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EPA Region 9 Targeted Brownfields Assessment (TBA) Application

Return to: Brownfields in EPA Region 9

EPA provides contractor assistance to research historic property uses, conduct environmental sampling, identify cleanup options, and estimate associated cleanup costs at brownfield properties. Eligible applicants can access up to $100,000 worth of technical assistance for eligible properties. All questions in this application must be answered to receive consideration for assistance. Privately owned properties can be assessed under this program as long as they are sponsored by an eligible applicant. EPA accepts applications on a rolling basis.

For more information about Targeted Brownfields Assessments in Region 9, contact Lisa Hanusiak (hanusiak.lisa@epa.gov).

Important Notes to Form Preparer

  1. Complete the TBA Site Access Agreement according to the instructions in the agreement and submit the form by email.
  2. Review the TBA Applicant Considerations (below).
  3. Prepare to fill out the application form by completing the Targeted Brownfields Application - Pre-application Checklist(3 pp, 22 K) .
  4. Completely fill out the EPA Region 9 Targeted Brownfields Assessment (TBA) Application (below) using your completed Pre-Application Checklist (step 3, above).

EPA cannot provide a method to save a partially completed form for later retrieval; the form on this page  must be completed in one session.
To assist with planning to complete this form in one sitting, please utilize the "Targeted Brownfields Application - Pre-application Checklist" from step 3 above.

All applicants must complete and submit the application below, as well as the Site Access Agreement to receive consideration for assistance.

TBA Applicant Considerations

  • Minimum Requirements »

    Eligible Applicants

    • Unit of government
    • Tribe
    • 501(c)(3) non-profit
    • Private party sponsored by an eligible applicant

    Brownfields Site

    • Property must meet definition of a Brownfields site:  Real property whose reuse is complicated by real or perceived contamination.

    Property Access

    • Must have permission to access property (including permission to collect samples onsite and in buildings if appropriate)
    • Access conferred either as property owner or through consent agreement with property owner

    Absence of Liability for Hazardous Substance

    • Cannot be responsible for a release of contamination
    • Conducted a due diligence review before purchase

    Properties not eligible for funding

    • Properties listed, or proposed for listing, under the Superfund National Priorities List.
    • Facilities subject to U.S. EPA unilateral administrative orders, court orders, administrative orders on consent, or judicial consent decrees issued to, or entered into, by parties under CERCLA.
    • Facilities that are subject to the jurisdiction, custody or control of the United States Government.
    • Some ineligible properties may be eligible with a “property specific determination.” Contact EPA for more information.
  • Priorities for EPA Region 9 TBA Resources »
    • Under-served areas, such as Environmental Justice communities, tribes, Native Hawaiian organizations, and rural communities
    • Relatively small sites with near-term redevelopment potential
    • Project distribution throughout Region 9 geographic area
    • Applicants to EPA’s Brownfields competitive grant program whose proposals were not selected for funding
  • Project Information »
    • TBA deliverables developed are public documents, releasable under the Freedom of Information Act. EPA provides deliverables to the applicant and keeps them on file.  
    • Deliverables will take 3 to 9+ months to complete based on project complexity and overall workload. 
    • Applicant agrees to provide EPA with project information and photos when the site is redeveloped, including information on:
      - dollars leveraged
      - jobs created
      - environmental benefits, such as reduction in vehicle miles traveled, water quality improvement, etc.

EPA Region 9 Targeted Brownfields Assessment (TBA) Application

All questions in the application below must be answered to receive consideration for assistance.

Applicant Information
Are you a:
Name of organization(s) or individual(s) requesting Brownfields Assessment
Name and title of the primary contact representing the organization(s) or individual(s) making this request
Primary contact telephone #
A copy of your application will be sent to this address.
Web address of applying organization's website. DO NOT enter "http://" or "https://": it may cause a form error.
http(s)://
Property Information
Web link to a map of the property location (e.g., Google map or Bing map) - DO NOT enter "http://" or "https://": it may cause a form error.
http(s)://
Name, business address, and phone number
Property Eligibility
Does the property meet the definition of a “Brownfield” as contained in federal Small Business Liability Relief and Brownfields Revitalization Act (Section 211(a)(39) of the Public Law 107-118 (H.R. 2869)), i.e., real property whose reuse has been complicated by real or perceived contamination.

Learn more about the definition of a "Brownfield" »

Does the applicant have legal permission to enter the property to conduct the property assessment activities, including collecting environmental samples for testing? (Applicant must obtain access to property for EPA contractor to conduct a Phase II assessment)
If "YES", answer the following. If "NO", skip to Community Description
If "Yes", please explain in the next field.
If "Yes", please explain in the next field.
If the applicant owns the property, describe measures taken to ensure potential pollutants, contaminants and hazardous substances are not released from the property and do not present a threat to human health or the environment.
If the applicant owns the property and purchased the property after January 11, 2002, did the applicant conduct an investigation into the potential presence of pollutants, contaminants or hazardous substances at or near the property? If so, identify the investigations and dates.
If the applicant owns the property, is the applicant affiliated with or related to any former owner or operator of the property (e.g., family, contract, corporate or financial arrangement, etc.), or with any person who may have generated hazardous substances located at or near the property, or with any person who may have transported or arranged for the transportation of hazardous substances located at or near the property?

Properties not eligible for funding

  • Properties listed, or proposed for listing, under the Superfund National Priorities List.
  • Facilities subject to U.S. EPA unilateral administrative orders, court orders, administrative orders on consent, or judicial consent decrees issued to, or entered into, by parties under CERCLA.
  • Facilities that are subject to the jurisdiction, custody or control of the United States Government.

Some ineligible properties may be eligible with a “property specific determination.” Contact EPA for more information.

Provide information on the surrounding community/neighborhood, such as demographic information, and why this assistance is needed.
Project Information
What assistance does the applicant request from EPA? (Check all that apply):
Is the time frame in which EPA assistance is needed, time sensitive?
When would you like the deliverable/assistance completed? Note: A Phase I will take a minimum of 3-4 months, and a Phase II a minimum of 8-9 months. Please factor these time frames into your response.
Property Redevelopment

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