In 2003 and 2004, a team from RMI worked with the Cuyahoga County Planning Commission and its advisors to develop recommendations for regeneration of the environment, economy, and community of the Cuyahoga River Valley. RMI’s methodology for such tasks is whole-systems integration of the activities, products, waste streams, commercial activities, and industrial and manufacturing processes of the people, businesses, institutions, and industries located in the valley. This report summarizes RMI’s recommendations, then describes integrated solutions and how to build community capacity to put the Cuyahoga Valley vision to work. Each section describes recommendations, benefits, reasons the ideas will work in Cuyahoga County, barriers to implementation, and steps to overcome the barriers.