The purpose of this form is to evaluate parcel(s) with a high risk of environmental liability. Information contained in this form is supplied by the District, OES, right of way, consultant reports, regulatory files, agreements between property owners and local agencies.

The EDD process does not replace the Early Notification Memo process.

Part 1:	Project Information Completed by the District or Local Public Agency Project Manager

District:	Trunk Highway:	Maintenance Project/Facility:	EDD-3 Initiation Date:
State Project or Maintenance Project No.:	State Aid Project No.:	Project PUMA Element:
County(s):	City(s):	Letting Date:
Location (attach maps depicting the project limits):
Total Project Cost (includes acquisition, engineering and construction costs): $
Parcel(s) in Question (attach parcel maps and identify with Parcel REALMS ID and County PID and MnDOT parcel numbers and address):
Parcel(s) Appraised Value: $
List previous and current parcel(s) owners.
List institutional controls recorded on the deed.
Describe the type of proposed acquisition (e.g., easement, fee, excess, Commissioner’s Orders), the rationale for that type of acquisition, and the justification for not avoiding the acquisition.
Has contamination has been factored into the appraised value of the property?
MnDOT Project Manager:	Telephone:
District Right of Way Representative:	Telephone:
EIU Representative:	Telephone:

Part 2. EIU Determination Completed by EIU
This Parcel Meets the Following High-Risk Criteria (check all that apply):
1. (a) Total remediation costs of the parcel (excluding investigation cost) exceeds $500,000 If no, go to (b). $_____________ If yes, Deputy Commissioner approval is necessary. Go to Part 3. Total remediation costs exceed 50% of a parcel’s appraised value without any deductions for contamination If no, go to (c). % If yes, Deputy Commissioner approval is necessary. Go to Part 3. (c) Total remediation costs exceed 10% of the total capital costs for the project (right of way and construction) If no, go to 2. % If yes, Deputy Commissioner approval is necessary. Go to Part 3.
2. Sites with High Risk of Environmental Liability (e.g., Superfund sites, uncontrolled or former dump sites, coal gasification plants, wood treatment plants, Ongoing Regulatory Obligations, Engineering Control, Institutional Control, etc.) or Sites Closed at Times When Regulatory Standards Were Less Stringent than Current Standards: , describe in Part 3 below. Deputy Commissioner approval is necessary.

Part 3: Risk Analysis Documentation

This section documents the project needs and conditions of the property.

Information Completed by EIU—Reference All Information Sources or Reports
Identify previous use(s) of the property parcel(s).
Identify current and/or past regulatory actions, dates, cleanup standards, institutional controls, if known.
Describe or depict the results of current or past site investigations regarding the nature and extent of contamination. Provide maps of contamination.
Describe the type of proposed remediation. Describe likely residual contamination remaining after construction and potential institutional controls, engineered barriers, and/or long-term monitoring.
List the regulatory approvals, liability protections, and closure letters that will be obtained and what their current status is. Attach those already obtained.
Estimate the cost to MnDOT for remediation.
Describe potential long-term risks to MnDOT associated with acquisition of the referenced parcel(s) that have not been characterized or quantified.

Information Completed by District Project Manager and District Management
Describe the project, including programmed/approved right of way and construction costs.
Describe options considered to avoid contaminated sites during the project development process, such as: Alignment changes Design adjustments to avoid contaminated source areas Design adjustments to avoid impacting contaminated groundwater Deleting or delaying portions of the project affected by the contamination until resolution of the problem by others Modification of the project to accommodate the owner’s cleanup during or after project completion Acquisition of permanent or temporary easement rather than fee
Describe the benefits to the project of acquiring this contaminated property. Explain why deferring or modifying the project to avoid the contaminated property(s) is not practical.
Describe the District’s funding plan for the necessary remediation during construction, including any contingency.
If the estimated timeframe for remediation, monitoring, or engineered barrier maintenance is likely to extend beyond project construction, what is the District’s funding source for those commitments? Attach funding and maintenance plans, approvals, and agreements. Approval of the EDD-3 will not be granted, unless all funding sources for identified costs, including long-term maintenance costs for District maintenance, have been determined and approved by all parties.
If a local agency is involved in or managing the project, explain how the costs of remediation and contamination management will be addressed in the cooperative agreement. Attach a copy of the proposed distribution of responsibility and the associated cost sharing and funding proposal, including estimated contingencies. Approval of the EDD-3 will not be granted, unless a funding agreement between the District and local agency is in place.

Part 4: Responsible District Signatures (District Project Manager routes to obtain District Signatures and then forward to EIU Representative)
District Project Manager: I certify that EDD forms 1- 3 and supporting documents have been provided to the District Right of Way Engineer and that the project has been designed to manage risks and liabilities from contamination. Project Manager Signature: Date: Typed Name: Telephone Number:
District Right of Way Engineer: I certify that EDD forms 1-3 and supporting documents and the information contained therein has been considered before acquiring the property. District Right of Way Engineer Signature: Date: Typed Name: Telephone Number:
District Engineer: I recommend approval of acquisition of the contaminated property as avoidance is infeasible. All known risks, effects on project schedule and resources have been assessed to the extent possible. All needed agreements and indemnifications related to contamination and responsibilities of the parties involved are in process or have been obtained. . District Engineer Signature: Date: Typed Name: Telephone Number:

Part 5: OES Signatures
Central Office of Environmental Stewardship EIU Representative for the District: I certify that the nature and extent of contamination and costs to remediate have been investigated to the extent necessary to determine potential risks and liabilities to MnDOT. Regulatory assurances have been or will be obtained. . EIU Representative Signature: Date: Typed Name: Telephone Number:
OES Director: The nature and extent of contamination and known risks and effects on project schedule and resources have been assessed to the extent possible. Regulatory assurances have been or will be obtained. OES Director Signature: Date: Typed Name: Telephone Number:

Part 6: Management Signatures
Deputy Commissioner: Deputy Commissioner Signature: Date: Typed Name: Telephone Number:

Form should be initiated approximately 24 months before the project let date or parcel acquisition (whichever happens first).