Green Hotel in the Green Mountain State
Application
Electronic submittal preferred. The .pdf version may be used to fill out by hand if necessary, and then scanned for submittal. Prior to preparing this workbook, please review the separate instructions booklet. Use check box to indicate achievement.
Business1:
# of guest rooms: # of conference rooms:
Form Completed by: Date:
By checking this box, I certify that the information provided in this form is accurate to the best of my knowledge.
Contact Name, Position, and Email Address (list others if desired):
IIf different from above, give same information to be used for official business:
General Phone 1: ex. / Phone 2: ext. x if cell
Contact Phone: ext. Cell?
General Email Address:
Website:
Business Mailing Address:
Street and/or Post Box:
Town: / State: / ZIP: -
Physical location(s) if different from the mailing address:
Checklist / Standards for
Environmental Partner / Implementation
1) / Designate an Environmental Team or Representative at each facility to ensure environmental standards are met, new initiatives are developed, and employees are trained in environmental procedures. / Contact’sname, phone number, and email. If more than one facility, and contact changes, list for each:
Email for announcements and updates if different from contact:
2) / Adopt and communicate to employees and public an Environmental Policy with purchasing statement.
See sample language on page 7.. / Date of implementation:
How communicated:
A copy of the adopted policy is attached.
3.)
4.) / Purchase for use or resale three (3) environmentally preferable products of significant use,with:
- maximized post consumer recycled content, (%PC)
- minimized toxicity,
- minimized packaging,
- greater durability,
- reduced or renewable resources, or
- other environmentally friendly attributes.
Item a:
Estimated quantity per year (including units):
Item b:
Estimated quantity per year (including units):
Item c:Green Cleaners, list:
Include certification if applicable and estimated quantity per year (including units):
5.) / Conserve resources and reduce wastes through:
- elimination,
- reduction (amount and/or toxicity),
- reuse, or
- recycling.
Waste includes:
•solid waste,
•hazardous waste,
•wastewater,
•air pollution, and
•water pollution. / Describe items.
Item.a:
Estimated quantity per year (including units):
Item b:
Estimated quantity per year (including units):
Item c:
Estimated quantity per year (including units):
Item d:
Estimated quantity per year (including units):
Item e:
Estimated quantity per year (including units):
Item f:
Estimated quantity per year (including units):
Please include others here.
6.) / Implement at least one (1) water conservation measure. / Describe:
Estimated quantity per year (including units).
Please include other measures you take here.
7.) / Implement at least three (3)energy efficiency measures. / Describe.
Measure a:
Estimated quantity per year (including units):
Measure b:
Estimated quantity per year (including units):
Measure c:
Estimated quantity per year (including units):
Please include other measures you take here.
Check
List / Environmental Best Management Practices and Description.
8.) / Environmental Best Management Practices (EBMPs) - Implement the required Green Hotel BMP’s and at least three (3)others, where possible. You may propose others, which will need approval by a program representative. Do not repeat items in sections 1 through 7in this section.
Green Hotel Requirements
a) / Implement a towel/linen reuse program
Describe: Include yearly estimates of any measurable results.
b) / Guests have access to recycling.
Describe: Include yearly estimates of any measurable results.
Optional EBMPs (implement at least three)
c) / Have recycling collection in guest rooms.
Describe: Include yearly estimates of any measurable results.
d) / Adopt and practice grounds keeping or landscaping methods that achieve resource conservation.
Describe: Include yearly estimates of any measurable results.
e) / Install stormwater management systems that protect the environment and promote water reuse.
Describe: Includeyearly estimates of any measurable results.
f) / Install renewable energy sources.
Describe:
Estimated quantity per year (including units):
g) / Use green building materials and techniques for all new construction and renovation.
Describe: Include yearly estimates of any measurable results.
h) / Implement all feasible building weatherization.
Describe:
i) / Use biodiesel for vehicles or heating.
Describe (include type of biodiesel or % of biodiesel):
Estimated quantity per year (including units):
j) / Reduce energy use for transportation by purchasing electric or hybrid vehicles or otherwise increase fleet miles per gallon.
Describe: Include estimates of any measurable results.
k) / Provide busing or other mass transit options to frequently visited tourist attractions such as ski resorts.
Describe: Include yearly estimate of vehicle miles saved.
l) / Use significant local sourcing to reduce transportation pollution.
Describe:
m) / Purchase Energy Star or silver to gold level EPEAT computers. Go to
Describe including savings:
n) / Complete an energy and/or renewable energy assessment or audit done in-house or by a private contractor/business, a town energy committee, or a non-profit agency (assessment/audit must be no older than three years).
Describe, include who (business or group) did it,what was done, and final conclusion/results:
o) / Create a comprehensive plan for energy reduction or sustainability measures.
Describe, include who did it and how done:
A copy of the adopted plan is attached.
p) / Complete a carbon footprint assessment (assessment must be no older than three years).
Describe, include who did it and how done:
q) / Participate in corporate sustainability reporting.
Describe:
r) / Conduct regular employee training in all aspects of environmental management.
Describe:
s) / Create an employee incentive to improve environmental management.
Describe:
t) / Participate annually in a community environmental project.
Describe:
u) / Other BMP:
Example of an Environmental Policy/Mission Statement:
______(your company name) is committed to protecting the environment, the health and safety of our employees, and the community in which we conduct our business. It is our policy to seek continual improvement throughout our business operations to lessen our impact on the local and global environment by conserving energy, water and other natural resources; reducing waste generation; recycling and; reducing our use of toxic materials. We are committed to environmental excellence and pollution prevention, meeting or exceeding all environmental regulatory requirements, and to purchasing products which have greater recycled content with lower toxicity and packaging, that reduce the use of natural resources.
Program Representatives:
Peter Crawford
Environmental & Regulatory Assistance
Vermont Small Business Development Center
P.O. Box 188
Randolph Center, VT 05061
802-728-1423
Maura Mancini
VT DEC EAO
1 National Life Dr.
Montpelier, VT 05620
802-522-0218
Vermont Business Environmental Partnership
GREEN HOTELS
in the
GREEN MOUNTAIN STATE
AGREEMENT
We understand that to be a GREEN HOTEL IN THE GREEN MOUNTAIN STATE, the business has met and will continue to meet the program standards. We have completed the following.
1.The Green Hotel Achievement Form and an Environmental Action Plan has been completed and is included, or has been previously submitted to the DEC’s Environmental Assistance Office, signifying that the standards have been satisfied.
2.Our business is in good regulatory standing with all Federal, Vermont, or local environmental regulations.
In addition, we agree to:
- ensure that the standards for the program as documented continue to be met and, as feasible, improved upon;
- complete and return the Annual VBEP Survey which is necessary for continued designation in the program;
- continue to make a good faith effort to comply with all local, state and federal environmental regulations;
- notify the program representative of a change in our situation, if unable to meet program standards; and
- promote the Vermont Business Environmental Partnership.
Signature if handwritten
Or
For electronic submittal , I understand that checking this box is equivalent to my signature and
indicates my agreement with the above.
Print or Type (Owner, Manager, or other Authorized Representative)Date
Please submit the completed form to your program representative.