Fillable Town Of Cutler Bay Environmental Stewardship Program Application-booklet2 Environmental Stewardship Program

Fill Online, Printable, Fillable, Blank Town Of Cutler Bay Environmental Stewardship Program Application-booklet2 Environmental Stewardship Program Form

Use Fill to complete blank online TOWN OF CUTLER BAY (FL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Town Of Cutler Bay Environmental Stewardship Program Application-booklet2 Environmental Stewardship Program

On average this form takes 42 minutes to complete

The Town Of Cutler Bay Environmental Stewardship Program Application-booklet2 Environmental Stewardship Program form is 16 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 160 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Cutler Bay

BROWSE TOWN OF CUTLER BAY (FL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
TOWN OF
CUTLER BAY
Environmental
Stewardship
Program
1 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
The Town of Cutler Bay is committed to becoming a sustainable Town, which is why the Environmental
Stewardship program was created. Adopted by the Town Council in 2019, the program enhances the
Town’s Green Master Plan, which aims to protect and improve the Town’s built and natural
environment.
The program encourages and recognizes businesses that conserve natural resources, such as water,
electricity, and fuel; reduce, reuse and recycle materials; reduce the hazardous materials and
generation of hazardous waste; take affirmative steps to prevent pollution; and implement many other
green-friendly initiatives listed on this application.
We thank you and congratulate you on your decision to become a Town of Cutler Bay Certified
Environmental Steward!
Business Name: ______________________________________________________________________
Business Address: ____________________________________________________________________
City: ________________________________________State: _________ Zip:______________________
Contact Name: _______________________________________________________________________
Contact Phone Number: _______________________________________________________________
Contact Email: _______________________________________________________________________
Business Category:
☐ Beauty/Spa
☐ Hotel/Tourism
☐ Medical
☐ Office/Administrative
☐ Restaurant/Catering
☐ Retail
☐ Other, please specify:
___________________________________
Number of Employees:
☐ 5 or less
☐ 6-10
☐ 11-25
☐ 26-50
☐ 51-100
☐ 101 or more
My business currently has sustainable/green
practices in one or more of the following
categories*:
☐ Energy Conservation
☐ Waste Reduction
☐ Water Conservation
☐ Pollution Prevention
☐ Indoor Air Quality
☐ Transportation and Delivery
☐ Communication/Education/General
*Please identify activities conducted in each
category on pages 3-9 of this document and
add up the total points in each category on
page 9 to determine which green tier
certification your business earned.
Program Application
Completed applications may be submitted via email to dducasa@cutlerbay-fl.gov or mailed to:
Town of Cutler Bay | Attn: Desiree Ducasa | 10720 Caribbean Blvd. Suite 105 | Cutler Bay, FL 33189
2 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Please describe what your business/organization is doing to be environmentally friendly. Photos,
honors, awards, and recognitions are encouraged and may be included as attachments:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Application Agreement:
I hereby acknowledge the information I have provided in this application is truthful. By submitting this
application, you agree to allow the Town of Cutler Bay staff to schedule a site visit to verify information
is accurate. Please submit application to dducasa@cutlerbay-fl.gov. For any questions regarding this
form and the Environmental Stewardship Program, please contact Desiree Ducasa at
dducasa@cutlerbay-fl.gov or (305) 234-4262.
SIGNATURE: _______________________________________________ DATE: ___________________
PRINT NAME: _______________________________________________________________________
3 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Schedule regular maintenance for high electricity use appliances (e.g., air conditioner or
refrigerator)
_____ Replace light bulbs (T-12 fluorescent) with energy-efficient (T-8 or T-5) bulbs or other
equivalent efficiency lighting
_____ Reduce number of lamps/fixtures where appropriate
_____ Improve sign efficiency by using efficient signs (e.g. LED)
_____ Replace equipment with energy efficient design (e.g. Energy Star®)
_____ Use or invest in renewable energy
_____ Use power management software/plug load to save energy
_____ Use dual occupancy sensors in low occupancy areas
Standard Practices (1 point)
_____ Regularly clean and inspect HVAC and refrigerator systems
_____ Monitor electricity bills for unexpected increases
_____ Turn off lights while daylight is sufficient and when leaving the room
_____ Turn off power when leaving room or after hours (use reminders)
_____ Use sleep or stand-by mode on equipment (set defaults)
_____ Increase lighting efficiency by installing optical reflector or diffuser
_____ Use appliances to promote air circulation (e.g. ceiling fan)
_____ Use window film to reduce solar heat
_____ Set thermostat to 76°F for cooling and 68°F for heating
_____ Conduct annual energy audits
_____ Change A/C filters frequently
_____ Use tankless water heater
Restaurant Practices (1 point)
_____ Use low-flow pre-rinse nozzle for dish scraping and pre-cleaning
_____ Set refrigerator temperature between 38° to 41°F and freezer to 10° to 20°F
Garment Cleaning Practices (1 point)
_____ Use task lighting instead of lighting the entire area
_____ Insulate all hot water pipes and cold suction lines
_____ Set hot water heater between 125° to 130°F
Dental Practices (1 point)
_____ Use task lighting instead of lighting the entire area
_____ TOTAL ENERGY CONSERVATION SCORE
Energy Conservation
4 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Compost organics such as food and yard discards
_____ Eliminate use of disposable wares by using only permanent wares and use refillable
containers for condiments
_____ Purchase post-consumer recycled materials (50% for marketing materials and 35% for
janitorial paper)
_____ Use tap water instead of bottled water
_____ Reduce use of plastic bags (use paper bags with minimum 40% post-consumer product)
_____ Eliminate use of plastic straws and expanded polystyrene
_____ Have a recycling station/program and train staff about recycling
_____ Collect hazardous waste (batteries, electronics, or fluorescent light bulbs) and create a
procedure for proper disposal
_____ Make two-sided printing or copying the default practice
_____ Donate, sell, or exchange unwanted but useable items instead of throwing them away
Standard Practices (1 point)
_____ Recycle or reuse paper (including cardboard and office paper)
_____ Recycle glass, plastic, and aluminum
_____ Minimize packaging (e.g. individually wrapped items)
_____ Place signs by trash bin that encourage employees to use less disposable items
_____ Reduce paper used for communication (use email when possible)
_____ Recycle wood pallets
_____ Recycle printer toners
_____ Conduct Pollution Prevention assessments or waste audits
_____ Stock or sell products made with recycled content
_____ Reduce the number of garbage bin liners by reusing bags and having unlined bins (recycle
bin should not have liner bags)
_____ Use corrugated or recyclable board in place of foam core board
Restaurant Practices (1 point)
_____ Reduce the use of disposable to-go food service ware
_____ Serve water only on request and use tap water unless bottled water is requested
______ TOTAL WASTE REDUCTION SCORE
Waste Reduction
5 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Schedule water meter readings monthly
_____ Replace appliances with EPA WaterSense efficient models (e.g. toilets, faucets,
showerheads, and urinals)
_____ Post signs in restrooms and lounge room to encourage water conservation and reporting of
leaks
_____ Monitor and reduce use of continuous flow fixtures
_____ Adjust irrigation system for proper coverage and less runoff and limit hours of irrigation
_____ Switch from periodic cleaning to ‘as required’ cleaning schedule
_____ Replace water-cooled equipment with air-cooled
_____ Install self-closing faucets (not to exceed 0.5 gpm)
_____ Install a sub-meter for outdoor water usage to monitor leaks and excessive use
_____ Plant Florida-Friendly (native, drought tolerant) plants
_____ Use reclaimed water or harvested rainwater for plant irrigation
Standard Practices (1 point)
_____ Review water bills monthly for indication of leaks
_____ Clean surfaces using dry sweeping methods, where allowed
_____ Reduce water pressure to less than 50 psi by installing pressure-reducing valves
_____ Adjust, monitor, and maintain water use for cooling tower; Increase the number of cycles in
the cooling tower if possible
Restaurant Practices (1 point)
_____ Operate dishwashers only when fully loaded
_____ Provide cleaning schedule to employees
_____ Replace food steamer with a connectionless model
_____ Use dry floor cleaning methods followed by damp mopping for indoor areas
______ TOTAL WATER CONSERVATION SCORE
Water Conservation
6 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Periodically evaluate actual and potential sources of pollution
_____ Reduce or eliminate the use of toxic cleaning products
_____ Reduce or eliminate the use of chemical pesticides (only use green-certified products)
_____ Replace all aerosols with pump dispensers, if available
_____ Have adequate absorbent material to contain all possible spills
_____ Keep outside garbage or containers covered and away from storm drains
_____ Locate all potential pollutants away from service and storage area
_____ Have clear safety signage in pertinent languages
_____ Keep and maintain products Material Safety Data Sheet readily available for employees
_____ Conduct periodic safety refreshers for proper handling of bulk chemicals and
emergency/spill procedures
Standard Practices (1 point)
_____ Use low or no mercury fluorescent lights
_____ Use environment friendly products (less toxic or biodegradable)
_____ Use safer alternatives to potentially harmful products
_____ Use certified organic or sustainable products
_____ Use rechargeable batteries
_____ Use unbleached or chlorine-free paper products
_____ Use vegetable or other low-Volatile Organic Compound (VOC) inks for printing
_____ Use water-based, high solids, low or no-VOC paint products
_____ Use recycled or remanufactured products (like refilled cartridges)
_____ Use electric (not gas) powered tools
_____ Use natural or low emission building materials or furniture
_____ Replace toxic permanent ink markers/pens with water-based ones
_____ Regularly check and maintain storm drain openings and basins
_____ Establish pollution prevention Best Management Practices (BMP) and train staff on BMPs
_____ Develop leak and spill prevention measures and train all staff on procedures
(continued on next page)
Pollution Prevention
7 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Restaurant Practices (1 point)
_____ Minimum 25% of all food and beverages must come from certified organic, sustainably
harvested, or locally grown products
_____ Practice fats, oils, and grease reduction BMPs (e.g. keep greases out of the drain)
_____ Clean catch basins annually
Garment Cleaning Practices (1 point)
_____ Display a statement of which technology you use for cleaning
_____ Properly label and dispose of spotters, detergents, and other chemical products
_____ Properly dispose of antistatic agents and water and stain repellants that contain methylene
chloride and/or Perchloroethylene (PCE)
_____ Use oxygen-based bleach instead of chlorine bleach in laundry
_____ Use POG spotting agents that do not contain PCE, Trichloroethylene, or methylene chloride
Dental Practices (1 point)
_____ Do not let wastewater (wash equipment, floor mats or other items) flow to the storm drain
______ TOTAL POLLUTION PREVENTION SCORE
Standard Practices (1 point)
_____ Maintain ventilation of a minimum air exchange rate of 35% per hour
_____ Open windows when vacuuming
_____ Avoid use of chemical air fresheners and non-organic scented candles
_____ Test for mold in the indoor area
_____ Use covered garbage containers to avoid smell and pests
_____ Use fan or air purifier to increase air exchange rate
______ TOTAL INDOOR AIR QUALITY SCORE
Pollution Prevention (continued)
Indoor Air Quality
8 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Keep company vehicles well-maintained and encourage employees to do the same
_____ Offset company’s transportation CO2 emissions
_____ Arrange a single vendor to make deliveries for several items
_____ Cut shipping, packaging, and transportation wastes by purchasing supplies from local
vendors
_____ Have company-owned vehicle to provide transportation service (shuttle to and from bus,
train, or metro stops)
_____ Convert company vehicles to low emission ones (electric or hybrid)
_____ Offer golf cart and electric vehicle parking and charging stations at your business location to
encourage both employees and customers to drive energy efficient vehicles
_____ Chose business locations that are close to public transportation
_____ Convert company vehicles to use alternative fuel (i.e. biofuel) that comply with the EPA
renewable fuel regulations and standards, including GHG lifestyle reduction requirements
Standard Practices (1 point)
_____ Encourage employees to bicycle to work by offering rebates
_____ Enroll in a car share program and/or provide carpool parking spaces
_____ Carefully plan delivery routes or commuter routes to avoid unnecessary trips
_____ Offer telecommuting opportunities and/or flexible schedules so that workers can avoid heavy
traffic and idling in traffic
_____ Track fuel consumption for your fleet according to make, model, year, fuel type, annual
vehicle miles travelled, and gallons of fuel type for one year
______ TOTAL TRANSPORTATION AND DELIVERIES SCORE
Transportation and Deliveries
9 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Best Practices (2 points)
_____ Track and disclose water and energy usage using the EPA EnergyStar Portfolio Manager
_____ Track solid and hazardous waste generation
_____ Market your green business efforts to existing and potential customers
_____ Adopt an environmental policy statement as a business commitment
_____ Promote source reduction among employees
_____ Encourage employees to make suggestions on green business practices
_____ Established a Task Force or “Green Team” to identify opportunities and maintain your green
business practices
_____ Commit resources to implement changes
_____ Obtain Florida Green Building Coalition Green Building Certification
_____ Implement the nine principles of Florida Friendly Yards in landscaping projects
______ TOTAL COMMUNICATION/EDUCATION/GENERAL SCORE
_____ Energy Conservation Score
_____ Waste Reduction Score
_____ Water Conservation Score
_____ Pollution Prevention Score
_____ Indoor Air Quality Score
_____ Transportation and Delivery Score
_____ Communication/Education/General Score
_____ YOUR TOTAL SCORE
GREEN TIERED CERTIFICATION SYSTEM:
Communication/Education/General
TOTALS
Gold Certified:
145+ points
• Recognition during Town Council
Meeting with proclamation
plaque
• Story in Community Newspapers
Center Pages
• Recognition on Town’s Social
Media Platforms (Facebook,
Instagram, Twitter)
• Recognition in Town’s monthly
E-newsletter
• Certificate of Stewardship
Silver Certified:
109-144 points
• Recognition during Town Council
Meeting
• Recognition on Town’s Social
Media Platforms (Facebook,
Instagram, Twitter)
• Recognition in Town’s monthly
E-newsletter
• Certificate of Stewardship
Bronze Certified:
73-108 points
• Recognition during Town Council
Meeting
• Recognition in Town’s monthly
E-newsletter
• Certificate of Stewardship
10 | Environmental Stewardship Program @townofcutlerbay www.cutlerbay-fl.gov
Town of Cutler Bay
ENVIRONMENTAL STEWARDSHIP PROGRAM
Completed applications may be submitted via email to dducasa@cutlerbay-fl.gov or mailed to:
Town of Cutler Bay
Attn: Desiree Ducasa
10720 Caribbean Blvd., Suite 105
Cutler Bay, FL 33189
Please find additional resources below for more information on becoming a green-friendly business:
Town’s Green Master Plan:
http://cutlerbay-fl.gov/home/showdocument?id=11867
EPA renewable Fuel Regulations and Standards
http://www.epa.gov/otaq/fuels/renewables/regulations.html
EPA EnergyStar Portfolio Manager
https://www.energystar.gov/buildings/facility-owners-and-managers/existing-buildings/get-started
Nine Principles of Florida Friendly Yards
https://ffl.ifas.ufl.edu/FFL/principles.html
Miami-Dade County’s Green Initiative
https://www.miamidade.gov/green
Resources
10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL 33189 | www.cutlerbay-.gov | (305) 234-4262
OUR GREEN MISSION STATEMENT:
To protect and improve the Town’s built and natural
environment through the use of land in a manner that
enhances existing neighborhoods, conserves resources,
ensures the availability of public facilities and services, and
realizes the community’s vision for its future.
Follow us on social media!
@townofcutlerbay
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Town Of Cutler Bay Environmental Stewardship Program Application-booklet2 Environmental Stewardship Program

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document