10-21 Exhibit - Authorizing Execution of Grant Agreement for the HDSRF Grant Funds for Preliminary Assessment and Site Investigation.pdf

SCHEDULE E Hazardous Discharge Site Remediation Fund (HDSRF) Public Entity Project Status Summary Public Entity:____________________________ Latest Project #:___________________________ Site Name:______________________________ Site Location: _____________________________ Size of Site: _____________________________ Current Zoning of Site: _____________________ Who owns the site: Public Entity Redeveloper Private Other Contact: ________________________________ County: _________________________________ Address:__________________________________________________________________________ Phone: _________________________________ Fax: ___________________________________ Latest Application Closing Date: ____________ Total grant funding to date:__________________ Has the Preliminary Assessment (PA), Site Investigation (SI) and Remedial Investigation (RI) studies been completed? If not, what is the status of the work? Yes No PA __ __ _________________________________________________ SI __ __ _________________________________________________ RI __ __ _________________________________________________ Does the site have contamination? Yes / No If yes, describe__________________________________ _________________________________________________________________________________ Has the site been remediated? Yes / No If no, when will it be done __________________________ What are the projected cleanup costs? (Please circle estimated costs) 0-$100,000 $100,000 -$ 500,000 $500,000 -$1,000,000 $1,000,000 & over How was the site used previous to contamination? _________________________________________ Has the site been redeveloped? Yes / No If yes, what is the current use? _______________________ __________________________________________________________________________________ PROD-00188179 Township of West Orange Project Site: Biddleman Inc.