Big Apple Brownfield Awards Nomination Form

Nomination Instructions

Please complete this nomination form and send it via the “Submit Form” button at the bottom of this form. The deadline for applications is Friday, March 3, 2023. No late submissions will be accepted.

Please limit your responses to the spaces provided.

Please direct any questions to info@nycbrownfieldpartnership.org.

The 2023 Essay Guidelines can be accessed/downloaded by clicking here.

Section 1: Project Information

Project Name*

Project Address*

City, State & Zip*

Approximate Property Size (Acres or Sq.Ft).*

PLEASE SELECT THE AWARD CATEGORY/CATEGORIES FOR WHICH YOU ARE NOMINATING THE PROJECT:

Nomination 1:*

Nomination 2:

Nomination 3:

TO THE BEST OF YOUR KNOWLEDGE, HAS ANY ENVIRONMENTAL ENFORCEMENT ACTION OR ORDER BEEN TAKEN AGAINST ANY OF THE NOMINEE OR NOMINEES' ORGANIZATION AT ANY TIME IN THE PAST FIVE YEARS?

*

NoYes

If yes, explain the circumstances of the action:

PLEASE INDICATE THE FOLLOWING INFORMATION ABOUT THE REGULATORY SIGNOFF THE PROJECT HAS RECEIVED. PLEASE ALSO PROVIDE A COPY OF THE SIGNOFF.

Regulatory Agency:

Regulatory Program:

Date of Final Signoff

REGULATORY SIGN-OFF LETTER

Attach Regulatory Signoff Letter

Section 2: Project Team Contact Information

PLEASE PROVIDE CONTACT INFORMATION FOR THE PRINCIPAL CONTACT NOMINATING THE PROJECT (ENVIRONMENTAL CONSULTANT OR ENGINEER). THE CONTACT SHALL CORRESPOND WITH THE REMAINING PROJECT PARTICIPANTS, FINALIZE TROPHY PROOFS, AND NOTIFY THE NYCBP BOARD OF THE PERSON/GROUP ACCEPTING THE AWARD ON EVENT NIGHT.

Role (Env Consultant, Engineer):*

Company / Organization:*

Primary Contact Name:*

E-mail*

Phone Number*

Area CodePhone Number

PLEASE PROVIDE CONTACT INFORMATION FOR EACH OF THE PROJECT PARTICIPANTS WHO SHOULD BE RECOGNIZED AS PART OF THE PROJECT TEAM.

PROJECT PARTICIPANT 1

Role:

Company / Organization:

Primary Contact Name:

Phone Number

Area CodePhone Number

PROJECT PARTICIPANT 2

Role:

Company / Organization:

Primary Contact Name:

Phone Number

Area CodePhone Number

PROJECT PARTICIPANT 3

Role:

Company / Organization:

Primary Contact Name:

Phone Number

Area CodePhone Number

PROJECT PARTICIPANT 4

Role:

Company / Organization:

Primary Contact Name:

Phone Number

Area CodePhone Number

PROJECT PARTICIPANT 5

Role:

Company / Organization:

Primary Contact Name:

Phone Number

Area CodePhone Number

Section 3: Project Summary

Please describe the following aspects of the project, limiting your responses to the spaces provided.

GENERAL SITE DESCRIPTION

Please describe the project's location and neighborhood (250 word limit)*

0/250

PAST USE

Please describe the past use of the property, including vacancy (250 word limit)*

0/250

ENVIRONMENTAL ISSUES

Please describe environmental issues (250 word limit)*

0/250

REMEDIATION SUMMARY

Please provide a summary of the remediation (250 word limit)*

0/250

DEVELOPMENT SUMMARY

Please provide a summary of the development (250 word limit)*

0/250

ADDITIONAL INFORMATION

Please note any additional information (100 word limit)

0/100

Section 4: Nomination Essays

PLEASE DESCRIBE WHY THE PROJECT DESERVES EACH AWARD FOR WHICH IT IS BEING NOMINATED. USE THE GUIDELINES FOR NOMINATION ESSAYS FOUND AT 2022 Nomination Guidelines.

NOMINATION 1 (500 word limit):*

0/500

NOMINATION 2 (500 word limit):

0/500

NOMINATION 3 (500 word limit):

0/500

Section 5: Project Photos

Please provide up to 5 quality pictures with at least one photo from each of the following project stages:

Before remediation/redevelopment
Remediation
Completed project

Click on the buttons below to upload the corresponding project photo.

(Picture requirements: 180 dpi resolution, 1920W x 1080H pixels)

Photo 1 - Before Remediation and Redevelopment

Photo 2 - Remediation

Photo 3 - Completed Project

Photo 4 - Additional Photo

Photo 5 - Additional Photo

Section 6: Certification

Your Name*

By signing this nomination form, I certify that the information provided in this application is accurate and complete to the best of my knowledge.

Signature

Clear

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