South All Primary Mills

Forest Service, U.S. Department of Agriculture
Research Station Office
Phone Number: (XXX) XXX-XXXX; Fax: (XXX) XXX-XXXX
Address Line 1
Address Line 2

Form Approved
OMB 0596-0010
Expires: -- MM/DD/YYY

PRIMARY WOOD USING MILL QUESTIONNAIRE
STATE, Year
The objective of this survey is to collect and compile quantities and types of logs received by primary wood
processing mills, and the disposal of mill residues resulting from the manufacturing or processing of wood
products. While you are not required to respond, your cooperation is needed to make the results of the survey
comprehensive, accurate, and timely.
Please provide information as complete and accurate as possible. If complete records are not available, please give
your best estimates. If a question does not apply to your operation, please skip and continue to the form’s next
item.
In the volume reported, please do not include logs or bolts sold or transferred to another primary processing plant.

INDIVIDUAL MILL INFORMATION WILL BE HELD STRICTLY CONFIDENTIAL WITH ONLY INDUSTRY
DATA SUMMARIZED AT COUNTY AND STATE LEVELS.

Public reporting burden for this collection of information is estimated to average 30 minutes 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. 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# 05960010), Washington, DC 20503.

PRIMARY WOOD USING MILL QUESTIONNAIRE
STATE, YEAR

OMB 0596-0010 Expires: xxxx

Section 1-Mill Information
1.1 Mill Name
Mailing address

Street

City

Phone (XXX-XXX-XXXX)

State

Fax (XXX-XXX-XXXX)

Zip Code

Company E-mail

Mill/Company Website
1.2 Mill physical location (if different from mailing address)
Physical address
Street

City

State

Zip Code

County of mill
1.3 Contact information
Contact Name

Job Title

Phone (XXX-XXX-XXXX)

Fax (XXX-XXX-XXXX)

E-mail

1.4 Mill Type- check one (If more than one mill type at this site, please complete a separate survey form for each mill type )
Pole mill
Post mill
Piling mill
Mulch mill
Miscellaneous/Other
Export yard

Sawmill
Veneer mill
Composite panel/Engineered wood product mill
Industrial Fuelwood/Biomass/Energy plant
Pulp mill
1.5 Mill status (check one )

Active

Idle

Closed/Out of business

Dismantled

1.6 Number of employees
****

Check the box if no raw material (logs/roundwood) was processed at this mill during calendar year
YEAR and return the form. (No further information is needed )

****

***Official Use Only***
Interviewer Name
Interview type:

Phone

Interviewer Job Title
mail

phone

If this is a new mill please collect coordinates:

personal contact
Latitude:

Date of Interview/Data Received

E-mail
Longitude:

DD.DDDD

-DD.DDDD

Section 2 - Raw Material (Logs/Roundwood) Received and Processed at this mill, YEAR
COMPLETE SEPARATE SECTION 2 FOR EACH TYPE OF RAW MATERIAL (Logs/Roundwood) RECEIVED AND PROCESSED.
2.1a Please check the type of Raw Material (Logs/Roundwood) Received and Processed ( check one )
Amount(1)
Unit of measure(2)
Roundwood type
Hardwood
Softwood
Hardwood
Softwood
Saw Logs
Veneer/ply logs
Composite panel
Bioenergy/fuelwood
Poles
Posts
Pilings
Pulp
Miscellaneous

Average Log
Length (feet)

(1)

Include wood from foreign countries. If logs are received in more than one unit of measure, please indicate the volume in each unit.

(2)

Please provide the log rule used for each species group from the unit of measures provided. Also, specify if reporting board feet (BF) or thousand board feet (MBF).

Average Top
Diameter (inches)

2.1b Provide only if you Exported any unprocessed roundwood volume Out of U.S.
Amount(1)
Roundwood type EXPORTED

Softwood

Unit of measure(2)
Hardwood

Softwood

Hardwood

Average Log
Length (feet)

Average Top
Diameter (inches)

Saw logs
Veneer/plywood logs
Pulp mill logs/ chipped roundwood
Miscellaneous

Units of Measure for sections 2.1a and 2.1b:
*** If Unit of measure is a weight, please provide the appropriate conversion factor ***
Species group Pounds per MBF
Pounds per Cord

Unit of Measure

Softwood
Hardwood

2.2 If your facility received roundwood in the form of logs, in-woods chips, whole-tree chips &/or tops and limbwood for boiler/hog fuel ( NOT MILL BYPRODUCTS ) , then
please provide the origin and amounts.

Origin of boiler/hog fuel
State or foreign country

Boiler/hog fuel
volume
Softwood

Hardwood

Check the unit of Measure used (only one per species group )
Hardwood
Dry tons
Dry tons
Green tons
Green tons
Thousand cu. ft.
Thousand cu. ft.
Softwood

Section 2.3 Volume of product produced from Raw Material (Logs/Roundwood) Processed in YEAR
Enter amount of mill product produced in YEAR from each type of RAW MATERIAL (Logs/Roundwood) by softwoods and hardwoods.
Softwoods
Hardwoods
Percent Dressed/
Unit of Measure/
Unit of Measure/
Planed
Percent
Percent
Product
Amount or Percent
(if amount is given)
(If sawn product)
Amount or Percent
(if amount is given)

Percent Dressed/
Planed
(If sawn product)

Section 2 (Continued )
2.4 Enter AMOUNT/PERCENTof Raw Material (Logs/Roundwood) Received and Processed by Species Group and Origin
Please use a separate page for Section 2.4a for each Roundwood Type checked in Section 2.1a And 2.1b.
** Please complete the matrix to the best of your knowledge. If you don't know the exact origin, please give approximate values for the top counties
within the mill's procurement zone **
Provide County and State names below. If out of State or foreign origin please specify County/Parish and State or Province and Country (Co. St).
Co./St.

Softwood Hardwood

Co./St. (cont)

Softwood

Hardwood

Co./St. (cont)

Softwood Hardwood

Total

0

0

Section 3 Disposal of mill residues

Please enter percentage of softwood and hardwood mill residue generated by residue type for each applicable "USE OF MILL RESIDUE" listed.
FINE

COARSE

(chips, slabs, edgings,
trims, cores, etc. )

BARK

USE OF MILL RESIDUE:
Manufacture of fiber/pulp/composite products
Small dimension and other sawn products
Charcoal or chemical wood
Industrial fuel at this plant (on-site )
Industrial fuel at other plants
Bio-energy pellets
Other Bio-energy products (biodiesel,etc)
Residential fuelwood
Mulch/Soil additive (includes biochar)
Animal bedding
Other misc. uses
NOT USED (land fill, burned, etc.)

Softwood% Hardwood%

TOTAL

0

0

Softwood%

0

Shavings

(Planer or Lathe )

Sawdust and Fines

Hardwood% Softwood% Hardwood% Softwood% Hardwood%

0

0

0

0

0

Section 4 Plant byproducts received for producing pulp products (This section applies only to Pulp mills )

Do Not Include byproducts for Plant Fuel (Indicate unit of measure in table below this section)
Wood chips
Sawdust
Origin of byproduct
(State )
Softwood
Hardwood
Softwood
Hardwood

0

0

0

0

Other byproducts
Softwood
Hardwood

0

0

Unit of measure used above in reporting plant byproducts
(Check appropriate box)

Unit of measure
Standard cord (128 cu. ft. )
Cunits (100 cu. ft. solid wood )
Ovendry tons (2,000 pounds )
Green tons (2,000 pounds )

Wood chips from plant
byproducts

Sawdust

Other
byproducts