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**INSTRUCTIONS FOR COMPLETING BROWNFIELDS PROPERTY PROFILE FORM GENERAL INSTRUCTIONS**  **Overview:** As specified in the cooperative agreement terms and conditions, all Assessment, Cleanup, and Revolving Loan Fund (RLF), and State and Tribal Section 128(a) (for site

- specific work) , cooperative agreement recipients must report to EPA as soon as an accomplishment has occurred
. Targeted Brownfields Assessments (TBAs) must also be reported as accomplishments occur. This Office of Management and Budget (OMB) and Environmental Protection Agency (EPA) approved reporting form (OMB Form 2050

- 0192, EPA Form 6200
- 03), supplements your Progress Reports with specific property information. Please note that in most instances, all reported information is accessible to the public under the Freedom of Information Act (FOIA) and may be distributed by EPA to the public unless one of the FOIA exclusions is applicable. All cooperative agreement recipients must develop and regularly maintain a Brownfields Property Profile Form for **each property**  targeted with EPA Brownfields cooperative agreement . Compared to the Progress Reports, each Property Profile Form contains information relating only to a specific property targeted by

the cooperative agreement recipient. Progress Reports should no t contain property- specific information except to identify area

- wide/regional redevelopment projects and their relation to one or more targeted properties. The Property

Profile Form is divided into four parts. Unless otherwise indicated, reporting in each section is mandatory for all cooperative agreement recipients. Use the following format when asked to enter a date: mm/dd/yyyy. Additional instructions and definitions for completing this form are provided below. Please contact your EPA Regional Represent ative if you have any questions when completing this form. Le veraged Accomplishments Note : Several pieces of information in the Property Profile Form refer to "leveraged" activities or accomplishments. Typically, these leveraged activities and accomplishm ents are natural results/outcomes of the EPA

- funded activities (e.g., cleanup jobs/funding at a property assessed with EPA Brownfields Assessment grant funding; reuse jobs/funding at a property cleaned up with EPA Brownfields Cleanup or RLF grant funding). To be reportable, there must be a demonstrable link or connection between the EPA

- funded activity and the leveraged activity/funding/accomplishment. Usually, activities/funding/ accomplishments that occur prior to award of the EPA grant should not be repo rted as leveraged since the activity predates the award. In addition, the leveraged activity/funding/accomplishment should be reported only when actually manifested (i.e., projected numbers and other data, including expected jobs or uncommitted funding, sh ould not be reported). **When to Submit:** Original Property Profile Form : A Property Profile Form must be submitted when the cooperative agreement recipient starts using EPA funds at an eligible property
. • For Assessment Cooperative Agreements , this will ty pically mean when the cooperative agreement recipient has started an assessment at an eligible property.
● For Cleanup cooperative agreement s, this will typically be the first or second quarter of the cooperative agreement period as the funds are first sp ent on the property identified in the selected proposal.
• For RLF cooperative agreement s, this may mean when a subgrant or loan package is completed for an eligible property
. • For TBAs, this will typically mean when an eligible property assessment has started us ing EPA funds.

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• For State and Tribal Voluntary Response Program cooperative agreement s, this will typically mean when EPA cooperative agreement recipient has started using EPA funds at an eligible property for assessment or cleanup activities. Updated Property

Profile Forms : Property

Profile Forms must be updated as activities (e.g., assessment, cleanup, and redevelopment) and accomplishments (e.g., cleanup completed, redevelopment underway, significant leveraged funding committed) occur, and then submitted online (when available) or along with the next required Progress Report. For example, a Property Profile Form should be updated upon: completion of a Phase II assessment; receipt of a no cleanup action document or determination; completion of cleanup activity; and/or initiation/completion of the planned redevelopment project. In addition, a Property Profile Form should be updated as the property background information changes or if there are other anecdotal information and successes that the cooper ative agreement recipient wants to share with EPA. Cooperative agreement recipients should also revise and submit updated Property Profile Forms for all targeted properties when the cooperative agreement is being closed out. **To Whom to Submit:** Cooperativ e agreement recipients must submit Property Profile Forms to their EPA Regional Representative identified in the terms and conditions of the cooperative agreement. The EPA Regional Representative may request the form also be submitted to the EPA Headquarte rs Data Manager. When online submission is available and Property Profile Form information is entered online the data will automatically be delivered to the EPA Regional Representative. **How to Submit:** EPA is undertaking a two

- phased process to facilitate electronic reporting and provide an information dissemination sy stem to facilitate future cooperative agreement recipient reporting. Under the first phase, EPA has prepared electronic versions of Property Profile Form for the cooperative agreement recipie nts to complete and submit via e

- mail. EPA tracks accomplishments through the Assessment, Cleanup, and Redevelopment Exchange System, (ACRES) , which is availabl e online to cooperative agreement recipients, Property Profile Form information may be entered e lectronically into the web

based database. Electronic reporting is optional; hard copy reports will always be acceptable. 

### DETAILED INSTRUCTIONS FOR COMPLETING EACH ITEM ON FORM **PART I -**  **PROPERTY INFORMATION**  (Mandatory for all cooperative agreement reci pients) **COOPERATIVE AGREEMENT RECIPIENT INFORMATION**  **1. Cooperative agreement**  **Recipient Name.** Enter the cooperative agreement recipient name. Use the official name of the cooperative agreement recipient as written in the cooperative agreement documentatio n, unless otherwise directed by the EPA Regional Representative. For TBAs, indicate the requester name. For State and Tribal property

- specific activities, enter the State or Tribe name. **2. Cooperative agreement**  **Number.** Enter the number of the cooperative agreement as provided in the cooperative agreement documentation (e.g., BF 00000000). Enter the response program number for State and Tribal property

- specific cooperative agreement s (e.g., RP 00000000). For TBAs, enter the Contract number.

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**3. Type of Br ownfields**  **Cooperative Agreement .**  Indicate the type of EPA Brownfields cooperative agreement to which all accomplishments reported on this Property Profile Form apply. If a property has benefited from more than one EPA Brownfields cooperative agreement , sub mit separate Property Profile Forms to report accomplishments for each cooperative agreement at that property. The TBA selection is to be used by EPA Regional personnel only. 

### 4. For Assessment, Cleanup, and RLF **Cooperative A greement**  **s, indicate type of Fu**  **nding Used at the Property**  **.** Indicate what type of funding is being used at the property (e.g., hazardous substances, petroleum, or a combination of both). **5 a**  **. Initial or Updated Property Profile Form.** Indicate if this is the first Property Profile Form being submitted for the property or an updated version of a previously submitted Property Profile Form. **5b .**  **If “Updated Form,” provide the ACRES Property ID.**  Enter the ACRES Property ID number as indicated on the property screen in ACRES. The ACARES Pr operty ID is unique to the ACRES application only **. PROPERTY**  **BACKGROUND INFORMATION**  (Mandatory for all cooperative agreement recipients) **Property Background Information.** Provide background information about the targeted property. Much of this informatio n is historical (e.g., name, street address, latitude/longitude, size, description/history) and should be provided on the original Property Profile Form, with updates only as necessitated by

changed circumstances. For purposes of cooperative agreement re cipient reporting, a “property” is defined as a contiguous piece of land under unitary ownership. A property may contain several smaller components, parcels, or areas . **6 . Property Name.**  Enter the name of the property. The property name should include the primary reference to the property, as well as any aliases. If multiple names are listed, indicate the primary name first followed by any aliases (separated by commas). **7 a. Street Address.**  Enter the address of the property. The street address provided sho uld reflect the primary entrance to the property . If no street address is available, please report the names of the streets for the intersection closest to the primary property entrance. 

### 7 **b. City.** Enter the name of the city in which the propert y is locate d. **7c . County.**  Enter the county in which the property

is located. **7d . State.**  Enter the two

- letter abbreviation for the name of the state in which the property is located. **7 e**  **. Zip Code.** Enter the zip code (with plus four code, if available) for the property. **8 . Size.**  Enter the number of acres contained within the property’s boundary. Acreage for the entire property , not just the potentially contaminated portions, should be provided.

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**9 . Parcel Number(s).**  Enter the universal identification number for the property (i.e., parcel number). Please list all applicable parcel numbers for the property. If multiple parcel numbers are listed, indicate the primary parcel number first (i.e., that which encompasses the primary entrance for the property), followed by

any other parcel numbers (separated by commas). **STATE & TRIBAL BROWNFIELDS/VOLUNTARY RESPONSE PROGRAM INFORMATION.**  Provide information on the status of the property within a state voluntary response program. **10. State & Tribal Program Enrollment.** If the property is enrolled in a state brownfields program or a state voluntary response program, indicate the date upon which the property was enrolled and the state identification number(s) the property received upon enrollment. If the property is not enro lled in a state program, check “Property Not Enrolled in a State or Tribal Program.” **PROPERTY GEOGRAPHIC INFORMATION.** Indicate the latitude and longitude information for the property . The coordinates should be taken at the primary entrance to the property (i.e., at the street address listed in 8a). There are six required data elements (aka, meta

- data associated with latitude and longitude data) are described below; however the EPA Office of Brownfields and Land Revitalization 

### (OB LR), or its contractors, w ill provide latitude/longitude and associated metadata if cooperative agreement recipients are unable. Additional guidance regarding EPA’s Data Standards for geographic information can be found at http://www.epa.gov/edr and is also available from your EPA Regional Representative. **11a . Latitude.**  Enter the latitude coordinate for the property’s primary entrance. Please indicate, in degrees and decimal degrees (up to a maximum of six decimal positions), the measure of the angular distance on a meridian north or south of the equator. Where degrees latitude are less than 10, leading zeros should be given (e.g., 09 degrees latitude). Latitude measures should be preceded by a plus (+) sy mbol for points on or north of the equator and a minus (

- ) sy mbol for points south of the equator. **11b . Longitude.**  Enter the longitude coordinate for the property’s primary entrance. Please indicate, in degrees and decimal degrees (up to a maximum of six decimal positions), the measure of the angular distance on the meridian east or west of the prime meridian. Where degrees longitude are less than 100, leading zero(s) should be given (e.g., 006 or 089 degrees longitude). Longitude should alway s be preceded by

a minus (

- ) symbol for points west of the prime meridian and a plus (+) sy mbol for points on or east of the prime meridian. Longitude for places in the United States should be preceded by a minus (

- ) sy mbol. **11c . Horizontal Collection Method.**  Enter the method used to determine the latitude and longitude coordinates (e.g., an address, an intersection, a Global Positioning System (GPS) device, a census block centroid, etc.). **11d . Source Map Scale Number (only if a map/photo was used).**  Unless a GPS was used to determine the coordinates, please indicate the scale of the map/pho to used to determine the latitude and longitude coordinates (i.e., the number that represents the proportional distance on the ground for one unit of measure on the map or photo).

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**11e . Reference Point.**  Enter the point of reference. Please indicate the pl ace for which the latitude and longitude coordinates were established (e.g., Center of Facility or Station, Entrance Point of Facility or Station, Plant Entrance (General)). **11f . Horizontal Reference Datum.**  The Horizontal Reference Datum is the coordinat e reference system to which the latitude/longitude data in 13a and 13b relate. Per EPA's Latitude/Longitude Data Standard, there are three possible values associated with horizontal reference datum:  North American Datum of 1927 (NAD27): This datum was based on the ground survey in Europe and North America in the 19th century. NAD27 was the standard for many ye ars because the USGS published its topographic maps in this datum. If you are reporting a location using a USGS 7.5

- minute map, NAD27 is your default datum.  North American Datum of 1983 (NAD83): NAD 83 updated NAD 27 with current measurements using radio astronomy and satellite observations. When the USGS began publishing digital d ata, the NAD83 was used, which provided a more accurate representation of the earth’s shape and a more accurate depiction of the location of objects on the earth. World Geodetic System of 1984 (WGS84): This datum was developed from the measurements calculated in the North American Datum of 1983. If you used a GPA to calculate your latitutde/longitude corrdinates, WGS84 is the default datum.


### PART II **- ENVIRONMENTAL**  **ACTIVITIES ENVIRONMENTAL**  **ASSESSMENT INFORMATION** (Assessment information is mandatory for Assessment cooperative agreement recipients, State and Tribal property

-specific assessments, and Targeted Brownfield Assessments; as available for Cleanup and RLF cooperative agreement recipients) In this section, the cooperative agreement recipient sho uld provide information relating to assessment activities conducted with EPA funds. For Cleanup and RLF cooperative agreement s, information included in this section is assumed to be conducted with funding from other sources. **Table A. Environmental Assess ment Activity.**  Table A collects the assessment phase, assessment start and completion date(s), funding category, name of the entity(ies) providing funding, and the amount of funding. If there are multiple assessments, please use a separate line for each as sessment. 

### Activity. Indicate the typ e of activity (e.g., Phase I or II Environmental Site Assessment (ESA) , Supplemental Assessment, Cleanup Planning ) **Phase I Assessment**
• **Phase I Start Date(s).** The date(s) on which the grant recipient authorizes the initi ation of an y Phase I activities on the property (e.g., historical property research, record review, site visit, etc.) A Phase I is equivalent to an environmental assessment conducted in accordance with the all appropriate inquiries final rule standard set forth 40 C.F.R. 312, or an Environmental Site Assessment Conducted in compliance with ASTM E1527

- 05 standard.
• **Phase I Report Completion Date(s).** The date(s) on which any Phase I reports (e.g., the written report required under 40 CFR 312.21(a) of the all appropriate inquiries final rule) were

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completed. A Phase I report is final when an environmental professional or state official has signed and dated the report as required in the final rule (see 40 CFR 312.21(c). **Phase II Assessment**
• **Phase II Start Date(s) .**  The date(s) on which an y Phase II activities (e.g., sampling anal ys is plan is approved or field mobilization occurs on the property)
. • **Phase II Report Completion date(s).** The date(s) on which an y Phase II reports (e.g., supplement assessment, site invest igation) were completed. A Phase II report is final when an environmental professional or state official has prepared an environmental assessment report that has been accepted b y the grant recipient. **Supplemental Assessment**
• **Supplemental Assessment Start D ate.**  Enter the date on which a Supplemental Assessment activity

starts. A Supplemental Assessment is defined as any additional environmental activity that is required in order to complete a site characterization, define the nature and extent of contaminati on and/or fill any environmental data gap necessary to identify and/or perform cleanup activities.
• **Supplemental Assessment Completion Date.** Enter the date on which a Supplemental Assessment is completed. A Supplemental Assessment is considered completed wh en the Supplemental Assessment report has been accepted by the cooperative agreement recipient. **Cleanup Planning**
• **Cleanup Planning Start date.** The date(s) on which cleanup planning activities began leading up to the completion of one or more cleanup planning documents that were prepared b y an environmental professional and accepted b y the cooperative agreement recipient. Planning documents could include an Anal ys is of Brownfields of Cleanup Alternatives (ABCA), a cleanup workplan, etc. Cleanup planning may also include such activities as: environmental data anal ys is, risk assessment, the establishment of remedial action objectives, or the identification cleanup levels as required by the applicable state or tribal response program.
• **Cleanup Planning Comple tion date.**  The date(s) on which cleanup planning activities are completed, most likely marked as the date in which the cooperative agreement recipient accepts completed cleanup planning documents. **Source of Funding.** Use the check boxes to indicate the category of funding, and check **only one** funding source box per line. The categories of funding include:
• **This U.S. EPA Cooperative A**  **greement .**  Select if U.S. EPA (see Field 2 on the Property Profile Form) funds were used to perform assessment activities at th e property (including TBA funding for EPA regional personnel)
. • **Other Federal.** Select if other federal funds were used to perform assessment activities at the property (e.g., U.S. Department of Housing and Urban Development Brownfields Economic Development Initiative grant, U.S. Economic Development Administration grant, EPA Smart Growth grant).
• **State/Tribal Funding.** Select if any state and tribal funds (exclusive of State and Tribal property- specific 128(a) funds) were used to perform assessment activitie s at the property (e.g., state economic development grant, state brownfields assessment grant).
• **Local Government.** Select if any local funds were used to perform assessment activities at the property

(e.g., local bond/tax increment financing, city community development grant).

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• **Private/Other.** Select if any private funds were used to perform assessment activities at the property (e.g., company

X, developer Y, non

- profit Z).


### • **Name of Entity Providing Funds.** In dicate the name of the entity that provided fundin g for assessment activity , unless it is from this U.S. EPA Cooperative Agreement
. **Amount of Funding.** Enter the amount of funding committed by the specified entity providing funds for the assessment activity. **12 . Cleanup Required.**  Indicate whether cleanu p is required as soon as sufficient assessment has been conducted to make such a determination. An “environmental cleanup” is defined as any action that is required at a property as a result of contamination by any hazardous substance, petroleum product, c ontrolled substance, or solid waste to address levels that pose a threat to human health and the environment. The “no cleanup required” determination is generally made by the cooperative agreement recipient or property owner

—ty pically made in conjunction w ith state voluntary response program officials and/or certified environmental professionals following an environmental assessment of the property

—to indicate that the property does not have any contaminants at levels that pose a threat to human health or the environment. In this instance, proceed to #16 or provide an explanation in #26. A cooperative agreement recipient may not know whether cleanup is required, if additional assessment work is required, if the cleanup level is dependent on the future use, or if future use has not been determined. In these instances, indicate “unknown” and update this section when a determination is made. A “cleanup required” determination may include situations where an invasive cleanup does not occur but use of either engi neering controls (e.g., capping) or institutional controls (e.g., land use restrictions) ensures that any residual contamination left on the property does not pose a threat to human health or the environment.
**Ma ke sure to complete INSTITUTIONA**  **L CONTROLS INFORM**  **AT ION before submitting this** 

**Property Profile Form to your EPA Regional Representative**  **CONTAMINANTS AND MEDIA AFFECTED INFORMATION** (Reporting guidelines for this section: Assessment information (i.e., types of contaminants found and media affecte d) is mandatory for Assessment cooperative agreement recipients, State and Tribal property
-specific cooperative agreement s, and Targeted Brownfield Assessments; optional for Cleanup and RLF cooperative agreement recipients. Cleanup information (i.e., types of contaminants cleaned up and media cleaned up) is mandatory for Cleanup, RLF, and State and Tribal property

specific cooperative agreement recipients and optional for Assessment cooperative agreement recipients.) **Table B**  **. Contaminants and Media Affect ed.**  Provide information relating to the results from the environmental assessment activities performed at the property, including information on the types of contaminants found/cleaned up and the media impacted/cleaned up. Update this section as additional information becomes available. 

### Recognized **Environmental Conditions.** In dicate the presence or likely presence of an y hazardous substances or petroleum products on the property under conditions that indicate an existing release, a past release, or a material threat of a release of any hazardous substances or petroleum products into structures on the property or into the soil, groundwater or surface water of the property as defined in ASTM

- 1527
.

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**Contaminant Found.** Indicate wh at ty pes of contaminants have b een identified or detected through the assessment activities. Mark the boxes for each and every ty pe of 

### contaminant that has been detected. The eight specific classes listed are defined in Appendix A, Types of Contaminants . If contaminants are identified that do not fall into one of the t ypes , please indicate “other” and provide a brief description of the contaminant(s) identified during the assessment activities. If contaminants were not detected during assessment, indicate “no contaminants.” If the types of potential contaminants have not yet been determined for the property, indicate “unknown.” Please consult with your EPA Regional Representative if you need additional assistance in classifying the contaminants at your targeted properties. **Contaminant Cl eaned Up.**  Indicate which ty pe s of contaminants have been cleaned up. Mark the boxes for each and every ty pe of contaminant that has been cleaned up. Contaminants are considered cleaned up when a “clean” or “no further action” letter (or its equivalent) has been issued by the state or tribe under its voluntary response program (or its equivalent) for cleanup activities at the property; or the cooperative agreement recipient or property owner, upon the recommendation of an environmental professional, has dete rmined and documented that on

- property work is finished. On

going operation and maintenance activities or monitoring may continue after a **cleaned up** designation has been made. **Media Affected.** Indicate which types of media (e.g., soil, air, surface water, ground water, drinking water, sediments) are impacted by the identified contaminants. Mark the boxes for each and every media impacted at levels that are actionable under state, tribal, and/or federal standards. To the extent that the future reuse plans impact whether the contamination in the media is actionable, consider providing a brief description in Part VII, Anecdotal Property Information. If no media were affected by contaminants, indicate “no media affected.” If the assessment activity is preliminar y in nature and does not report potential affects by media, indicate “unknown.” When the media affected become known, please update this section. **Media Cleaned Up.** Indicate which types of media (e.g., soil, air, surface water, ground water, drinking water , sediments) are impacted by the identified contaminants that have been cleaned up. Mark the boxes for each and every media impacted at levels that are actionable under state, tribal, and/or federal standards and have been cleaned up. Contaminants are cons idered cleaned up when a “clean” or “no further action” letter (or its equivalent) has been issued by the state or tribe under its voluntary response program (or its equivalent) for cleanup activities at the property; or the cooperative agreement recipient or property owner, upon the recommendation of an environmental professional, has determined and documented that on

- property work is finished and any needed institutional or engineering controls are in place and functional. On

- going operation and maintenan ce activities or monitoring may continue after a **cleaned up** designation has been made. **ENVIRONMENTAL CLEANUP INFORMATION** (Mandatory for Cleanup, RLF, and State and Tribal property

-specific cooperative agreements; as available for Assessment cooperative agreement recipients and Targeted Brownfield Assessments) In this section, the cooperative agreement recipient should provide information relating to cleanup activities funded by the EPA cooperative agreement and basic information relating to the cleanup activity and results. For Assessment cooperative agreements, information included in this section is assumed to be conducted with funding from other sources.

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**13 . Cleanup Activity Start Date.**  Enter the date that the cleanup contractor mobilizes at the p roperty . Cleanup activities include, but are not limited to demolition for environmental reasons; emergency removals; drum barrel removal; soil, water, and groundwater treatment; institutional controls, capping; and operation and maintenance activities. **14 . Cleanup Activity Completion Date.**  Enter the date that cleanup activities at the property were completed to a regulatory risk

- based standard. This typically occurs when one of the following conditions applies: (1) A “clean” or “no further action” letter (or its equivalent) has been issued by the state or tribe under its voluntary response program (or its equivalent) for cleanup activities at the property; or (2) The cooperative agreement recipient or property owner, upon the recommendation of an env ironmental professional, has determined and documented that on

- property work is finished. Ongoing operation and maintenance activities or monitoring may continue after a cleanup completion designation has been made.
**15 . Acres Cleaned Up.**  Enter the numbe r of acres that have been cleaned up. Provide only the acreage for the portion of the property that has been addressed by environmental cleanup activities. A property is considered cleaned up when it is made available for reuse as a result of the environmental cleanup activity. **16. No Further Action/Cleanup Completion Document Date.** If the property has received a No Further Action Letter or equivalent cleanup completion documentation, indicate the date upon which this documentation was issued. If the prop erty is not enrolled in a state program such that this documentation does not apply, leave this field blank. **17 . Number of Cleanup Jobs Leveraged.**  Provide information relating to jobs leveraged during the cleanup at the property. This number includes sh ort - term jobs (i.e., with a duration of less than one ye ar) ty pically leveraged during the cleanup and remediation stage. Only actual jobs should be reported; planned or expected jobs should not be reported until they are realized. Cleanup jobs directly paid for by

a U.S. EPA cooperative a greement should not be reported here , only jobs leveraged as a result of a U.S. EPA cooperative agreement. **18 . EPA Funding Category and Amount.**  Cleanup activities conducted and funded prior to the awarding of the cooper ative agreement should typically not be provided (i.e., pre

- award activities are not considered leveraged and should not be reported). Funding for activities used to prepare the property for redevelopment (e.g., demolition, property clearing) should be rep orted in this table. Supplemental narrative information about the cleanup funding may be further described in Part VII, Anecdotal Property Information (e.g., describe use of innovative funding sources, use of loans and/or insurance mechanisms to facilitate cleanup). The categories of funding include:

• **U.S. EPA -**  **Brownfields Cleanup Cooperative Agreement.** For Cleanup cooperative agreement recipients, indicate the amount of brownfield funds used to perform environmental cleanup activities at the property.

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• **U.S . EPA**  **- Brownfields RLF Loan.**  For RLF cooperative agreement recipients, indicate the date signed and the amount of the loan used to perform environmental cleanup activities at the property . L oan amounts should be reported when the loan is issued to the borro wer (i.e., when the loan document is signed and legally binding).

• **U.S. EPA -**  **Brownfields RLF Subgrant.** For RLF cooperative agreement recipients, indicate the date signed and the amount of the subgrant used to perform environmental cleanup activities at the property. Subgrant amounts should be reported when the subgrant is awarded (i.e., when the subgrant is signed and legally binding).


### • **U.S. EPA -**  **Section 128 State and Tribal.** For State and Tribal property

- specific cooperative agreements, indicate the amount of the Section 128 State and Tribal funds used to perform environmental cleanup activities at the property.


### Table **C. Environmental Cleanup Leveraged Funding Detail.**  Table C collects the leveraged funding source(s), name of entity providing leveraged fun ds, and the amount of funding leveraged for cleanup. If multiple leveraged funding sources were used for cleanup, please use a separate line for each source. **Category of Funding, Name of Entity Providing Funding, and Amount of Funding Leveraged.** Use the c heck boxes to indicate the category of funding, and check **only one** funding source box per line. Provide the name of the entity providing the funding and the amount of leveraged funding. The categories of funding include:
• **Other Federal.** Select if any feder al funds other than this U.S. EPA Cooperative Agreement were used to perform environmental cleanup activities at the property (e.g., U.S. Department of Housing and Urban Development Community Development Block Grant, U.S. Department of Housing and Urban De velopment Brownfields Economic Development Initiative grant).
• **State/Tribal Funding.** Select if any state and tribal funds (exclusive of State and Tribal property- specific 128(a) funds) were used to perform environmental cleanup activities at the property ( e.g., state brownfields cleanup grant, state economic development grant).
• **Local Government.** Select if any local funds were used to perform environmental cleanup activities at the property (e.g., local bond/tax increment financing).
• **Private/Other.** Select if any private funds were used to perform environmental cleanup activities at the property (e.g., company X, developer Y, non

- profit Z). **Name of Entity Providing Funds.** Indicate the name of the entity that provided funding for cleanup activity
. **Amount o f Funding.**  Enter the amount of funding committed by the specified entity providing funds for the cleanup activity. **INSTITUTIONAL CONTROLS and ENGINEERING CONTROLS INFORMATION** (Mandatory for all cooperative agreement recipients) In this section, the coo perative agreement recipient should provide information relating to the use of institutional controls on the property. **19a . Institutional Controls Required.**  Indicate whether institutional controls are required as part of the cleanup or containment activity to help minimize the potential for exposure to contamination and/or restrict land or resource use.

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**19b . Category of Institutional Controls Required.**  Indicate which category(ies) of institutional controls are required. Mark the boxes for each and every category of institutional control that is required. Although the definitions of institutional controls vary across localities and states, there are four general categories: proprietary controls (e.g., easements, covenants); governmental controls (e.g., zon ing, building codes, drilling permit requirements); informational devices (e.g., state registries, deed notices, advisories), and enforcement/permit tools (e.g., orders, permits, consent decrees). If the information about the institutional control (e.g., s pecific type of control) is available online, please provide the World Wide Web address or URL. Please use the provided text box to enter any additional information on institutional controls at the property. For more details on institutional controls, plea se refer to EPA guidance (the current February 2003 draft guidance is entitled “Institutional Controls: A Guide to Implementing, Monitoring and Enforcing Institutional Controls at Superfund, Brownfields, Federal Facility, UST and RCRA Corrective Action Cle anups”) or contact your EPA Regional Representative. **19c . Institutional controls are in place, and operating as intended.**  Appropriate institutional controls should reflect the specific contamination and exposure potential circumstances of a given property, including consideration of reasonably anticipated future uses, and mechanisms in place to modify institutional controls, if necessary , based on future changes in use. Depending on the type of institutional control(s) to be implemented at a property the term "in place" could include for example: the enactment of ordinances (e.g., ground water use restrictions), codes, and/or regulations by local government; recording of legal instruments in the chain of title for a property; issuance by a regulatory

autho rity of enforcement tools or permit; listing of property on state registry of contaminated sites; and/or recording of deed notices or hazard advisories in local land records. Indicate the date that the final required institutional control was enacted, reco rded, issued or listed, as appropriate. **20a .**  **Engineering Controls Required .**  Indicate whether engineering controls are required as a part of the cleanup or containment activity to help minimize the potential for exposure to contamination. **20b .**  **Category( ies) of Engineering Controls Required.**  Indicate which category(ies) of engineering controls are required. Mark the boxes for each and every category of engineering control that is required. Although the definitions of engineering controls may vary across localities and states, there are four general categories: cover technologies (capping); Engineered Barrie r s (i.e., slurry walls, sheet, piling, sy

nthetic membranes); Immobilization Process (i.e., in

- situ solidification, in

- situ stabilization, encapsutation); Security (guard, fences, public notices), and Other (please enter any other engineering control that is not previously covered). If the information about the engineering control (e.g., specific type of control) is available online, please provide the World Wide Web address or URL. Please use the provided text box to enter any additional information on engineering controls at the property. For additional information please contact your EPA Regional Representative. **20c**
. **Engineering controls are in place, and operating as**  **intended**
. Appropriate engineering controls should reflect the specific contamination and exposure potential circumstances of a given property , including consideration of reasonably anticipated future uses, and mechanisms in place to modify engineering controls, if necessary, based on future changes in use. Depending on the type of engineering control(s) to be implemented at a property the term "in place" could include for example: the completion of construction of the cap, completion of the in

- situ stabilization, and/or completion

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of the construction of the fence. Indicate the date that the final required engineering control was implemented.
**REDEVELOPMENT AND OTHER LEVERAGED ACCOMPLISHMENTS** (Mandatory for Assessment, Cleanup and RLF Coope rative Agreement s; as available for State and Tribal Property Specific Activities and TBAs) In this section, provide information relating to redevelopment activities and other non

assessment/cleanup accomplishments leveraged by the EPA cooperative agreem ent and basic information relating to the leveraged activities. The term "leveraged" refers to those non

- EPA brownfields cooperative agreement funds and activities that have some link or nexus to the efforts of an EPA cooperative agreement

- funded activity, or where the EPA cooperative agreement

- funded activity was a cataly st for the leveraged accomplishments. This section is mandatory for Assessment, Cleanup and RLF Cooperative Agreement s and as available for State and Tribal Property Specific Activities an d TBAs where targeted properties undergo subsequent redevelopment activities; but should only

be updated when real accomplishments are realized (e.g., anticipated leveraged funding should not be reported until it is committed to the property). This section should be updated by all cooperative agreement recipients as redevelopment activities are undertaken or leveraged funds are committed for the property during the term of the cooperative agreement
. **Redevelopment Information.** Provide information relating to redevelopment activities leveraged by the EPA cooperative agreement
. **21 . Redevelopment Start Date.**  Enter the date upon which redevelopment activities began at the property . The start date can be triggered by a variety of events (e.g., infrastructure p reparation, property preparation, groundbreaking ceremony). Conceivably, the redevelopment start date can precede the date of cleanup completion when portions of the property are undergoing simultaneous cleanup and redevelopment activities. However, enviro nmental cleanup activities necessary to prepare the property for redevelopment should not be considered a trigger for the redevelopment start date. **22 .**  **Redevelopment Completion Date**
. Enter the date upon which redevelopment activities were concluded at t

he property . The completion date can be triggered by a variety of events (e.g., completion of the project, grand opening ceremonies). **Table D. Redevelopment Leveraged Funding Detail.** Describe all funds linked to and leveraged by the cooperative agreement to support additional, related activities at the property, and check only one funding source box per line. Only funding committed to the property should be reported (e.g. committed funds may include but is not limited to tax increment financing, mortgages , bank documents, contracts); anticipated funding should not be reported. Supplemental narrative information about the leveraged redevelopment funding may be further described in Part VII, Anecdotal Property Information (e.g., describe innovative funding s ources/uses, additional details on what each funding source was used for). Redevelopment may

include non

- commercial reuses (e.g., parks, wildlife refuges, nature trails, and greenspaces, non - profit community health care facility), as well as commercial o r industrial uses

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(e.g., the expansion or remodeling of an existing manufacturing facility, the construction of a new retail space), and residential and public purpose uses (e.g., courthouse, public health clinic). Redevelopment activities conducted and funded prior to the awarding of the cooperative agreement should not be provided (i.e., pre

- award activities are not considered leveraged and should not be reported). Leveraged funds may be used to support allowable activities (e.g., inventory, assessment, c leanup) as captured in the previous sections (Tables A and C, respectively) and activities that cannot be funded by the EPA cooperative agreement (e.g., demolition, property preparation, redevelopment construction, transportation improvements) that should be reported in this section. To the extent that funding for program/grant

- level activities and/or redevelopment activities have been leveraged but cannot be discretely allocated to one or more targeted properties, the leveraged funding should only be des cribed in the Progress Report (i.e., not in the Property Profile Form). In addition to describing the amount leveraged, use the Progress Report to identify the type of activity funded, funding source, and which specific properties or areas (if any) benefit from the funding. Table D collects the funding category, name of the entity(ies) providing funding, and the amount of funding leveraged for redevelopment. If multiple funding sources were leveraged for redevelopment, please use a separate line for each f unding category used for redevelopment. The categories of funding include:
• **Other Federal.** Select if any federal funds were leveraged to perform redevelopment activities at the property (e.g., U.S. Department of Housing and Urban Development Community Deve lopment Block Grant, U.S. Economic Development Administration Public Works grant).
• **State/Tribal Funding.** Select if any state and tribal funds (exclusive of State and Tribal property- specific 128(a) cooperative agreement funds) were leveraged to perform re development activities at the property (e.g., state brownfields grant, state economic development grant).
• **Local Government.** Select if any local funds were leveraged to perform redevelopment activities at the property (e.g., local bond/tax increment financ ing).
• **Private/Other.** Select if any private funds were leveraged to perform redevelopment activities at the property (e.g., company X, developer Y, non

- profit Z). **Name of Entity Providing Funds.** Indicate the name of the entity that provided funding for r edevelopment activity. **Amount of Funding.** Enter the amount of funding committed by the specified entity providing funds for the redevelopment activity. **23 . Number of Redevelopment Jobs Leveraged.**  Provide information relating to the jobs leveraged by the EPA cooperative agreement at the property. This number also includes short

- term jobs (i.e., with a duration of less than one year) typically leveraged during the construction stage and long

- term jobs that ty

pically occur as a result of the new or enhanced reuse at the property (i.e., with a duration of more than one year). Only actual jobs should be reported; planned or expected jobs should not be reported until they are realized. **24 .**  **Future Use and Estimated Acreage Amount(s).** Indicate the type and amount of acreage of future use(s). For properties with more than one future use (i.e. mixed use), check all categories that apply and indicate the proportional acreage of each future use. The total amount of future use acreage can NOT be greater than the prop erty size indicated in Field # 8
. For properties with multi

- story buildings only, please check the “multi

- story building” box and indicate also the square footage for each

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type of reuse (e.g. a three story building with first floor commercial and remaini ng floors residential with a green roof).

• Greenspace : Agricultural site, field, forest, nature trails, park, playing fields, playground, pond, recreational area , stormwater management practices, green roof, urban forest canopy, wetland, and wildlife refug e;
• Residential : Housing;
• Industrial : Chemical plant, foundry, machine shop, incineration, landfill, manufacturing (general), mill (general), mining, petroleum (distribution/storage), power generating plant, utility, warehouse, water treatment/sewage plant, wood products site;
• Commercial : Automotive (dealership), dry cleaning facility, bank, museum, office, , laundry, recycling, retail, service station, storage, public services, places of worship, and schools, and transportation center (bus, rail, etc.)
.

**25 . Actual Acreage and Type(s) of Greenspace Created.**  Enter the number of acres that have been newly created or made available as greenspace). Provide only the acreage for the portion of the property that constitutes greenspace. Greenspace typically re fers to vegetated or water

- covered space that is in a natural or unbuilt condition, meaning not covered with buildings, roads, or other paved areas, thus providing environmental, recreational, and other benefits (e.g., parks, wildlife refuges, nature trail s, wetland, field, forest, park, wildlife refuge, urban forest canopy, playing fields, playground, nature trail, pond, stormwater best management practices (http://www.epa.gov/ost/stormwater)).
**ANECDOTAL PROPERTY INFORMATION** (As available for all coope rative agreement recipients) **26 . Property Highlights.**  Briefly describe anecdotal information about the property. Information relating to the cooperative agreement award criteria (e.g., community benefit , sustainable reuse/brownfields prevention, reduction of environmental threats, use of existing infrastructure, community

involvement , implementing EPA initiatives such as Clean Energy/Energy Efficiency, Water Efficiency, Diesel Emission Reduction, Construction & Demolition Materials Recycling, Low Impact De velopment and/or Green Remediation) should be highlighted as much as possible. The cooperative agreement recipient may also want to highlight any innovative or unique issues, activities, technologies, or approaches; any disenfranchised or sensitive populations impacted; planned or actual reuse(s); and/or any other significant accomplishments or upcoming events, such as groundbreaking or ribbon cutting ceremonies, associated with the targeted property. In addition, the cooperative agreement recipient should provide information relating to any allowable, but non

- assessment/cleanup activities (e.g., health monitoring studies, insurance) funded and/or leveraged through the cooperative agreement at the targeted property. Any such activities that are not linked directly

to a single property

should be described in the Progress Report. EPA will use this additional information for use in its evaluation of the success of the cooperative agreement and for its use in developing communications materials to promote the brownfields program and grants.

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**PROPERTY PHOTOGRAPH INFORMATION.** Provide information on the availability of photographs or video footage depicting pre

- cooperative agreement property conditions, cooperative agreement funded activities, redevelopment activities, and/or the property after redevelopment construction has been completed. As with the anecdotal narrative, EPA will use any photographs to illustrate the progress and successes of each cooperative agreement recipient in communications materials. **27 .**  **Availability of Photographs.** Indicate whether still photographs depicting the property have been taken and are available. **28 . Availability of Video.**  Indicate whether video footage depicting the property has been taken and is available. 

### PART III ADDITI **ONAL PROPERTY INFORMATION PROPERTY HISTORY INFORMATION**  (As available for all cooperative agreement recipients)
. Provide information about the property, such as description, past uses, and ownership history. If additional space is needed, please attach an additional sheet. If one has already completed assessment activities prior to receiving EPA funding, please provide that information in Table A. Environmental Assessment Activity. **29 . Property Description/History/Past Ownership.**  Provide a brief narrativ e description about the property by providing information about the history of the property including past owners and past uses leading to any real or perceived environmental contamination. **30 . Predominant Past Uses(s).**  Indicate the type and amount of ac reage of predominant past use(s). For properties with more than one predominant past use (i.e. mixed use), check all categories that apply and indicate the proportional acreage of each past use. The total amount of predominant past use acreage can NOT be greater than the property size indicated in Field # 8
. For properties with multi

- story buildings only, please check the “multi

- story building” box and indicate also the square footage for each type of reuse (e.g. a three story building with first floor commercial and remaining floors residential with a green roof)
.

• Greenspace : Agricultural site, field, forest, nature trails, park, playing fields, playground, pond, recreational area , stormwater management practices, green roof, urban forest canopy, wetland, and wildlife refuge;
• Residential : Housing;
• Industrial : Chemical plant, foundry, machine shop, incineration, landfill, manufacturing (general), mill (general), mining, petroleum (distribution/storage), power generating plant, utility, warehouse, water tre atment/sewage plant, wood products site;
• Commercial : Automotive (dealership), dry cleaning facility, bank, museum, office, laundry, recycling, retail, service station, storage, public services, places of worship, and schools, and transportation center (bu s, rail, etc.)
. **OWNERSHIP AND SUPERFUND LIABILITY** (Mandatory for Cleanup and RLF Cooperative agreement

s) Indicate if ownership has changed over the life of the cooperative agreement and if Superfund federal landowner protections factored into the ownersh ip change.

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**31a . Ownership Entity.**  Indicate whether the property is currently owned by a government (i.e., Tribal, State, or Local) or private entity. **31b . Current Owner.**  Enter the name of the current owner of the targeted property. If the ownership changes during the term of the cooperative agreement , provide the new owner’s name. **32a . Ownership Change.**  Indicate if during the term of the cooperative agreement , ownership for the property has changed. For reporting purposes, a property "ownership change " is defined as a property transaction that is recorded in a deed of sale or other equivalent sales contract that legally transfers the property

from one entity

to another. In addition, a transaction involving a long

- term lease (e.g., 99 years) should be c onsidered as a property ownership change (i.e., the landlord would be considered the seller and the tenant would be considered the buyer). **32b . Superfund Federal Landowner Liability Protection.**  For any ownership changes during the term of the cooperative agreement , indicate whether the bona fide prospective purchaser (BFPP) liability protection, provided in the Brownfields Amendments to the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA or Superfund), was a factor in the property transfer. Check the “unknown” box if you do not know whether the BFPP liability protection had an impact on the property transfer. 

### PART IV **- APPROVALS**  **33 .**  **Cooperative Agreement Recipient Project Manager.**  Ty pe or print the name of the cooperative agreement recipient project manager. The project manager should also **sign and date** the completed Property Profile Form before submission. **34 . U.S. EPA Regional Representative.**  Ty pe or print the name of the EPA Regional Representative. The EPA representative should also **sign and date** the reviewed Property Profile Form.