"Annual Performance Report" - New York

Annual Performance Report is a legal document that was released by the New York State Department of Environmental Conservation - a government authority operating within New York.

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Annual Performance Report
Directions: This form is to be completed by facilities that are member of the New York Green
Business (NYGB) program that are not restaurants, breweries, or garment cleaners. Complete all
sections of this APR form. Completed APRs must have an original or electronic signature by
owner or authorized party. Submit this APR via email: nygb@dec.ny.gov. A confirmation email will
be provided.
It is due by March 1st. The reporting period is the previous year. Contact the Pollution Prevention
Unit:
nygb@dec.ny.gov
or 518-402-9469 with any questions.
Section A: Facility Information:
Name of Facility
Street Address
City
State
Zip Code
Contact Person's Name
Contact Person's Phone
Contact Person's Email
Website
Mailing Address (if different from street address)
Annual Performance Report
Directions: This form is to be completed by facilities that are member of the New York Green
Business (NYGB) program that are not restaurants, breweries, or garment cleaners. Complete all
sections of this APR form. Completed APRs must have an original or electronic signature by
owner or authorized party. Submit this APR via email: nygb@dec.ny.gov. A confirmation email will
be provided.
It is due by March 1st. The reporting period is the previous year. Contact the Pollution Prevention
Unit:
nygb@dec.ny.gov
or 518-402-9469 with any questions.
Section A: Facility Information:
Name of Facility
Street Address
City
State
Zip Code
Contact Person's Name
Contact Person's Phone
Contact Person's Email
Website
Mailing Address (if different from street address)
Section B: General Information:
1. Have there been any significant changes to the facility's operations? Changes include
fluctuations in production, physical additions to the facility, adding new equipment, new
products being produced, etc. If yes, please provide a description below:
2. Has the facility undertaken any new sustainability initiatives during the reporting period? If
so, please describe below:
3. Have there been any changes to the environmental requirements applicable to the facility
since the last reporting period? These could include new permits necessary or regulations
that it now falls under. If yes, please describe below:
Section C: Continued Commitment to Compliance
To maintain membership in NYGB a facility must continue to be in compliance with all
applicable federal, state, local, and tribal laws and requirements. Please check the box below
to certify that this facility is in compliance with all applicable laws and regulations.
If you have questions about laws and requirements, or your compliance status, please contact
the
Pollution Prevention
Unit.
Section D: Sustainability Commitments
Please provide progress on the facility's sustainability commitments below. The "year results"
should be the number for the reporting period.
Measurable Sustainability Commitment 1
Category
Indicator
Units
Baseline
Goal
Year
Baseline Amount
Year
Goal Amount
Year 1 Results
Year 2 Results
Year 3 Results
Please describe progress made towards this commitment:
Please describe obstacles, if any, encountered in implementing this commitment:
Is this commitment on track to be completed within the facility's three year membership
period? If no, please describe below:
Measureable Sustainability Commitment 2
Category
Indicator
Units
Baseline
Goal
Year
Baseline Amount
Year
Goal Amount
Year 1 Results
Year 2 Results
Year 3 Results
Please describe progress made towards this commitment:
Please describe obstacles, if any, encountered in implementing this commitment:
Is this commitment on track to be completed within the facility's three year membership
period? If no, please describe below:
Measurable Sustainability Commitment 3
Category
Indicator
Units
Goal
Baseline Year
Baseline Amount
Year
Goal Amount
Year 1 Results
Year 2 Results
Year 3 Results
Please describe progress made towards this commitment:
Please describe obstacles, if any, encountered in implementing this commitment:
Is this commitment on track to be completed within the facility's three year membership
period? If no, please describe below: