MINNESOTA BROWNFIELDS

2015RESCAPE AWARD APPLICATION

Date of Application:

Applicant Information:

Principal Contact Name:
Name of Applicant Organization:
Address:
Phone:
Applicant Organization or Applicant Participant Who is a MN Brownfield Member:

Project Summary:

Name of Project:
Address:
Current Use:
Project URL:
Date of Completion:
(must be between 1/1/13-8/31/15)
Select Award Category / Select one or more of the follow 3 categories:
Community Impact
Economic Impact
Environmental Impact
or
Small City Impact (pop. 30,000 or less)*
(Learn about ReScape Award categories.)
*For population eligibility, please refer to

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Part I – Project Summary

  1. Project Overview. Describe the redevelopment project, and site background information (location, size, previous property history (including length of time the property was vacant, unused, or underused), and listing on any federal or state databases).

  1. What makes this project unique? Why should itwin a ReScape Award?

  1. Describe the contaminants found on site and size of affected area.

  1. Describe the remedial action plan and its total cost.

  1. What was the total redevelopment cost, excluding remediation cost?

  1. What was the most challenging aspect(s) of the project?

  1. What were the primary sources of funding for this project (i.e. private capital, developer equity, loans, grants or other public or private assistance), including for brownfield investigation, cleanup and redevelopment? What percent of the project was funded by each funding source?
  1. List all of the partners (private, public, city agencies, quasi-city organizations, non-profit partners, regulatory agencies, etc.) who worked to complete this project.

  1. Describe any collaboration among various parties that were involved in the project

  1. Describe the project’s sustainability-related features or certifications (i.e., LEED, MN GreenStar, Green Globes).

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PART II – AWARD CATEGORY INFORMATION

(Complete sections for each award category or categoriesselected on page 1)

A.Community Impact Considerations – for Community Impact Award applicants only

  1. Who is the community who is benefitting from the project?
  1. Describe the public benefits the project brings to the community (e.g. added community amenities, improved public use or community image).

  1. Describe any effort to involve the community with the cleanup and redevelopment of the project.

  1. Describe any public policy initiatives involved with the project (e.g., port revitalization, environmental justice).

  1. Describe any sustainable features in the project with a social benefit to the community (e.g., transportation, workforce opportunities).

B.Economic Impact Considerations -– for Economic Impact Award applicants only

  1. Describe the economic benefits the project brings to the community.

  1. How arethose economic benefits measured, and how rapid is the return on investment?

  1. How many employees were employed at the site prior to redevelopment?

  1. How many employees are currently employed at the site?

  1. Describe any market or financial challenges or impediments to redevelopment.
  1. What was the net change in property value?

C.Environmental Impact Considerations – for Environmental Impact Award applicants only

  1. What was the total volume of contaminants on site?

  1. Describe any engineered barriers or institutional controls put into place if contamination remains after redevelopment.

  1. Describe any innovative environmental solutions used in the project.

  1. Describe any environmental restoration activities in the project (e.g., land conservation, habitat preservation, wetland mitigation).educational or communication strategies and methods used to address environmental concerns of the general public.

  1. Describe anyeducational or communication strategies and methods used to address environmental concerns of the general public.
6. Describe any type of sustainable development features in the project with an environmental impact on the community (e.g., reduction of carbon emissions, improvement to air or water quality, use of recycled materials).

D.Small City Impact Considerations - for Small City (population of 30,000 or less) Impact applicants only

  1. Describe the unique project challenges that existed because of the size of your community.

  1. Describe any innovative environmental solutions used in the project.

  1. Describe the economic benefits the project brings to the community.

  1. Describe additional public benefits the project brings to the community (e.g. crime reduction, addedcommunity amenities, improvedcommunity image, and/or improved public health and safety).

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PART III – Certification

Signatures

I confirm that the information on this application is complete and accurate to the best of my knowledge.
Entity Name:
Signature:
Print Name:
Title:

I authorize reuse of images & narrative from this application in future Minnesota Brownfields communications.

Entity Name:
Signature:
Print Name:
Title:

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2015ReScape Application Checklist

Assistance

Read ReScape 2015 Application Instructions

Questions? Contact Martha Faust at 651-307-4371.

ReScape Application Form

Part I (required for all applicants)

Part II (Complete section(s) for each category selected on page 1 of application form.)

Part III Signature Page

Attachments

Photos (format *.jpg, maximum size 1MB). Please provide photo descriptions or names
(i.e. During remediation, etc.)

Optional: Video (YouTube or other format, 2 minutes or less).

Application Fee ($25 payable to Minnesota Brownfields at

Complete Payment and Submit application form and attachments to by 12:00 noonSeptember 17,2015.

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