Model Resolution Form - Georgia Department Of Natural Resources

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MODEL RESOLUTION
[Authorization to Make Application for Financial Assistance]
WHEREAS, _________________________ is a “state” or “local government” as defined in the Rules of
the Georgia Department of Natural Resources, Environmental Protection Division (hereinafter, “EPD
Rules”), Rule number 391-3-19-.09; and
WHEREAS, _________________________ is a (county/municipal corporation) [OR] is not a county
or municipal corporation within the meaning of O.C.G.A. Section 12-8-95(b)(4) and EPD Rule 391-3-
19-.09; and
WHEREAS, the site more particularly described in Exhibit “A” attached hereto is a solid waste handling
facility as defined by EPD Rule 391-3-4-.10(67) (hereinafter, “the Site”), and has been placed on the
National Priorities List pursuant to the federal Comprehensive Environmental Response,
Compensation and Liability Act of 1980 [ AND/OR] on the Hazardous Site Inventory pursuant to
the Hazardous Site Response Act (O.C.G.A., Section 12-8-90 et seq.); and
WHEREAS, the Director of the Georgia Department of Natural Resources, Environmental
Protection Division (“EPD”) [AND/OR] United States Environmental Protection Agency has
notified _______________________ in writing that it is a “responsible party” (as defined in EPD Rule
391-3-19-.02(2)(s)) for the Site; and
WHEREAS, _________________________ has expended [OR] has already expended, and
anticipates expending in the future, [OR] anticipates expending certain costs associated with the
investigation, remediation, post-closure care and maintenance of the Site (hereinafter, “the Costs”); and
WHEREAS, the Costs (or a portion thereof) may be eligible for reimbursement [OR] advance [OR]
reimbursement and/or advance to ______________________________ by the Director of EPD from
the Hazardous Waste Trust Fund (pursuant to O.C.G.A. Section 12-8-90 et seq., EPD Rule 391-3-19-.09
and other pertinent law), provided said Costs (or portion thereof) are determined by EPD to be “Eligible
Costs” (as defined in EPD Rule 391-3-19-.09(4)(a)), and provided ____________________________ has
met the “Eligibility Requirements” set forth in EPD Rule 391-3-19-.09(2); and
WHEREAS, the said “Eligibility Requirements” set forth in EPD Rule 391-3-19-.09(2) require, among
other things, that the following criteria be met in order for the Costs (or portion thereof) to be eligible for
reimbursement [OR] reimbursement and/or advance :
“ ... (e) the state or local government has adopted an authorizing resolution; and
(f ) the state or local government has submitted to the Director [of EPD] a completed
application for financial assistance on forms as provided by the Director...” ; and
WHEREAS, _________________________ desires to make application to EPD for reimbursement
[OR] reimbursement and/or advance of the Costs (or a portion thereof) on the form(s) provided by the
Director of EPD (as completed and attached hereto as Exhibit “B”), and to take any other action which
may be necessary or appropriate to have the Costs (or portion thereof) fully considered for such purposes;
and
WHEREAS, in the event the attached applications are approved by EPD, _________________________
desires to receive the sums approved by EPD as reimbursement [OR] reimbursement/advance of the

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