2014-2015 Agricultural Energy Efficiency Initiative (AEEI)

A Farm Energy Program for Southside and Southwest Virginia

Funded by a 2014 grant from the Virginia Tobacco Indemnification and Revitalization Commission

and is supported by VCE Community Viability and the Virginia Tech Biological Systems Engineering Department

AEEI Cost-Share Request Form

Energy-cost saving opportunities identified in the audit report or in the renewable energy feasibility study are eligible for the 25% cost –share program. Participants may increase the cost-share to 50% (up to the balance remaining in the energy account) by participating at least one (1) educational program.

PART A: Contact Information

The cost share is a reimbursement only based on actual expenses of the project with billed labor included as part of the project

Name
Farm Name
Address
City/State/ZIP
Telephone / e-mail / FAX

Type of farm: ____ Tobacco ____ Dairy ____ Poultry ____ Greenhouse

____ Other ______

Type of Cost-Share Request, please check one:

____ Energy Efficiency Improvements
Please complete PART B below / ___ Renewable Energy Feasibility Study
Please complete PART C below

PART B: Energy Efficiency Improvements Cost-Share Program

What were the energy efficiency audit recommendations?

______

______

______

______

Which audit recommendation will you implement?

______

______

______

______

How much savings will you incur? ______

What is the projected cost of the energy efficiency upgrade? ______

When do you plan to begin the project? ______

PART C: Renewable Energy Feasibility Study Cost-Share Program

Have you completed the energy audit process? ____ Yes ____No

Based on your management goals, have you implemented all relevant energy efficiency retrofit opportunities having a simple payback period of less than 5 years? ____ Yes ____No

·  If No, please indicate why not:

You may select any technical assistance provider that you wish to complete the feasibility study work. However, to receive a cost-share through this program, the following criteria must be met:

·  The provider must meet the criteria for the USDA-REAP program

·  The feasibility report must include a RETScreen report.

·  A copy of the report must be received, reviewed, and approved for completeness by the project team.

For more details on the above criteria please refer to www.aeei.bse.vt.edu or contact John Ignosh (; phone: 540-432-6029 *108).

Briefly describe the type of renewable energy system you wish to explore based on the feasibility study:

______

______

PART D: Cost-Share Rate

You may increase the cost-share rate from 25% to 50% (up to the balance remaining in the energy account) by participating in at least one (1) educational program. Have you already participated in a Virginia Cooperative Extension AEEI educational program? ____ Yes ____No

If Yes, please provide:

Name of Educational Program: Date of Participation:

If you have not yet participated in a Virginia Cooperative Extension AEEI educational program, would you like more information on upcoming programs and resources? ____ Yes ____No

Your signature acknowledges that the cost share is a reimbursement only based on actual expenses of the project with billed labor included as part of the project cost, and that the cost-share program is subject to the availability of remaining funds during this 2014-2015 Agricultural Energy Efficiency Initiative.

Signature: Date:

Please send this document to

Dr. Martha A. Walker by email at ; by fax at 434.766.6763; or by mail – 150 B Slayton Avenue; Danville, VA 24540 or call 434.766.6761 if you have questions or need additional information.