POTW Initial Contact FormSchedule Your Site Visit

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POTW Initial Contact Form

POTW Energy Efficency Assessement Initial Contact Form

Energy efficiency assessments are being conducted at no cost for publicly owned treatment works. If your facility is publicly owned, you may qualify for this service. All information on the form is required. Once the form is submitted, you will be contacted by email with instructions to submit more detailed information.

Funding provided in whole or in part by Illinois EPA.

1. First Name:

2. Last Name:

3. Title:

4. Organization / Company Name:

5. Street Address:

6. Street Address 2:

7. City:

8. State:

9. ZIP Code: answer must be a zipcode like 61864 or 61864-8180

10. Phone: answer must be phone number with area code like 217-333-1000

11. E-Mail: answer must be an email address

12. Is the POTW located in Illinois AND owned by the State of Illinois or an Illinois unit of local government?

12. Is the POTW located in Illinois AND owned by the State of Illinois or an Illinois unit of local government?

Yes

13. Are you willing to share the most recent two years of electricity and natural gas bills prior to assessment?

Yes

14. Are you willing to allow ISTC/SEDAC engineers access to the POTW?

Yes

15. Are you willing to provide information to ISTC and/or SEDAC upon request?

Yes

16. Are you willing to acknowledge IEPA ownership of the assessment report?

Yes

17. Have you worked with ISTC before?

Yes

18. Have you worked with SEDAC before?

Yes

19. Spam prevention - Please enter the sum of 1 plus 2: answer must be numeric

limited to 1 characters.

Include your email address in your submission to:

Get a copy of your answers

Enter your email address to get a copy of your answers

Form provided by Web Services in Public Affairs

Illinois Sustainable Technology Center

One Hazelwood Dr.
Champaign, IL 61820
217-333-8940