Document ID: EPA-HQ-OAR-2003-0078-0008
Agency: epa
Document Type: Supporting & Related Material
Title: 
Posted Date: 2003-10-28T05:00Z

OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Developer
­
1
LMOP
Project
Developer
Profile
Information
Please
complete
the
following
form
and
return
it
to
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/

Name
of
LMOP
Coordinator:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Organization's
Web
Address:

May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
CAPABILITIES
AND
SERVICES
We
currently
have
the
following
description
of
your
organization
in
our
records:

[
Organization
description
to
be
pulled
from
tracking
system]

If
no
description
appears
in
the
space
above
(
because
you
are
new
to
LMOP
or
a
description
was
not
available
in
our
records),
we
ask
that
you
please
provide
a
summary
of
your
products
and
services.
If
a
description
from
our
records
is
available
and
you
would
like
to
revise
it,
you
may
do
so
below.
Please
provide
the
new
or
revised
description:

May
we
include
this
information
on
the
LMOP
Web
site
or
in
other
LMOP
products?
(
circle
one)
Yes
No
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Developer
­
2
Landfill
and
Project
Information
Organization
Name:______________________________________________________

Please
make
sufficient
copies
of
this
form
and
complete
one
form
for
each
new
LFGE
project
(
projects
for
which
you
did
not
receive
a
project
profile
with
this
questionnaire)
your
organization
is
developing
or
has
developed.
If
you
consider
any
of
the
information
requested
to
be
confidential,
do
not
provide
that
information
and
write
"
confidential"
instead.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.

GENERAL
LANDFILL
INFORMATION
Landfill
Name:

Landfill
City
and
State:
Landfill
County:

Landfill
Owner:
Landfill
Owner
Type:
Public
Private
Year
Landfill
Opened:
Landfill
Closure
Year:

Design
Landfill
Area
(
acres):
Current
Landfill
Area
(
acres):

Design
Landfill
Depth
(
feet):
Current
Landfill
Depth
(
feet):

Design
Capacity
(
tons):

Amount
of
Waste
In
Place
(
tons):
Percent
that
is
Municipal
Solid
Waste:
%

Annual
Waste
Acceptance
Rate
(
tons/
yr):
Percent
that
is
Municipal
Solid
Waste:
%

For
the
waste
that
is
in
place,
please
estimate
the
percent
that
is
not
MSW
(
if
any):

_____
Construction
and
demolition
_____
Industrial
_____
Other
(
please
describe):

Is
landfill
currently
required
by
New
Source
Performance
Standards
or
Emissions
Guidelines
(
NSPS/
EG)

to
combust
landfill
gas?
Yes
No
If
yes
or
not
yet,
by
what
date?
/
/

LANDFILL
GAS
INFORMATION
How
much
landfill
gas
is
generated?
_______
mmscfd
How
was
the
amount
of
landfill
gas
generated
determined?

Field
Testing

Modeling
Is
a
collection
system
in
place?
Yes
No
If
yes,
how
much
gas
is
collected?
_______
mmscfd
Are
there
flares
in
place
and
if
so
how
many?
Yes
No
Number
of
flares:______

How
much
gas
is
flared?_______
mmscfd
If
there
is
an
operational
LFGE
project,
how
much
gas
is
flared
in
a
back­
up
flare?
______
mmscfd
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Developer
­
3
Landfill
and
Project
Information
(
continued)

Organization
Name:______________________________________________________

GAS­
TO­
ENERGY
PROJECT
DEVELOPMENT
INFORMATION
How
is
the
recovered
landfill
gas
used
or
intended
to
be
used?
For
example,
is
the
landfill
gas
burned
directly
in
a
boiler
or
heater,
used
as
fuel
for
a
turbine
generating
electricity
that
is
sold,
etc.
Please
describe:

What
is
the
status
of
the
project?
Under
Construction
Operational
Other
_____________

On
what
date
did
or
will
the
project
become
operational?
/
/

How
much
energy
is
or
will
be
recovered?
Please
provide
landfill
gas
flow
to
the
project
in
mmscfd
and/
or
capacity
in
MW.
If
providing
gas
flow,
please
provide
the
Btu
content
of
the
gas.

Nameplate
Capacity
_______
MW
_______
mmscfd
of
landfill
gas
at
______
Btu/
scf
Actual
Capacity
_______
MW
Who
is
the
end
user
of
the
LFG
energy?

Please
list
any
other
parties
involved
in
this
project:
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Industry
Partner
­
1
LMOP
Industry
Partner
Profile
Information
Please
complete
the
following
form
and
return
it
to
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/

Name
of
LMOP
Coordinator:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Organization's
Web
Address:

May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
CAPABILITIES
AND
SERVICES
We
currently
have
the
following
description
of
your
organization
in
our
records:

[
Organization
description
to
be
pulled
from
tracking
system]

If
no
description
appears
in
the
space
above
(
because
you
are
new
to
the
LMOP
or
a
description
was
not
available
in
our
records),
we
ask
that
you
please
provide
a
summary
of
your
products
and
services.
If
a
description
from
our
records
is
available
and
you
would
like
to
revise
it,
you
may
do
so
below.
Please
provide
the
new
or
revised
description:

May
we
include
this
information
on
the
LMOP
Web
site
or
in
other
LMOP
products?
(
circle
one)
Yes
No
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Industry
Partner
­
2
Profile
Information
(
continued)

Organization
Name:___________________________________________________________________

INDUSTRY
RESOURCE
Please
provide
contact
information
for
personnel
in
your
organization
with
LFGE
project
expertise
who
can
serve
as
a
resource
for
technical
information.
Industry
resources
will
be
the
primary
contact
for
LMOP
Partners
with
technical
questions.
Areas
of
resource
expertise
include
project
design/
installation,
project
financing,
project
facilitation/
development,
landfill
gas
direct
use,
landfill
gas
treatment,
equipment
supplier,
alternative
uses
of
landfill
gas,
and/
or
other
areas
as
appropriate.
Copy
this
form
as
necessary
for
additional
experts.
If
this
form
has
been
filled
in
with
information
from
our
records,
please
review
and
correct
the
information,
if
necessary.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.

Name:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Areas
of
Expertise:

project
design

project
facilitation/
development

project
installation

equipment
supplier

project
financing

landfill
gas
treatment

landfill
gas
direct
use

alternative
uses
of
landfill
gas
(
please
describe):__________________________________________________

other
(
please
describe):_____________________________________________________________________
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Community
Partner
­
1
LMOP
Community
Partner
Profile
Information
Please
complete
the
following
form
and
return
it
to
the
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/

Name
of
LMOP
Coordinator:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Organization's
Web
Address:

May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
PROJECT
SUMMARY
We
currently
have
the
following
description
of
your
organization's
LFGE
project
in
our
records:

[
Project
description
to
be
pulled
from
tracking
system]

If
no
description
appears
in
the
space
above
(
because
you
are
new
to
the
LMOP
or
a
description
was
not
available
in
our
records),
we
ask
that
you
please
provide
a
short
summary
of
your
LFGE
project
so
that
we
may
share
your
experience
with
developing
a
LFGE
project.

May
we
include
this
information
on
the
LMOP
Web
site
or
in
other
LMOP
products?
(
circle
one)
Yes
No
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Community
Partner
­
2
Landfill
and
Project
Information
Organization
Name:_____________________________________________________________

Please
make
sufficient
copies
of
this
form
and
complete
one
form
for
each
new
LFGE
project
(
projects
for
which
you
did
not
receive
a
project
profile
with
this
questionnaire)
your
organization
is
or
has
been
involved
with.
If
you
consider
any
of
the
information
requested
to
be
confidential,
do
not
provide
that
information
and
write
in
"
confidential"
instead.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.

GENERAL
LANDFILL
INFORMATION
Landfill
Name:
Project
Developer:

Landfill
City
and
State:
Landfill
County:

Landfill
Owner:
Landfill
Owner
Type:
Public
Private
Year
Landfill
Opened:
Landfill
Closure
Year:

Design
Landfill
Area
(
acres):
Current
Landfill
Area
(
acres):

Design
Landfill
Depth
(
feet):
Current
Landfill
Depth
(
feet):

Design
Capacity
(
tons):

Amount
of
Waste
In
Place
(
tons):
Percent
that
is
Municipal
Solid
Waste:
%

Annual
Waste
Acceptance
Rate
(
tons/
yr):
Percent
that
is
Municipal
Solid
Waste:
%

For
the
waste
that
is
in
place,
please
estimate
the
percent
that
is
not
MSW
(
if
any):

_____
Construction
and
demolition
_____
Industrial
_____
Other
(
please
describe):

Is
landfill
currently
required
by
New
Source
Performance
Standards
or
Emissions
Guidelines
(
NSPS/
EG)

to
combust
landfill
gas?
Yes
No
If
yes
or
not
yet,
by
what
date?
/
/

LANDFILL
GAS
INFORMATION
How
much
landfill
gas
is
generated?
_______
mmscfd
How
was
amount
of
landfill
gas
generated
determined?

Field
Testing

Modeling
Is
a
collection
system
in
place?
Yes
No
If
yes,
how
much
gas
is
collected?
_______
mmscfd
Are
there
flares
in
place
and
if
so
how
many?
Yes
No
Number
of
flares:______

How
much
gas
is
flared?
_______
mmscfd
If
there
is
an
operational
LFGE
project,
how
much
gas
is
flared
in
a
back­
up
flare?
______
mmscfd
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Community
Partner
­
3
Landfill
and
Project
Information
(
continued)

Organization
Name:_____________________________________________________________

GAS­
TO­
ENERGY
PROJECT
DEVELOPMENT
INFORMATION
How
is
the
recovered
landfill
gas
used
or
intended
to
be
used?
For
example,
is
the
landfill
gas
burned
directly
in
a
boiler
or
heater,
used
as
fuel
for
a
turbine
generating
electricity
that
is
sold,
etc.
Please
describe:

What
is
the
status
of
the
project?
Under
Construction
Operational
Other
_______________

On
what
date
did
or
will
the
project
become
operational?
/
/

How
much
energy
is
or
will
be
recovered?
Please
provide
landfill
gas
flow
to
the
project
in
mmscfd
and/
or
capacity
in
MW.
If
providing
gas
flow,
please
provide
the
Btu
content
of
the
gas.

Nameplate
Capacity
_______
MW
_______
mmscfd
of
landfill
gas
at
______
Btu/
scf
Actual
Capacity
_______
MW
Who
is
the
end
user
of
the
LFG
energy?

Please
list
any
other
parties
involved
in
this
project:
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

State
Partner
­
1
LMOP
State
Partner
Profile
Information
Please
complete
the
following
form
and
return
it
to
the
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/
Name
of
LMOP
Coordinator:
Telephone
Number:
(
)
Title:
Fax
Number:
(
)
E­
mail:
Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)
Organization's
Web
Address:
May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
STATE
INCENTIVES
Does
your
state
offer
incentives
(
grants,
tax
credits,
etc.)
for
landfill
gas­
to­
energy
projects?
Yes
No
If
yes,
please
describe:
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Utility
Partner
­
1
LMOP
Energy
Partner:
Utility
Profile
Information
Please
complete
the
following
form
and
return
it
to
the
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/

Name
of
LMOP
Coordinator:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Organization's
Web
Address:

May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
Do
you
have
a
green
power
program?
Yes
No
If
yes,
is
LFG
included?
Yes
No
Do
you
have
a
green
pricing
program?
Yes
No
If
yes,
is
LFG
included?
Yes
No
Does
your
state
have
a
renewable
portfolio
standard
(
RPS)
or
goal?
Yes
No
If
yes,
is
LFG
included?
Yes
No
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

Utility
Partner
­
2
Project
Information
Organization
Name:___________________________________________________________________

Please
make
sufficient
copies
of
this
form
and
complete
one
form
for
each
LFGE
project
your
organization
is
or
has
been
involved
with.
If
you
consider
any
of
the
information
requested
to
be
confidential,
do
not
provide
that
information
and
write
in
"
confidential"
instead.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.

GENERAL
LANDFILL
INFORMATION
Landfill
Name:
Landfill
City
and
State:

Landfill
Owner:
Project
Developer:

GAS­
TO­
ENERGY
PROJECT
DEVELOPMENT
INFORMATION
How
is
the
recovered
landfill
gas
used
or
intended
to
be
used?
For
example,
is
the
landfill
gas
burned
directly
in
a
boiler
or
heater,
used
as
fuel
for
a
turbine
generating
electricity
that
is
sold,
etc.
Please
describe:

How
much
energy
is
or
will
be
recovered?
Please
provide
landfill
gas
flow
to
the
project
in
mmscfd
and/
or
capacity
in
MW.
If
providing
gas
flow,
please
provide
the
Btu
content
of
the
gas.

Nameplate
Capacity
_______
MW
_______
mmscfd
of
landfill
gas
at
______
Btu/
scf
Actual
Capacity
_______
MW
On
what
date
did
you
or
will
you
begin
to
use
LFG?
/
/

Please
list
any
other
parties
involved
in
this
project:
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

End
User
Partner
­
1
LMOP
Energy
Partner:
End­
User
Profile
Information
Please
complete
the
following
form
and
return
it
to
the
LMOP
according
to
the
instructions
in
the
cover
letter.
Any
data
in
our
records
have
been
inserted
into
this
form.
Please
review
this
information,
make
corrections,
and
fill
in
the
remaining
blanks.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.
Thank
you
for
your
assistance!

CONTACT
INFORMATION
Organization
Name:
Today's
Date:
/
/

Name
of
LMOP
Coordinator:
Telephone
Number:
(
)

Title:
Fax
Number:
(
)

E­
mail:

Mailing
Address:

(
Address)
(
Dept./
Floor/
Suite/
Room)
(
City)
(
State)
(
Zip
Code)

Organization's
Web
Address:

May
we
provide
a
link
from
the
LMOP
Web
site
to
your
Web
site?
(
circle
one)
Yes
No
Please
provide
a
brief
description
of
your
organization:

ORGANIZATIONAL
GOALS
We
currently
have
the
following
description
of
your
organization's
goals
in
our
records:

[
Goals
to
be
pulled
from
tracking
system]

If
no
description
appears
in
the
space
above
(
because
you
are
new
to
LMOP
or
a
description
was
not
available
in
our
records),
we
ask
that
you
please
provide
a
summary
of
any
environmental
goals
your
organization
may
have.
If
a
description
from
our
records
is
available
and
you
would
like
to
revise
it,
you
may
do
so
below.
Please
provide
the
new
or
revised
description:

May
we
include
this
information
on
the
LMOP
Web
site
or
in
other
LMOP
products?
(
circle
one)
Yes
No
OMB
Control
#
2060­
0446
Expiration
Date
[
Insert]

End
User
Partner
­
2
Project
Information
Organization
Name:_______________________________________________________________

Please
make
sufficient
copies
of
this
form
and
complete
one
form
for
each
new
LFGE
project
(
projects
for
which
you
did
not
receive
a
project
profile
with
this
questionnaire)
your
organization
is
or
has
been
involved
with.
If
you
consider
any
of
the
information
requested
to
be
confidential,
do
not
provide
that
information
and
write
in
"
confidential"
instead.
If
you
wish
to
provide
additional
information,
please
attach
it
to
this
form.

GENERAL
LANDFILL
INFORMATION
Landfill
Name:
Landfill
City
and
State:

Landfill
Owner:
Project
Developer:

GAS­
TO­
ENERGY
PROJECT
DEVELOPMENT
INFORMATION
How
is
the
recovered
landfill
gas
used
or
intended
to
be
used?
For
example,
is
the
landfill
gas
burned
directly
in
a
boiler
or
heater,
used
as
fuel
for
a
turbine
generating
electricity
that
is
sold,
etc.
Please
describe:

What
is
the
status
of
the
project?
Under
Construction
Operational
Other
_____________

On
what
date
did
or
will
the
project
become
operational?
/
/

How
much
landfill
gas
is
generated?
_______
mmscfd
How
much
energy
is
or
will
be
recovered?
Please
provide
landfill
gas
flow
to
the
project
in
mmscfd
and/
or
capacity
in
MW.
If
providing
gas
flow,
please
provide
the
Btu
content
of
the
gas.

Nameplate
Capacity
_______
MW
_______
mmscfd
of
landfill
gas
at
______
Btu/
scf
Actual
Capacity
_______
MW
Please
list
any
other
LMOP
parties
involved
in
this
project: