Forest Service, U.S. Department of Agriculture | Form Approved | |||||||||||||||||
Northern Research Station | OMB 0596-0010 | |||||||||||||||||
1992 Folwell Ave. | Expires: XX/XX/XXX | |||||||||||||||||
St. Paul, MN 55108 | ||||||||||||||||||
Phone Number: (651) 649-5150; Fax: (651) 649-5140 | ||||||||||||||||||
PRIMARY MILL QUESTIONNAIRE - 2021 | ||||||||||||||||||
Section 1-Mill Information | ||||||||||||||||||
Mill Name | ||||||||||||||||||
Mill mailing address | City, ST Zip | |||||||||||||||||
Phone | Fax | |||||||||||||||||
Mill/Company Website | Company e-mail | |||||||||||||||||
Contact Name and Title | Contact Phone | |||||||||||||||||
Contact mailing address | City, ST Zip | |||||||||||||||||
Contact Fax | Contact e-mail | |||||||||||||||||
Mill physical location (if different from Mill mailing address) | ||||||||||||||||||
Mill physical address | City, ST Zip | |||||||||||||||||
Mill type (please check) | 3-Pulp or pulp/paper mill | 4-Composite panel/Engineered wood product mill | ||||||||||||||||
Number of employees-All: | ||||||||||||||||||
Annual mill capacity (volume per year when operating at full capacity): _____________ Unit of measure: ___________________ | ||||||||||||||||||
Do this mill process any logs from cities or towns (urban areas)? | YES | NO | ||||||||||||||||
If YES, what percent of the total roundwood received was from urban wood? ________ % | ||||||||||||||||||
Company Name (if different from Mill Name): | ||||||||||||||||||
Company mailing address (if different from Mill): | ||||||||||||||||||
City, ST Zip | ||||||||||||||||||
Phone | Fax | |||||||||||||||||
Instructions: | This form is for reporting the quantities and types of logs received by this mill and the disposal of plant residues | |||||||||||||||||
resulting from the manufacturing or processing of wood products. COMPLETE SECTIONS 2, 3 AND 4 FOR | ||||||||||||||||||
EACH TYPE OF RAW MATERIAL RECEIVED THAT IS NOT EXPORTED OUT OF THE U.S. | ||||||||||||||||||
COMPLETE SECTION 2 FOR EACH TYPE OF RAW MATERIAL EXPORTED OUT OF THE U.S. | ||||||||||||||||||
If records are not available, please give your best estimates. This survey is voluntary. While you are not required to | ||||||||||||||||||
respond your cooperation is needed to make the results of the survey comprehensive, accurate, and timely. | ||||||||||||||||||
ALL VOLUMES REPORTED WILL BE HELD CONFIDENTIAL AND WILL ONLY BE USED TO AGGREGATE | ||||||||||||||||||
TO THE COUNTY AND STATE LEVEL. NO INDIVIDUAL MILL PRODUCTION DATA WILL BE RELEASED. | ||||||||||||||||||
Check box to omit the above information from "Regional/Statewide Industry" Directories | ||||||||||||||||||
Check box if you wish to receive a copy of the report resulting from this study | ||||||||||||||||||
Public reporting burden for this collection of information is estimated to average 50 minutes per response, including the time for reviewing instructions, | ||||||||||||||||||
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. | ||||||||||||||||||
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: | ||||||||||||||||||
Department of Agriculture, Clearance Officer, OIRM, Room 404-W. Washington, DC 20250; and to the | ||||||||||||||||||
Office of Management and Budget, Paperwork Reduction Project (OMB# 0596-0010), Washington, DC 20503. |
Section 2 - Raw Material (Logs/Roundwood) Received and Processed at Mill in 2021 | ||||||||||||||||
2.1. Amount of Roundwood received and processed at the mill. | ||||||||||||||||
Enter the TOTAL amount of Raw | Please Check the Unit of Measure: | Average | Average | |||||||||||||
Material (Logs/Roundwood, chipped | Standard cord (4' X 4' X 8') | If Unit of measure is a weight, | Log | Log Top | ||||||||||||
roundwood, or whole tree chips) | Lake States cord (4' X 4' X 100") | enter a weight conversion factor | Length | Diameter | ||||||||||||
received and processed at the mill. | Green tons (short, 2,000 lbs) | (in feet) | (in inches) | |||||||||||||
Do not include mill residues that were | Green metric tonnes | |||||||||||||||
used to produce the mill's product. | Thousand cubic feet | Softwoods ________lbs. per cord | ||||||||||||||
Thousand cubic meters | ||||||||||||||||
Amount: ________________ | Other : (specify):_____________________ | Hardwoods ________lbs. per cord | ||||||||||||||
2.2. Enter the AMOUNT/PERCENT of the Species Group and the Origin of Raw Material (Logs/Roundwood) Received and Processed. | ||||||||||||||||
Enter the total amount, or the percent of the total, for each Species received and processed for the mill product. | ||||||||||||||||
Across the columns at the top of the table, enter the State and county, or Country and Province that the Raw Material (Logs/Roundwood) came from. | ||||||||||||||||
Enter the amount or percent of each species that came from each State and County/Country and Province. The Row should sum to 100% if percent is entered. | ||||||||||||||||
Separate bark on roundwood/logs, Whole tree chips, peeled/flail debarked roundwood/logs by: | ||||||||||||||||
Enter "W" after the amount/volume that come into the mill as whole tree chips. | ||||||||||||||||
Enter a "P" after the amount/volume that come into the mill as peeled or flail debarked roundwood or chips. | ||||||||||||||||
No identifier is required for bark on Roundwood/logs, or chipped bark on roundwood/logs. | ||||||||||||||||
Amount | Enter County name, State abbrev., or Country and Province of species group received from each county/state or foreign country | |||||||||||||||
or | Total | |||||||||||||||
Percent | All | |||||||||||||||
Species Group Name | Code | by Species | Counties | |||||||||||||
Cedar/juniper | 1 | 100% | ||||||||||||||
Balsam fir | 4 | 100% | ||||||||||||||
Hemlock | 5 | 100% | ||||||||||||||
Jack pine | 7 | 100% | ||||||||||||||
Red pine | 12 | 100% | ||||||||||||||
White pine | 14 | 100% | ||||||||||||||
Other pines | 15 | 100% | ||||||||||||||
Spruce | 17 | 100% | ||||||||||||||
Tamarack | 6 | 100% | ||||||||||||||
Ash | 19 | 100% | ||||||||||||||
Aspen/balsam poplar | 20 | 100% | ||||||||||||||
Basswood | 21 | 100% | ||||||||||||||
White/paper birch | 124 | 100% | ||||||||||||||
Yellow birch | 23 | 100% | ||||||||||||||
Other birch | 24 | 100% | ||||||||||||||
Elm | 27 | 100% | ||||||||||||||
Maple - Hard maple | 29 | 100% | ||||||||||||||
Maple - Soft maple | 30 | 100% | ||||||||||||||
Oak - Red oak | 131 | 100% | ||||||||||||||
Oak - White oak | 133 | 100% | ||||||||||||||
Yellow-poplar | 39 | |||||||||||||||
Other: from list below | 100% | |||||||||||||||
Other: from list below | 100% | |||||||||||||||
Other hardwoods not listed | 40 | 100% | ||||||||||||||
Total All Spp Volumes OR 100% | ||||||||||||||||
Other species | ||||||||||||||||
8 - Loblolly-Shortleaf pine | 10 - Longleaf and slash pine | 22 - Beech | 26 - Cottonwood | 35 - Sweetgum | 38 - Black walnut | |||||||||||
9 - Lodgepole pine | 11 - Ponderosa and Jeffrey pine | 25 - Black cherry | 28 - Hickory | 36 - Sycamore |
3.1. Check type of process and equipment in use. | ||||||||||||||
Wood process type | Equipment | |||||||||||||
Sulfite | Chipper | |||||||||||||
Kraft | Debarker | |||||||||||||
Groundwood/Mechanical | Chip Canter | |||||||||||||
Semichemical | Hammer mill | |||||||||||||
Kraft/Groundwood | Other - specify ___________________________________ | |||||||||||||
Thermochemical | ||||||||||||||
Thermomecnanical | Other - specify ___________________________________ | |||||||||||||
Other - specify _________________ | ||||||||||||||
Section 3.2 -- Products produced from logs received in 2021. | ||||||||||||||
Please check the types of products produced from logs, or chipped logs. | ||||||||||||||
Composite products | Pulpwood products | |||||||||||||
Oriented Strand Board (OSB) | Wood pulp | |||||||||||||
Particle board | Paper | |||||||||||||
Wafer board | Corrugated medium | |||||||||||||
Hardboard | Roofing material | |||||||||||||
Medium density fiber board (MDF) | Insulation board | |||||||||||||
Other engineered product - | Other pulp product - | |||||||||||||
Specify: ______________ | Specify: ______________ | |||||||||||||
Section 3.3 -- Volume of product produced from Raw Material (Logs/Roundwood) Processed in 2021. | ||||||||||||||
Please enter amount of mill product produced in 2021 by softwoods and hardwoods. | ||||||||||||||
Softwoods | Hardwoods | |||||||||||||
Unit of Measure | Unit of Measure | |||||||||||||
Amount | (codes below) | Amount | (codes below) | |||||||||||
Pulp products | ||||||||||||||
Composite products | ||||||||||||||
Units of Measure | ||||||||||||||
31 - Green tons | 32 - Dry tons | 99 - Other (specify) | ||||||||||||
72 - Thousand Square Feet | 98 - Thousand Tons of pulp | Specify: _________________ | ||||||||||||
Percent of finished product exported out of the United States: ________%. | ||||||||||||||
Section 3.4 -- Volume of mill residues used to produce product in 2021. | ||||||||||||||
Select the unit of measure the volume is reported in. Indicate the State of origin, mill byproduct, and the volume each species group received. | ||||||||||||||
Wood chips are chips from coarse mill residues. Whole tree chip volumes should be recorded as roundwood on page 2. | ||||||||||||||
Origin of byproduct | Other byproducts | |||||||||||||
Check only one | ST code | Wood chips | Sawdust | List: ____________ | ||||||||||
Unit of Measure | State or | (office | ||||||||||||
XX | foreign Country | use) | Softwood | Hardwood | Softwood | Hardwood | Softwood | Hardwood | ||||||
Standard cord | ||||||||||||||
Dry tons | ||||||||||||||
Green tons | ||||||||||||||
Other (specify): | ||||||||||||||
________________ | ||||||||||||||
Section 3.5 -- Volume of hog fuel/industrial fuelwood received in 2021. | ||||||||||||||
Please record the volume/amount of roundwood, in-woods chips, whole-tree chips, and/or tops and limbwood used for Boiler/hog fuel/industrial fuelwood | ||||||||||||||
that you received at the mill. Do not include mill residues (example, bark or sawmill chips) | ||||||||||||||
State or | ST code | Boiler/hog fuel volume | ||||||||||||
foreign Country | (office use) | Softwood | Hardwood | Check the unit of Measure used | ||||||||||
(only one) | ||||||||||||||
Dry tons | ||||||||||||||
Green tons | ||||||||||||||
Thousand cu. ft. | ||||||||||||||
Other: | ||||||||||||||
(specify): _____________ | ||||||||||||||
Section 4—MILL RESIDUE and MILL RESIDUE USE for 2021 | |||||||||||
4.1. Please enter the amount of mill residue produced by this mill. | |||||||||||
Enter the amount of mill residues that were generated at the mill by processing Roundwood or whole tree chips, | |||||||||||
for each type of mill residue generated, by Softwood and Hardwood. Indicate the "Unit of Measure". | |||||||||||
Unit of Measure | |||||||||||
(example: green tons, dry tons, | |||||||||||
Type of Residue | Softwood | Hardwood | thousand cubic feet, etc.) | ||||||||
Bark | |||||||||||
Coarse (chips, slabs, edgings, trims, cores, etc) | |||||||||||
Fine - Shavings (Planer or Lathe) | |||||||||||
Fine - Sawdust | |||||||||||
Whole logs or short sections chipped that are not | |||||||||||
processed as mills primary product | |||||||||||
4.2. Disposal of mill residues | |||||||||||
Enter the percent for how each type of mill residue was used by the mill ("USE OF MILL RESIDUE:") in the production of the | |||||||||||
primary product, by type of Residue, and Softwood and Hardwood. If no mill residues were generated, leave blank. | |||||||||||
COARSE | FINE | ||||||||||
(chips, slabs, edgings, | Shavings | ||||||||||
BARK | trims, cores, etc) | (Planer or Lathe) | Sawdust | ||||||||
Softwood | Hardwood | Softwood | Hardwood | Softwood | Hardwood | Softwood | Hardwood | ||||
USE OF MILL RESIDUE: | Code | % | % | % | % | % | % | % | % | ||
Manufacture of fiber/composite products | 1 | ||||||||||
Small dimension and other sawn products | 2 | ||||||||||
Charcoal or chemical wood | 3 | ||||||||||
Industrial fuel at this plant (on-site) | 4 | ||||||||||
Industrial fuel at other plants | 5 | ||||||||||
Bio-energy pellets | 6 | ||||||||||
Other Bio-energy products(biodiesel,etc) | 7 | ||||||||||
Residential fuelwood | 8 | ||||||||||
Mulch/Soil additive (includes biochar) | 9 | ||||||||||
Animal bedding | 10 | ||||||||||
Other misc. uses- please specify: _______________ | 88 | ||||||||||
NOT USED (land fill, burned, etc) | 99 | ||||||||||
TOTAL | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |