Macomb County Brownfield Assessment Application

Please note that funding for each project will be evaluated on a case by case basis. Submittal of this form does not guarantee that funding will be awarded.

Contact Information

Project Name*

Applicant Name*

Address*

City*

State*

Zip Code*

Contact Name*

Phone*

Email*

Site Location and History

Site Address*

Parcel ID(s)*

Current use and activity*

Former use and operational history*

Environmental concerns*

Please select all that apply.

Select or enter value

Assessments

Prior Assessments Completed*

Please choose all that apply

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Assessments Needed:*

Please choose all that apply

Select or enter value

Are there any ongoing or anticipated environmental enforcement actions? If so, please describe:*

Is there a responsible party for the contamination on the site? If so, please identify:*

Ownership Information

Site Owner Name*

Site Owner Address*

Please check all that apply:*

Select or enter value

Project Information

Please provide a description of the proposed redevelopment:*

Community Impact

Please describe how the project will impact the community socially and economically*

Current Zoning*

Proposed Zoning (if Applicable)

Permanent jobs created (est.)*

Temp/Construction jobs created (est.)*

Jobs retained (est.)*

Community Engagement*

Select or enter value

Other Community Groups have been engaged about the project:*

Please specify other groups, current zoning and proposed zoning

Financial Commitment

Total Project Investment*

Source(s) of funds*

Public Incentives (planned or approved)*

Please check all that apply

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Anticipated Start Date*

Anticipated Completion Date*

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