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Brownfield Site Nomination Form

  1. Submitter Details

  2. Submission Site Details

  3. Is there a known contamination at the site?*

  4. Have any of the following previously been performed?

  5. Phase II ESA?*

  6. If yes, is a report available?

  7. Environmental Site Investigation?*

  8. If yes, is a report available?

  9. Environmental Cleanup Activities?*

  10. If yes, is a report available?

  11. Which of the following would you like performed on this site?

  12. Phase I ESA*

  13. Phase I ESA Update*

  14. Phase II ESA*

  15. Additional Investigation to Define the Nature and Extent of Previously Documented Impacts

  16. Asbestos Inspection and / or Assessment for Other Hazardous Building Materials

  17. Market Research Study

  18. "Mini" Reuse Plan

  19. Leave This Blank:

  20. This field is not part of the form submission.