Site Application, Brownfields Assessment

Applicant Information

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Phone(Required)

Applicant Email(Required)

Relationship of applicant to site(Required)

Owner

Prospective Purchaser

Other (please describe)

What is the other relationship of the Applicant(Required)

#1 Site Information

Site Name(Required)

Site Location/Address(Required)

Street Address Address Line 2 City State ZIP Code

Tax map/lot number(s)(Required)

Lot Size(s)(Required)

#2 Site History/Environmental Concerns

Current site characteristics and use(s)(Required)

Describe any existing onsite structure/buildings(Required)

Former or prior site use(s)/owner(s)(Required)

Is there any known or potential contamination on-site? (if yes, please explain and/or provide copies)(Required)

Any previous site investigations (if yes, please attach or email copies)?(Required)

Do you need to upload investigations?(Required)

Yes

No

File(Required)

PDF format is the only file type allowed to be uploaded.

Drop files here or

Accepted file types: pdf, Max. file size: 4 MB, Max. files: 5.

#3 Site Redevelopment Potential

Describe any future redevelopment plans or conceptual reuse plans for the site (attach any redevelopment plans, business plans, market studies, etc., if available)(Required)

Do you need to upload redevelopment plans, business plans, or market studies?(Required)

Yes

No

File(Required)

PDF format is the only file type allowed to be uploaded.

Drop files here or

Accepted file types: pdf, Max. file size: 4 MB, Max. files: 5.

What is the project timeline?(Required)

How is the project being funded?(Required)

#4 Social/Community Benefits

Why do you think this site should be included? What would you like to see happen to this site?(Required)

Is there a potential for job creation, workforce/affordable housing, and/or creation of public/open/green space?(Required)

How is the project being funded?(Required)

Comments

This field is for validation purposes and should be left unchanged.

Applicant Information

#1 Site Information

#2 Site History/Environmental Concerns

#3 Site Redevelopment Potential

#4 Social/Community Benefits

Success Stories

Dove Tail Bat Awarded CDBG/EDP Grant

EPA Grant Funds Environmental Clean-up at Mayo Mills

Site Application, Brownfields Assessment

Applicant Information

#1 Site Information

#2 Site History/Environmental Concerns

#3 Site Redevelopment Potential

#4 Social/Community Benefits

Success Stories

Dove Tail Bat Awarded CDBG/EDP Grant

EPA Grant Funds Environmental Clean-up at Mayo Mills

Email Updates