Get Site Name, Location, And Information - State Nj

Filling out the SITE NAME, LOCATION, AND INFORMATION form for the State of New Jersey can be a straightforward process with the right guidance. This user-friendly guide will walk you through each section of the form, ensuring that every detail is accurately captured for submission.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Fill in Section A with the site name and location. Include all alternate names (AKAs) the site may be known by, as well as the street address, municipality, county, and zip code.
3. In Section B, identify the applicable fees for the Soil Remedial Action Protectiveness/Biennial Certification. Ensure to indicate whether you are applying for a remedial action permit or a non-remedial action permit.
4. Complete Section C by providing the fee billing contact person's information, including their business name, first and last name, title, phone number, fax number, mailing address, municipality, state, zip code, and email address.
5. For Section D, indicate the current owner of the site. If the owner is the same as the person responsible for monitoring the protectiveness of the remedial action, check the appropriate box and move to the next section.
6. In Section E, provide the information of the current operator of the site, following the same format as previous sections for their full name, contact details, and address.
7. Complete Section F, stating the information of the current lessee of the site, if applicable.
8. Section G deals with Deed Notice/Declaration of Environmental Restriction information. Ensure to provide the filing dates and book and page numbers for deed notices as required, and answer related questions accurately.
9. In Section H, describe the land use, changes, and disturbances. This may involve checking applicable boxes for current site use and intended future use, and providing descriptions of operations.
10. Continue with Sections I through L, ensuring all necessary certifications and acknowledgments are completed, including the Licensed Site Remediation Professional information.
11. Finally, review your form for accuracy and completeness before saving your changes. Be prepared to download, print, or share the document as necessary.

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