Agrarmarkt Austria / B3361_10 Version 05 (update: 25.02.2022) Page 1 of 1 Agrarmarkt Austria, Dresdner Straße 70, A-1200 Wien, E-Mail: nachhaltigkeit@ama.gv.at
K-Ö
Forms
NH-U1 Confirmation of the seller (economic operator)
concerning the compliance with the sustainability-criteria
of the relating biomass according to Directive (EU) 2018/2001. For submitted to the buyer of sustainable biomass!
Company information:
AMA - certificate no.
AACS-
Year of harvest:Name:
Address:
Postal code, City:
Biomass Quantity
(unit included):
Country of origin and perhaps -region/NUTS II area Allocation to deliver
Date or time from – to (DD/MM/YYYY)
/ / - / /
Day Month Year Day Month Year
/ / - / /
Day Month Year Day Month Year
Document No (e.g. delivery note, contract)
Greenhouse gas emission at delivery date
(cross where applicable and choose only 1 box within the letters A to C!) NUTS2 values (or equivalent in third countries) can only be applied if these have been published in the unit g CO2eq/dry-ton of feedstock on the EU-Commission website.
A) use of disaggregated default value for cultivation
use of the NUTS II value for cultivation (enter NUTS II region in country of origin field)
use of the actual calculated value
B) use of the disaggregated default value for transport/distribution use of the actual calculated value
C) use of the disaggregated default value for processing use of the actual calculated value
to be filled in when use of the actual
calculated value!
,
in gCO2-eq/kg biomassin gCO2-eq/MJ ______________
I hereby confirm with my signature, that the above mentioned biomass is sustainable biomass according to Directive (EU) 2018/2001.
Information about data protection you will find under: www.ama.at/datenschutzerklaerung
location, date company stamp and signature
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