17-18 Wood Stove Grant Online Application Portal
Please complete Application Part A, below. If you have any questions please contact the District by calling (707) 443-3093.
Please use MM/DD/YY format
The Applicant is the resident of the property where the replacement will take place.
The Co-Applicant is the homeowner and must appear on all applications where the residence is a rental property.
Applicant Mailing Address
Applicant Mailing City
Applicant Mailing State
Applicant Mailing Zip
The location where the replacement will take place, if different from the mailing address.
County of Residence
Does the applicant own the residence?
Is the residence a rental property?
Do you have access to natural gas?
Please provide the brand, type, and manufacturer yes (estimate if necessary), or best description.
Photo of current device
You can upload a photo here, or email a copy to support@ncuaqmd. Please include the following in the subject line, should you chose to email the photo: Wood Stove Grant Application, Current Device Photo, Last Name
Type of Old Stove
Number of cords of wood burned annually in your existing device
Must be new, gas, propane, pellet, or wood fueled. Wood and pellet devices must appear on the EPA list of Certified Wood Stoves found here:
For natural gas and propane projects, select "Not Applicable"
Emission Rate (G/HR)
Heat Output (BTU/HR)
This is the location you identified your replacement stove.
Scrapping Method Proposed
By clicking the box below and typing your name in the signature field, you certify the following:
I have not purchased the device that I am applying for on the application and will not purchase a device until I have received an approval letter. The above information is true and correct and I have read, understand, and agree to the terms set forth within the Application Instructions.
The Co-Applicant listed above, if applicable, is aware that I am applying for a replacement device and will provide their signature on Application Part B, should I be selected.
Please type your name in the box below.
Send me a copy of my responses
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