Site Nomination/Application Form

In 2020, the City of Lodi was awarded a $300,000 U.S. EPA Brownfields Community-Wide Assessment Grant to support the assessment, cleanup, and revitalization of underutilized sites throughout the City. Grant funds can be used to complete Phase I and II Environmental Site Assessments (ESAs), cleanup planning, and a variety of property reuse planning activities. Funding will be available through summer 2023.

If you are interested in recommending a site, please complete the online form below, or download the .pdf form and follow the instructions to submit.

Section A – Site Nomination/Information Request
Do you know of a site (or sites) in the City of Lodi that you think would benefit from environmental assessment, cleanup, or reuse planning?
If so, please provide address/location description:
Do you own this site(s)?
- Yes
- No
If Yes, please complete Section B.
Are you interested in learning more about the Site Revitalization Program and grant funding?
- Yes
- No
If yes, please provide contact information:
Name
First Last
Email
Section B – Environmental Site Assessment Application
Property Owner Name
First Last
Owner Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Property Address
Street Address Address Line 2 City State ZIP Code
Current Use
What year did you purchase the property?
Please describe the past uses of the property (provide as much detail as possible, particularly how the previous owner utilized the property):
Are you aware of any contamination on the property? If so, please describe:
Have any environmental assessments been completed on the property? If so, please provide details, including the date(s) of prior work:
Has there been any regulatory enforcement by the US Environmental Protection Agency or California State Water Resources Board? If so, please describe:
Why is environmental assessment needed on the property now?
Please describe the financial need for Site Reuse and Revitalization Program grant funding to complete environmental assessment:
How will the redevelopment benefit the community? Please reference any removal of blight or health and safety hazards, new jobs, private investment, new uses, open space, and/or other benefits that will result:
What is the anticipated schedule for planned sale, reuse, or redevelopment?
Are there other important factors that should be considered by the City and the EPA in reviewing your request for grant funding?
Signature*
Date
MM slash DD slash YYYY
CAPTCHA

Site Reuse &
Revitalization Program