CLEAN DEVELOPMENT MECHANISM PROJECT DESIGN

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

page 1

This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

CLEAN DEVELOPMENT MECHANISM

PROJECT DESIGN DOCUMENT FORM (CDM-PDD)

Version 02 - in effect as of: 1 July 2004)

CONTENTS

A. General description of project activity

B. Application of a baseline methodology

C. Duration of the project activity

/ Crediting period

D. Application of a monitoring methodology

and plan

E. Estimation of GHG emissions by sources

F. Environmental impacts

G. Stakeholders’

comments

Annexes

Annex 1: Contact information on participants in the project activity

Annex 2: Information regarding public funding

Annex 3: Baseline

information

Annex 4: Monitoring plan

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

page 2

This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

SECTION A. General description of project activity

A.1 Title of the project activity

:

>>

A.2. Description of the

project activity

:

>>

A.3. Project participants:

>>

A.4. Technical description of the project activity:

A.4.1. Location of the project activity

:

>>

A.4.1.1. Host Party(ies):

>>

A.4.1.2. Region/State/Province etc.:

>>

A.4.1.3. City/Town/Community etc:

>>

A.4.1.4. Detail of physical location, including information allowing the

unique identification of this project activity (maximum one page):

>>

A.4.2. Category(ies) of project activity:

>>

A.4.3. Technology to be employed by the project activity

:

>>

A.4.4. Brief explanation of how the anthropogenic emissions of anthropogenic greenhouse

gas (GHGs) by sources are to be reduced by the proposed CDM project activity, including why the

emission reductions would not occur in the absence of the proposed project activity, taking into

account national and/or sectoral policies and circumstances:

>>

A.4.4.1. Estimated amount of emission reductions over the chosen crediting

period:

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

A.4.5. Public funding of the project activity

:

>>

SECTION B. Application of a baseline methodology

B.1. Title and reference of the approved baseline methodology applied to the project activity:

>>

B.1.1. Justification of the choice of the methodology and why it is applicable to the project

activity:

>>

B.2. Description of how the methodology is applied in the context of the project activity:

>>

B.3. Description of how the anthropogenic emissions of GHG by sources are reduced below

those that would have occurred in the absence of the registered CDM project activity:

>>

B.4. Description of how the definition of the project boundary related to the baseline

methodology selected is applied to the project activity:

>>

B.5. Details of baseline

information, including the date of completion of the baseline study

and the n

ame of person (s)/entity (ies) determining the baseline:

>>

SECTION C. Duration of the project activity / Crediting period

C.1 Duration of the project activity

:

C.1.1. Starting date of the project activity

:

>>

C.1.2. Expected operational lifetime of the project activity:

>>

C.2 Choice of the crediting period and related information:

C.2.1. Renewable crediting period

C.2.1.1. Starting date of the first crediting period

:

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

C.2.1.2. Length of the first crediting period

:

>>

C.2.2. Fixed crediting period:

C.2.2.1. Starting date:

>>

C.2.2.2. Length:

>>

SECTION D. Application of a monitoring methodology and plan

D.1. Name and reference of approved monitoring methodology

applied to the project activity:

>>

D.2. Justification of the choice of the methodology and why it is applicable to the project

activity:

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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D.2. 1. Option 1: Monitoring of the emissions in the project scenario and the baseline scenario

D.2.1.1. Data to be collected in order to monitor emissions from the project activity, and how this data will be archived:

ID number

(Please use

numbers to

ease cross-

referencing

to D.3)

Data

variable

Source of

data

Data

unit

Measured (m),

calculated (c)

or estimated (e)

Recording

frequency

Proportion

of data to

be

monitored

How will the

data be

archived?

(electronic/

paper)

Comment

D.2.1.2. Description of formulae used to estimate project emissions (for each gas, source, formulae/algorithm, emissions units of CO

2

equ.)

>>

D.2.1.3. Relevant data necessary for determining the baseline of anthropogenic emissions by sources of GHGs within the project

boundary and how such data will be collected and archived :

ID number

(Please use

numbers to

ease cross-

referencing

to table

D.3)

Data

variable

Source of

data

Data

unit

Measured (m),

calculated (c),

estimated (e),

Recording

frequency

Proportion

of data to

be

monitored

How will the data be

archived? (electronic/

paper)

Comment

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

D.2.1.4. Description of formulae used to estimate baseline emissions (for each gas, source, formulae/algorithm, emissions units of

CO

2

equ.)

>>

D. 2.2. Option 2: Direct monitoring of emission reductions from the project activity

(values should be consistent with those in section E).

D.2.2.1. Data to be collected in order to monitor emissions from the project activity, and how this data will be archived:

ID number

(Please use

numbers to

ease cross-

referencing

to table

D.3)

Data

variable

Source of

data

Data

unit

Measured (m),

calculated (c),

estimated (e),

Recording

frequency

Proportion

of data to

be

monitored

How will the data

be archived?

(electronic/

paper)

Comment

D.2.2.2. Description of formulae used to calculate project emissions (for each gas, source, formulae/algorithm, emissions units of

CO

2

equ.):

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

D.2.3. Treatment of leakage in the monitoring plan

D.2.3.1. If applicable, please describe the data and information that will be collected in order to monitor leakage effects of the

project activity

ID number

(Please use

numbers to

ease cross-

referencing

to table

D.3)

Data

variable

Source of

data

Data

unit

Measured (m),

calculated (c)

or estimated (e)

Recording

frequency

Proportion

of data to

be

monitored

How will the data

be archived?

(electronic/

paper)

Comment

D.2.3.2. Description of formulae used to estimate leakage

(for each gas, source, formulae/algorithm, emissions units of CO

2

equ.)

>>

D.2.4. Description of formulae used to estimate emission reductions for the project activity

(for each gas, source, formulae/algorithm,

emissions units of CO

2

equ.)

>>

D.3. Quality control (QC) and quality assurance (QA) procedures are being undertaken for data monitored

Data

(Indicate table and

ID number e.g. 3.-1.;

3.2.)

Uncertainty level of data

(High/Medium/Low)

Explain QA/QC procedures planned for these data, or why such procedures are not necessary.

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

D.4 Please describe the operational and management structure that the project operator will implement in order to monitor emission reductions

and any leakage

effects, generated by the project activity

>>

D.5 Name of person/entity determining the monitoring methodology

:

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

SECTION E. Estimation of GHG emissions by sources

E.1. Estimate of GHG emissions by sources:

>>

E.2.

Estimated leakage

:

>>

E.3. The sum of E.1 and E.2 representing the project activity emissions:

>>

E.4. Estimated anthropogenic emissions by sources of greenhouse gases of the baseline:

>>

E.5. Difference between E.4 and E.3 representing the emission reductions of the project

activity:

>>

E.6. Table providing values obtained when applying formulae above:

>>

SECTION F. Environmental impacts

F.1. Documentation on the analysis of the environmental impacts, including transboundary

impacts:

>>

F.2. If environmental impacts are considered significant by the project participants or the host

Party, please provide conclusions and all references to support documentation of an environmental

impact assessment undertaken in accordance with the procedures as required by the host Party:

>>

SECTION G. Stakeholders’ comments

>>

G.1. Brief description how comments by local stakeholders have been invited and compiled:

>>

G.2. Summary of the comments received:

>>

G.3. Report on how due account was taken of any comments received:

>>

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

page 10

This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

Annex 1

CONTACT INFORMATION ON PARTICIPANTS IN THE PROJECT ACTIVITY

Organization:

Street/P.O.Box:

Building:

City:

State/Region:

Postfix/ZIP:

Country:

Telephone:

FAX:

E-Mail:

URL:

Represented by:

Title:

Salutation:

Last Name:

Middle Name:

First Name:

Department:

Mobile:

Direct FAX:

Direct tel:

Personal E-Mail:

PROJECT DESIGN DOCUMENT FORM (CDM PDD) - Version 02

CDM – Executive Board

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This template shall not be altered. It shall be completed without modifying/adding headings or logo, format or font.

Annex 2

INFORMATION REGARDING PUBLIC FUNDING

Annex 3

BASELINE INFORMATION

Annex 4

MONITORING PLAN

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