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2. Please nominate a brownfield site that you think is a candidate for inclusion in the City of Stevens Point’s U.S. EPA Brownfields Grants Assessment Program.
4. Name*
5. Email Address*
7. Name of the Site (optional)
8. Site Address*
10. Current Site Owner (optional)
12. Is the Site Contaminated?*

    1. Yes
    2. No
    3. I Don't Know
13. If Yes, Please Explain
15. Have any of the following been performed for the site?
17. Phase I ESA*

    1. Yes
    2. No
    3. I Don't Know
18. Phase II ESA*

    1. Yes
    2. No
    3. I Don't Know
20. Environmental Site Investigation*

    1. Yes
    2. No
    3. I Don't Know
21. Environmental Cleanup Activities*

    1. Yes
    2. No
    3. I Don't Know
23. Which of the following would you like performed for the site?
25. Phase I ESA*

    1. Yes
    2. No
    3. Maybe
26. Phase I ESA Update*

    1. Yes
    2. No
    3. Maybe
27. Phase II ESA*

    1. Yes
    2. No
    3. Maybe
29. Additional Investigation to Define the Nature and Extent of Previously Documented Impacts*

    1. Yes
    2. No
    3. Maybe
30. Asbestos Inspection and/or Assessment for Other Hazardous Building Materials *

    1. Yes
    2. No
    3. Maybe
32. Why is This Site a Priority for Assessment:?
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field