MONTEREY BAY UNIFIED
AIR POLLUTION CONTROL DISTRICT
2015/2016
WOOD STOVE CHANGE-OUT PROGRAM
For Fiscal Year 2015/2016 the Monterey Bay Unified Air Pollution Control District
(MBUAPCD) will again be sponsoring financial incentives for home owners in the San
Lorenzo Valley (SLV) to change-out their wood burning fireplace or older uncertified wood
stove to a cleaner alternative. The incentive will be in the form of discounts provided by
participating dealers and installers. Eligible clean air alternatives include stoves and
fireplace inserts operated by natural gas, propane, or pellets
The purpose of the Woodstove Change-Out Program (WSCOP) is to reduce emissions of
residential wood smoke. The MBUAPCD is focusing on SLV because this area experiences
frequent exceedances of the federal air quality standard for fine particulate matter.
Wintertime residential wood smoke is especially problematic in SLV because of frequent
winter inversions coupled with an abundance of residents who burn wood to heat their
homes.
SLV includes the communities of Ben Lomond, Boulder Creek, Brookdale, Felton, Mt.
Hermon, Lompico and Zayante as defined in the Santa Cruz County General Plan.
See the WSCOP guidelines or contact MBUAPCD staff for more information about the
program. Call 831-647-9411 for questions regarding the process.
WOOD STOVE CHANGE-OUT
PROGRAM GUIDELINES
As part of the MBUAPCD’s continuing effort to protect public health by reducing wood
smoke pollution, the WSCOP is being offered to SLV residents in Santa Cruz County. The
base discounts range from $1,000 up $2,500.
In areas such as the SLV, the build-up of wintertime wood smoke can exceed federal health
based air quality standards. Wood smoke contains gases, toxics, and particulate matter
which can cause health effects including eye, nose, and throat irritation and respiratory
disease
If you would like to participate, read the Eligibility and Program Requirements and fill out
the WSCOP Application Form. Once approved you can go to a Participating Dealer who
will arrange to have your eligible change-out replacement installed and will scrap the old
wood stove or fireplace box at a recycling facility. A list of Participating Dealers can be
found on the MBUAPCD’s webpage.
Additional information is available at www.montereybaycleanair.org.
The Mission of the Monterey Bay Unified
Air Pollution Control District is to Protect
Public and Environmental Health
while Balancing Economic and
Air Quality Considerations
VOUCHER DISCOUNTS
A portion of the voucher discount will go towards the Participating Dealer stove purchase and the
remaining portion will go to the participating installer. The voucher discount may not cover the full cost
of the Change-Out.
Once your application is received, MBUAPCD staff will review the MBUAPCD Woodstove Change-Out
Application Form and verify the installation address to determine eligibility and discount. The applicable
discount will be applied to a Voucher of Pre-Qualification and mailed to you.
The Participating Dealer will arrange a pre-installation visit with a certified installer. The certified installer
will provide MBUPACD with photo documentation to verify the old wood stove or fireplace for final
eligibility to the Woodstove Change-Out Program.
$1,000 Discount for property owners in the SLV changing out to a gas, propane or pellet stove or insert.
Zip Codes: 95005 (Ben Lomond), 95006 (Boulder Creek), 95007 (Brookdale),
95018 (Felton/Lompico), and 95041 (Mt. Hermon).
$1,500 Additional discount for income qualified property owners in the SLV.
Subject to confirmation by Central Coast Energy Services (CCES).
LOW INCOME ELIGIBILITY AND VERIFICATION
MBUAPCD provides income qualified applicants an additional discount to assist with their change-outs.
Income is verified through Central Coast Energy Services (CCES) Low Income Home Energy Assistance
Program (LIHEAP). All LIHEAP applications must be mailed to CCES. CCES will notify MBUAPCD if
applicant is eligible for additional discount.
Income guidelines are provided as a courtesy and may change at any time, please use the tables provided
by CCES on the LIHEAP Application.
Persons in Household
1
2
3
4
5
6
Maximum Monthly Incomes
$1,996
$2,611
$3,225
$3,840
$4,454
$5,069
Request an application by:
a. Calling CCES at 1-888-728-3637 or
b. Downloading application from
http://www.energyservices.org/index-afh.html or www.montereybaycleanair.org
WOOD STOVE CHANGE-OUT
ELIGIBILITY AND PROGRAM REQUIREMENTS
Please carefully read the following instructions:
1. This offer is only available to San Lorenzo Valley property owners in Santa Cruz County to changeout their wood burning fireplace or older uncertified wood stove to a cleaner alternative. Eligible
alternatives include change-outs to stoves and fireplace inserts operated by gas, propane, or pellets.
All addresses will be verified to determine eligibility and discount.
2. The property owner must submit the Woodstove Change-Out Voucher Application Form.
Renters or property managers should coordinate change-outs with the property owner.
3. The woodstove or open fireplace that will be changed-out must still be installed in the residence.
No discounts are available for change-outs where installation has been started prior to being
authorized by the MBUAPCD. Existing EPA-certified wood stoves or inserts that are at least 10 years
old are eligible for discounts.
4. Discounts will be distributed to applicants on a first come first serve basis who comply with all
MBUAPCD Eligibility and Program Requirements. Discounts will end when the program funds are
depleted. The program is limited to one discount per household, unless funds remain at the end of
the program.
5. Fill out the MBUAPCD Woodstove Change-Out Voucher Application Form completely and return to
MBUAPCD. Once your application is received MBUAPCD staff will review the application form and
verify the installation address to determine eligibility and discount. The applicable discount will be
applied to a Pre-Qualification Voucher and mailed to you.
6. The Pre-Qualification Voucher is only valid for 30 days. Provide the assigned Pre-Qualification
Voucher at a Participating Dealer. The Participating Dealer list is available on the MBUAPCD’s
webpage.
7. All new devices must be installed by MBUAPCD participating installer. The Participating Dealer will
arrange a pre-installation site visit with an installer. The certified installer will provide the MBUAPCD
with photo documentation to verify the old wood stove or fireplace for final eligibility to the
Woodstove Change-Out Program. If eligible, the Participating Installer will take pictures of current
woodstove/fireplace and pictures once the new device is installed.
8. The Participating Installer will properly dispose of the old woodstove or fireplace box. They will
provide the MBUAPCD with a Certificate of Disposal.
9. All authorized change-outs must be completed by April 1, 2016.
10. Please notify the MBUAPCD as soon as possible if you decide to not complete the Change-Out. This
allows us to fund other projects
WOOD STOVE CHANGE-OUT APPLICATION FORM
APPLICANT INFORMATION: (Please Print)
Applicant (Property Owner) Name:
Phone:
Mailing Address City, Zip Code: (Where Change-Out will take place)
Cell Phone:
Mailing Address, City, Zip Code (If different than Change-Out address):
☐ Check if you would like to be added to the SLV events e-mail list and Spare the Air notifications.
Email:
APPLICANT ACKNOWLEDGEMENT STATEMENT AND SIGNATURE:
1. Read the following Acknowledgement Statement, Sign, Print Name and Date.
Property owner must sign in the box below.
APPLICANT ACKNOWLEDGEMENT STATEMENT
I agree to hold harmless the Monterey Bay Unified Air Pollution Control District (MBUAPCD) and its
directors, employees, and agents from any and all loss, damage, or liability that arises out of or is in any
way connected with installation or use of the device purchased in connection with the MBUAPCD
2015-2016 Woodstove Change-Out Program.
I further pledge to operate the device according to the manufacturer’s instructions and to not burn
pressure treated wood, trash, plastic or any other materials specified in the device instruction manual.
Acceptance of this offer allows the Participating Dealer or MBUAPCD staff to inspect the home during
normal business hours to verify compliance with the MBUAPCD Eligibility and Program Requirements.
I acknowledge that any false information on the Woodstove Change-Out Voucher Application Form will
forfeit the Change-Out.
My signature below acknowledges that I have read, understand, and agree to the Wood Stove ChangeOut Eligibility and Program Requirements.
Applicant’s Signature:
Date:
INFORMATION ON EXISTING WOODSTOVE OR FIREPLACE
Existing EPA-certified wood stoves or inserts that are at least 10 years old are eligible for discounts.
1. Select type of wood burning device you currently have and would like to Change-Out.
2. Answer questions pertaining to device as best as possible.
☐ Woodstove
Approx. how old is your wood stove:
Is this your only source of installed heat? ☐Yes ☐No
Installed heat means a heat source permanently attached to your
home’s structure such as a furnace or baseboard heater.
Make:
Model:
☐ Fireplace
What type of fireplace do you have?
☐ Masonry ☐ Manufactured Metal Firebox
Is this your only source of installed heat? ☐Yes ☐No
Installed heat means a heat source permanently attached to your
home’s structure such as a furnace or baseboard heater.
Approximately how many cords of wood do you burn per year?
Approximately how much do you spend annually on wood?
INFORMATION ON PROPOSED NEW STOVE OR INSERT PURCHASE
☐ I will be applying to the CCES LIHEAP program to verify my eligibility for the income
qualified discount.
Select the device that will replace your current woodstove or fireplace.
☐ Natural Gas Stove or Fireplace Insert
☐ Propane Stove or Fireplace Insert
☐ Pellet Stove or Fireplace Insert
RETURN COMPLETED APPLICATION TO:
Monterey Bay Unified Air Pollution Control District
24580 Silver Cloud Court, Monterey, California 93940
OR
Email to: woodstove@mbuapcd.org
OR
FAX to (831) 647-8501