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Department of Environmental Protection
Department of Environmental Protection
  • Menu
About DEP
  • About DEP
  • Office of the Secretary
  • Testimony and Letters
  • Executive Staff
  • Office Locations
  • Contact DEP
  • Employment & Staff
  • Organization Chart
  • Awards
  • Office of Chief Counsel
Residents
  • Residents
  • Environmental Complaints
  • Storm-Related Information
  • My Air
  • My Water
  • Climate Change
  • Recycling and Waste Reduction
  • Litter
  • Saving Energy
  • Mine Subsidence Insurance
  • Grants, Loans and Rebates
Businesses
  • Businesses
  • Air
  • Land
  • Water
  • Energy
  • Radiation Protection
  • Program Integration
  • Recycling and Waste Reduction
  • Construction Contracts
  • Small Businesses
  • Other Programs
Public Participation
  • Public Participation
  • Environmental Quality Board
  • Citizens Advisory Council
  • Environmental Justice
  • Advisory Committees
  • Virtual Public Hearings
  • eComment
  • eNotice
  • Calendar of Events
  • Regulatory and Non-Regulatory
Data and Tools
  • Data and Tools
  • eFACTS
  • OnBase Electronic Forms Upload
  • GIS
  • Reports
  • Tools
  • DEP GreenPort
  • eLibrary
  • e-permitting Release Notes
  • Site Map
  • Webinars

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DEP > Businesses > Land > Land Recycling > Forms Checklists and Notifications > Forms and Lists
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Forms and Lists

Forms & Checklists
Notice of Intent to Remediate (PDF) Notice of Intent to Remediate (Word)
Background Checklist (PDF) Background Checklist (Word)
Site Specific Checklist (PDF) Site Specific Checklist (Word)
Statewide Health Standard Checklist (PDF) Statewide Health Standard Checklist (Word)
Special Industrial Areas (PDF) Special Industrial Areas (Word)
Transmittal Sheet for Plan/Report Submission (PDF) Transmittal Sheet for Plan/Report Submission (Word)
Request for Determination of Non-Use Aquifer (PDF) Request for Determination of Non-Use Aquifer (Word)
  Notification Correspondence Examples (Word)
Final Report Summary (PDF) Final Report Summary (Word)


Other Forms
Model Buyer/Seller Agreement (PDF) Model Buyer/Seller Agreement (Word)
Model Consent Order and Agreement for Special Industrial Areas (PDF) Model Consent Order and Agreement for Special Industrial Areas (Word)
Model Environmental Covenant (PDF) Model Environmental Covenant (Word)
PA Model Environmental Covenant for RCRA Sites (PDF) PA Model Environmental Covenant for RCRA Sites (Word)
Dispute Resolution (PDF) Dispute Resolution (Word)
Forms and Lists
NIR Submittal
Final Report Summary
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