Logs and Other Roundwood Received Questionnaire

USDA Forest Service OMB 0596-0010

Expires: 11/31/2009

Timber Removals Questionnaire Do you wish to be included in a

Forest Service, U.S. Department of Agriculture regional and statewide directory?

Southern Research Station Yes:

Phone: (828) 257-4848; FAX (828) 257-4894 No:

P.O. Box 2680, Asheville, NC 28802

Logs and Other Roundwood Received

Year: 2006 ; 2007 ; 2008 ; 2009

State:      

Name of Company:

     

No. Employees:1

     

Local Mailing Address:

     

     

     

     

(P.O. Box, Street or Route)

(City)

(State)

(Zip)

Person Contacted & Title:

     

Phone:

     

E-Mail:

     

Fax:

     

Web Address:

     

Sales Contact:

     

Phone:

     

Company CEO:

     

Phone:

     

County:

     

Latitude:

     

Longitude:

     

Plant Location:

     

Type Plant:

     

Products:2

     

If no logs (any length) were received in please check the box below, no other information is needed. No logs were received in . Please indicate under remarks (page 3) if mill is closed or operated part time.
Mill Status:	Active:	Out-of-Business:
	Idle:	New:
Instructions:	This form is for reporting the quantities and types of logs received by this mill in and the disposal of plant residues resulting from the manufacturing or processing of wood products. PLEASE COMPLETE A SEPARATE FORM FOR EACH TYPE PLANT OR OPERATION. If records are not available, please give your best estimates. This questionnaire is voluntary. While you are not required to respond, your cooperation is needed to make the results of the questionnaire comprehensive, accurate, and timely. SUCH AS ALL VOLUMES REPORTED, WILL BE HELD CONFIDENTIAL AND WILL ONLY BE USED TO AGGREGATE TO THE COUNTY AND STATE LEVEL. Other information may be used to compile the “Regional/Statewide Industry” directory.

Section I – Logs/Roundwood received in for processing at this plant, by type.

Total quantity of logs received at this mill in . (Check appropriate type. Include all logs processed, whether cut by own crews, purchased, or processed on a custom basis.)
NOTE: COMPLETE A SEPARATE FORM FOR EACH TYPE OF PLANT.
Check the type of raw materials received		Total Quantity Received for Product Indicated
		Amount1	Unit of Measure2	Average Length3	Average Top Diameter3
	Saw logs	     	     	     	     
	Veneer & plywood logs or bolts	     	     	     	     
	Logs for composite board	     	     	     	     
	Poles and piling	     	     	     	     
	Post	     	     	     	     
	Pulpwood	     	     	     	     
	Other (specify)      	     	     	     	     
	Other (specify)      	     	     	     	     
1 Include wood from foreign countries. If logs are received in more than one unit of measure, indicate the volume received in each unit. 2Specify unit of measure such as thousand board feet, standard cords (128 cubic feet), pieces, linear feet, tons (2000 lbs.), etc. 3Specify average length and average top diameter for all units of measure except cords.

If board-feet were used in Part 1 above, specify which log rule was used: (Check one for each species group)
Softwoods	Hardwoods	Log Rule
		Doyle
		Scribner Decimal C.
		Lumber Tally
		International ¼-inch rule
		Other (specify)      

If weights or cords were used in Part 1 above, please specify the appropraite conversion below:
Softwoods	Hardwoods	Item
     	     	Pounds per MBF
     	     	Pounds per Cord

Section II – Volume of Product Produced from Logs Received in

(Check one for each species group)
Unit of Measure			Amount		Percent Dressed (if sawn product)
Softwood	Hardwoods		Softwood	     	     
		Lumber tally (board feet)
		Square feet	Hardwood	     	     
		Pieces
		Other (specify):      

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0010. The time required to complete this information collection is estimated to average 50 minutes/hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Section III – Receipts of logs, by species group and origin,

A. Species Group

B. Total Volume

Enter county name at top of columns C-N and percent received from each county located in-state, out-of-state, or foreign country (if outside of U.S.)

Total (C-N)

C

D

E

F

G

H

I

J

K

L

M

N

     

     

     

     

     

     

     

     

     

     

     

     

Yellow Pine

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

E. White Pine

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Eastern red cedar

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Cypress

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Other:

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Yellow poplar

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Sweetgum

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Soft maple

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Black/Tupelo gum

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Other:

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Red oak

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

White oak

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Hickory

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Ash

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Hard maple

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Other:

     

     

     

     

     

     

     

     

     

     

     

     

     

100%

Total

100%

     

     

     

     

     

     

     

     

     

     

     

     

100%

Section IV (Check type of Equipment in use)

Debarker		10. Resaw (circular gang)		19.      		Remarks:      
2. Pole peeler		11. Resaw (band)		20.      
3. Chipper		12. Bark grinder		21.      
4. Chip canter		13. Bark Hog		22.      
5. Chip-n-saw		14. Firewood processor
6. Veneer (lathe or slice)		15. Dry Kiln
7. Headsaw (circular)		16. Planer
8. Headsaw (band)		17. Treating cylinder
9. Scragg saw		18. Wood fired boiler

Section V – Disposal of MILL RESIDUES in , by type and use

	Instructions:		Please enter you best estimate of the percentage OF EACH TYPE MILL RESIDUE that was used for the various purposes indicated. These estimates should not include the disposal of chipped logs from Section VI.
Percent Use of Mill Residues Only (exclude chipped logs or bolts)
1. Use of Residues		Bark			Coarse Residues (chips, slabs, edgings, trims, cores, etc.)		FINE RESIDUES
							Planer or Lathe Shavings		Sawdust
		Softwood %		Hardwood %	Softwood %	Hardwood %	Softwood %	Hardwood %	Softwood %	Hardwood %
a. Manufacture of fiber products (pulp, roofing felt, hardboard, medium density fiberboard)		     		     	     	     	     	     	     	     
b. Particle board/other fiber products		     		     	     	     	     	     	     	     
c. Charcoal or chemical wood		     		     	     	     	     	     	     	     
d. Small dimension and other sawn products		     		     	     	     	     	     	     	     
e. Industrial fuel at this or any other mill and domestic household fuel		     		     	     	     	     	     	     	     
f. Mulch		     		     	     	     	     	     	     	     
g. Miscellaneous uses, specify:      		     		     	     	     	     	     	     	     
h. Not used (including residues burned as waste)		     		     	     	     	     	     	     	     
Total		100%		100%	100%	100%	100%	100%	100%	100%

Section VI – Material sold for fiber to the pulp industry in , from the processing of logs listed in Section I

Note:

If you have a percent in Section V row (a) under coarse residues there should be a volume amount in total quantity sold (no. 1 below). Do not include wood sold for fuel. List only material sold for fiber products.

	Softwood	Hardwood
Total quantity sold – Cords or tons	     	     
2. Of the total sold, what percentage was from:
a. residue (chips)	     	     
b. Shavings	     	     
c. Sawdust	     	     
d. Whole logs or short sections chipped at plant	     	     
	100%	100%

1 Excluding contract loggers

2 Be specific. List products such as rough or dressed lumber, pallet stock, bark, shavings, etc. Begin with the most important product, and list in order of priority.

Official Use Only:

Interviewer’s Name: Title:

Telephone Number: Date:

Information obtained: by Mail; by Phone; by Personal Contact

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