Green Business Certification Application Form
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A. * Business Name:
    Building Certified:
  * Business Address:
  *City: *Zip:
  * Email Address: * Phone:
  * Contact:
 
B. Is this a LEED Certified Building: Yes No Occupant:
  Is Energy Audit done by DRG3: Yes No
  Is Energy Audit subsidized by DP&L: Yes No

Professional Engineer and /or Certified Energy Manager Information

C. Company: Contact:
  Street Address:
  City: Zip:
  Email Address: Phone:
  Registration Number:
 
(5% of all applications will be audited)
 
Certificaiton Tabulation
Min Points Req'd for GBC Actual Points
Achieved
Min Points Req'd for BBC
1. General Standards for All Businesses

2. Solid Waste Reduction

3. Environmentally Preferable Purchasing

4. Energy Conservation

5. Water Conservation (Without Landscaping)

    Water Conservation (With Landscaping)

6. Pollution Prevention
8

12

7

14

9

10 or 18

16
 

 

 

 

 

 

 
8

12

7

14

12

13 or 23

25

Total Without Landscaping:
66 78

Total With Landscaping:
67 or 75 79 or 89
 
 
For Official User Only
 
     Green Business Certification Issue Date:
 
     Certification Number: