VIRGINIASCAN SITE DATA SHEETFields in red are required
LOCATION
Property Name: ______
Street Address or Nearest Intersection: ______
City: ______Zip Code: ______Locality: ______
Within Corporate Limits: Yes No Industrial Park: Yes No Research Park: Yes No Office Park: Yes No
Virginia Enterprise Zone: Yes No Technology Zone: Yes No Foreign Trade Zone: Yes No
Hub Zone: Yes No New Market Tax Credit Zone: Yes No
OWNERSHIP
Sale Price (entire site): ______Publicly Owned: Yes No
Minimum Price Per Acre: ______Maximum Price Per Acre: ______
Minimum Lease Price (per sq. ft.) ______Maximum Lease Price: ______
Owner: ______ Phone: ______E-Mail: ______
Contact: ______Phone: ______Mobile: ______
E-Mail: ______
Submitted By: ______ Date Submitted: ______
SITE SPECIFICATIONS
Total Acreage: ______Acreage Suitable for Construction: ______Largest Contiguous: ______
Subdividable: Yes No Range of Site Sizes: ______Build-To-Suit: Yes No
Outside Storage: Yes No Describe existing structures ______
CONSTRUCTION
Construction Type: ______
Construction Year: ______Year of Additions: ______Roof Type: ______
Sprinkler Type: ______Floor Type: ______ Floor Reinforced: Yes No
Floor Thickness (inches): ______Raised Floor: Yes No
Insulation: Yes No Insulation Location: ______Insulation Thickness: ______
ZONING
Zoning Classification: ______Conforms to Present Zoning: Yes No
Zoning Restrictions: ______
Comprehensive Plan Designation: ______
ENVIRONMENTAL
Topography: ______ Percentage of Site in 100 Year Flood Plain: ______
Soil Borings Available: Yes No U.S. Army Corps Certified Wetland Study Available: Yes No
Phase I Environmental Audit Available: Yes No Phase II Environmental Audit Available: Yes No
Brownfield: Yes No Nature of Contamination: ______
Remediation Plan: Yes No DEQ Status Letter: Yes No Stormwater Management Plan: Yes No
Archaeological Assessment (and Treatment Plan if needed): Yes No
Rare and Endangered Species Management Plan: Yes No
UTILITIES
Electric Power
Name of Primary Supplier: ______ Redundant: Yes No
Name of Secondary Supplier: ______
Voltage: ______Phase: ______Amps: ______
Natural Gas
Name of Supplier: ______Distance from Property (feet): ______
Line Size (inches): ______Pressure (psi): ______
Water
Water Provider: ______Distance from Property (feet): ______
Line Size (inches): ______Total Capacity of Treatment Plant (gpd): ______
Available Capacity to Property (gpd): ______Water Tank Capacity (gallons): ______
On-Site Treatment Plant: Yes No Well Capacity (gpd): ______
Sewer
Sewer Provider: ______Distance from Property (feet): ______
Line Size (inches): ______Total Capacity of Treatment Plant (gpd): ______
Available Capacity to Property (gpd): ______
On-Site Treatment Plant: Yes No Septic System Capacity (gpd): ______
Telecommunications
Primary Telecommunications Provider: ______
Other Providers: ______
Fiber: Yes No Distance to Fiber (feet): ______ Redundant Routes: Yes No
Wireless Broadband: Yes No Sonet Ring: Yes No
Other: ______
TRANSPORTATION
Rail
Primary Railroad: ______Secondary Railroad: ______
Served by Rail Siding: Yes No If no, can rail siding be installed: Yes No Distance (feet): ______
Highway
Distance to Nearest Interstate Interchange (miles): ______Interstate: ______
Interchange Name/Exit Number: ______
Distance to Nearest 4-Lane Arterial (miles): ______Arterial Name/Route Number: ______
Name/Route Number of Highway or Street Serving Property: ______
Air
Distance to Commercial Airport (miles): ______Airport Name: ______
Distance to General Aviation Airport: ______Airport Name: ______
Water
Navigable Waterway: Yes No Name: ______Channel Depth (feet): ______
Public Transportation
Bus Rail Water
COMMENTS
______
______
______
______
To be included in our VirginiaScan sites and buildings search system, a valid street address or nearest street intersection must be provided, along with an aerial photograph or tax map showing the boundaries of the site. Site layouts, master plans, site plans, etc. should also be provided. Digital images are welcome and may be e-mailed to . This form should be returned to:
VIRGINIA ECONOMIC DEVELOPMENT PARTNERSHIP
RESEARCH DIVISION
P. O. Box 798
Richmond, VA 23218-0798
Phone: (804) 545-5785
Fax: (804) 545-5771
E-mail:
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