State of Tennessee

Site ID*

Site Name*

Site City*

Site County*

Date Certified*

Sponsor Organization*

Contact Name*

Contact Email*

Please provide the following information related to the Certified Site.

Is the site still available?*

Yes No

Please explain.*

How many certified acres are still available?*

What is the asking/lease price per acre? Please indicate sale or lease.*

What changes have occurred on or around the site in the last year?*

If total combined attachment size is greater than 25MB, please send via email to kirby.lewis-gill@tn.gov.

Attach updated site photos with descriptions.

No File Chosen

File uploads may not work on some mobile devices.

You will need to combine the photos into one file and then upload.

Attach updated site marketing flyer.

No File Chosen

File uploads may not work on some mobile devices.

Have any zoning changes occurred in the last year?*

Voltage of electric circuit serving site (kV)*

Voltage of electric transmission line feeding the substation (kV)*

Is dual feed electric service from an alternate substation available/feasible?*

Yes No

Natural gas line service (line size/psi)*

Water line size serving site*

Water treatment plant total capacity*

Water treatment plant excess capacity*

Wastewater line size serving site*

Wastewater treatment plant total design capacity*

Wastewater treatment plant total wet weather capacity*

Wastewater treatment plant excess capacity*

Has the Phase I Environmental Site Assessment been updated since last year?*

Yes No

Attach updated Phase I ESA

No File Chosen

File uploads may not work on some mobile devices.

Reminder: If total combined attachment size is greater than 25MB, email to kirby.lewis-gill@tn.gov.

Attach recent FEMA Firmette

No File Chosen

File uploads may not work on some mobile devices.

You can find this here: https://msc.fema.gov/portal/home. If the site crosses more than one map, you will need to combine the maps into one file and then upload. Reminder: If total combined attachment size is greater than 25MB, email to kirby.lewis-gill@tn.gov.

Approximately how many site visits has this site had in the last year?*

What feedback have you received from site selectors or companies who visited the site?*

If you could make one improvement to this site, what would it be?*

Any other information TNECD should be aware of related to this site?*