SITE SELECTION

PROPERTY SUBMISSION FORM

Do you have a property you would like to submit for consideration? Please complete this form in its entirety. All fields noted with “*” must be completed. Failure to complete any required fields may result in the property not being considered for inclusion.

PROPERTY DETAILS

SITE DETAILS

ELECTRIC

NATURAL GAS

WATER

FIBER/TELECOMMUNICATIONS

DUE DILIGENCE (This section is only required if listed as an Industrial Park.)

CONTACT INFORMATION
I hereby certify that the information provided on each page of this form is voluntarily submitted, accurate and true under penalty of perjury pursuant to the laws of West Virginia. All additional or supplemental data, details, images, documents, and files have been furnished by me, personally, or was reviewed and approved by me for inclusion. I further agree to provide any additional documentation if requested to confirm this information or as needed for consideration in the site selection process.

Any additional documents, images, and files must be sent to:

New River Gorge Regional Development Authority

116 North Heber Street, Suite B, Beckley, WV 25801

If you have any difficulty completing the online version of our Site Selection Property Submission Form, please download and complete the printable version today and email it to our Deputy Director.