DECD-OBRD Brownfield Project Survey April/May 2020

To help us gauge the number of potential applications that we may receive when the NOFA is announced, we encourage you to fill out this simple survey. Please note this is strictly voluntary—those opting not to participate in the survey are not precluded from applying when the formal Notice of Funding is released.

This survey will close on May 12, 2020.

1.Contact Information

Contact Name

Applicant/ Organization Name

Email Address

Phone Number

2.Project Information

Project Name

Project Street Address

Project Street Address 2

Project City/Town

3.Type of funding sought & amount

Loan

Grant

4.Is this a request for(Required.)

Assessment/Investigation/Planning

Remediation/Abatement

Both

5.If applicable, Remediation Costs & Leveraged Funding ($ amount)

Total estimated remediation cost (if applicable):

Private leveraged funds (approximate)

6.Developer identified for project?

Yes

In the process of identifying one

Name of Developer, if known, and other comments

7.Is the new prevailing wage rule influencing the grant/loan amount you plan to request DECD for?

Yes

Comments

8.Characteristics of the proposed project that makes it a Brownfield as per statute (CGS Sec. 32-760)

Abandoned/vacant or underutilized

Redevelopment, reuse or expansion project

Confirmed or potential presence of pollution in buildings, soil or groundwater

Comments

This is the end of your Survey. Please take some time to check your responses before hitting the DONE button.

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