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Siting Requirements Form

Thank you for providing the following information and requirements for your project. You can expect to hear from us 1-2 business days after we receive this information.

Fields marked with * are required.

CONTACT INFORMATION

Your Name*

Company

Address

City

State

Zip Code

Country

Phone*

Cell Phone

Email*

Products

Total Project $ Investment

Product Description

GEOGRAPHIC PREFERENCES

Specific Geographic Requirements

Building Specifications

Minimum Building Size

Maximum Building Size

Occupancy Single Multi Either

Ceiling Clearance

Parking Requirement

Loading Facilities

# of Dock High

# of Grade Level/Drive In

Purchase or Lease Purchase Lease Either

Space Requirements

Manufacturing Space

Office Space

Warehouse Space

Land Requirements

Minimum Acreage

Maximum Acreage

Zoning

Surrounding Uses

Other

UTILITY REQUIREMENTS

Water

Gallons per day—Initial

Gallons per day—Build-out

Gallons per minute—Peak

Other Requirements

Sanitary Sewer

Gallons per day—Initial

Gallons per day—Build-out

Line Size Requirements

PH of Effluent

Temperature of Effluent

Other Requirements

Gas

Pressure (PSI)

Daily Usage (Cu Ft)

Electricity

Ave. Total Energy kWh/month

Peak Demand (kWh)

Power Factor

Reliability Required

Dual Feed Substation

Telecommunications

Special Requirements

Environmental Considerations

List details of on-site chemical storage requirements

Discharge materials in waters of state, on land or into ground?

List details of any discharge of emissions into air

Treat, collect, store or dispose of any hazardous waste?

Transportation Requirements

Rail Service

Is rail service an absolute?

Freeway Access

Commercial Airport

Marine

Exporting? Yes No

Primary Export Countries

Importing? Yes No

Primary Import Countries

Other Comments

LABOR FORCE NEEDS

Initial # Employees

Projected # Employees

# of Shifts

Educational Institutions

List Educational Reqirements

Primary Occupations

Occupation 1

Occupation

# of Positions

Average Wage

Occupation 2

Occupation

# of Positions

Average Wage

Occupation 3

Occupation

# of Positions

Average Wage

Occupation 4

Occupation

# of Positions

Average Wage

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Verification*