signatures must be original on
the application. The undersigned acknowledges that untrue or rnisleading representations or omissions in
the application and supporting documentation render the Enforceable Written Assurance void.
Authority to Sign
The undersigned represents that he/she is legally authorized to sign this application. tf the Applicant is a
Corporation, a corporate officcr must sign the application; if the applicant is a Limitcd Liability
Corporation; a managing member must sign the application; if the Applicant is a Sole Proprietorship, the
owner must sign the application; if the Applicant is a Partnership, the primary partner must sign the
application and if the Applicant is an individual, the Applicant must sign the application.
z Title
corpuny D^r ,'s /n)r. / r F^s/ phone-
Business
City, State, Zip
Enforcerble Written A$ur.ncc Appllcedon
DEQ/DERR 0r/19 A 6
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