Green Gas Energy Qualifying Questionnaire Form


 If you are interested in teaming with GGE and receiving, NOW, a non-refundable payment from GGE for your gas rights, please provide our project team with the following information.

* = Required Fields

* Landfill Name:

Year Landfill Opened:

EPA Landfill ID Number:

Year Landfill is scheduled to be closed:

Area of Landfill (acres):

County where landfill is located:

Possibility of expansions:

YES      NO

Landfill owner name:

Waste Depth (feet):

Landfill mailing address:

Waste in place (tons):

Street

Type of Waste:

City

Total Landfill Design Capacity (tons):

State/Province

Annual Waste Acceptance (tons/year):

ZIP/Postal Code

Flow Rate of Flare:

Landfill Contact:

Flare Manufacturer:

* Name:

Can GGE Receive a CADD Drawing of Landfill, including well locations?

YES      NO

* Phone Number:

* Fax Number:

Does the Landfill Owner own the Gas Rights?

YES      NO

*Email Address:

If No, Please Provide the following information:
   

Company Name:

Type of Landfill:

 Private
Public
Municipal

Contact:

Is the Landfill Operator Different from owner?

 YES      NO

Address:

If Yes, Landfill Operator Contact:

City:

Name:

State:

Phone Number:

Phone Number:

Fax Number:

Fax Number:

Email Address:

Email Address:

Is the Gas being converted into energy:

YES      NO

Name of Consultants Conducting Air Emissions:

Distance (miles) Landfill is from nearest Gas distribution Line, if known:

Does the Landfill have Electric Utilities:

YES      NO

Does the Landfill have natural Gas Utilities:

YES      NO

Name of Electric Company:

Name of Gas Company:



Additional Information: