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Brownfields Program

Note: If you would prefer not to submit this form electronically, a paper version is also available.

Brownfields Information & Assessment Request Form

Note: Fields marked with an asterisk (*) are required.
First Name:*
Last Name:*
Phone Number:*
Street Address:
Address of Property Inquiry (site description):
Type of Land:*
Possible Contamination, Environmental or Health Concerns:
Comments or Questions: