General Project Overview(Please provide a brief (one to two paragraphs) narrative description of the project. Include in this narrative)

1.0 Project

1.1 Name of project

1.2 Name of mine

1.3 Type of mine ownership (Choose one):

_Public (national government)
_Public (province or state government)
_Public (city or local government)
_Private

1.4 Have other feasibility reports been prepared? (Please attach)

Yes/No

2.0 Project Location

2.1 Mine owner (name of company)

2.2 Parent company

2.3 Status of mine (active or abandoned)

2.4 Country

2.5 Region/Province

2.6 City

3.0 Project Description

3.1 Condition of roads in area (paved / divided highway / freeway, etc.)

3.2 Distance (km and estimated travel time in hours) to nearest airport or shipping port (specify)

3.3 Distance (km and estimated travel time in hours) to nearest adjacent coal mine (if applicable - specify)

3.4 If known, describe potential type of project

3.4.1 Power generation? (list number of planned power generation installations and estimated capacity in MW)

3.4.2 Pipeline sales? (describe and indicate expected volume to be sold in Mm3/year)

3.4.3 Industrial use? (specify customer and volume in Mm3/year)

3.4.4 Mine boiler use? (quantity of boilers and volume of gas to be used each by boiler and total in Mm3/year)

3.9 Other end-uses (list all that apply, include the volume of gas to be used by each and total in Mm3/year)

4.0 Project Developer

4.1 Does potential project have support of mine ownership?？

（Yes / no / unknown）

4.2 Does potential project have support of mine operators?？

（Yes / no / unknown）

4.3 Does potential project have support of owners of gas？

（Yes / no / unknown）

4.4 Name of organization

4.5 Type of organization

4.6 Contact person

5.0 Project sponsor(s)

Provide the following information for each project sponsor and source of financial support

5.1 Name of organization

5.2 Type of organization

5.3 Contact person

5.4 Contact email

5.5 Contact telephone

5.6 Contact mailing address

6.0 Expected schedule

6.1 Earliest project start date (day / month / year)

6.2 Expected project lifetime (years / months)

7.0 Coal mine information

7.1 Type of mine (underground or surface)*

7.2 Number of coal seams mined

7.3 Coal seam(s) name(s)

7.4 Depth of coal seam(s) (meters from surface)

7.5 Thickness of coal seam(s) (meters)

7.6 Mining method (longwall, room-and-pillar, open cast. etc)

7.7 Coal production of mine (tonnes/year)*

7.8 Projected coal production of mine (tonnes/year)*

7.9 Proven reserves (tonnes)

7.10 Rank of coal mined

7.11 Drainage system already installed

(yes / no)

7.12 Type of drainage system (specify all that apply: in-mine boreholes, pre-mine surface wells, in-mine gob boreholes, surface gob vent boreholes)

7.13 Number of gas drainage wells and boreholes currently operating

7.14 Spacing between drainage wells (meters)

7.15 Describe the drainage method being employed including the pattern of drilling (spacing and include drawing if available)

8.0 Methane emissions

8.1 Current annual emissions of methane from the mine (cubic meters per year)*

8.2 Projected future annual emissions of methane from the mine (cubic meters per year)*

8.3 Total volume of ventilation air released from mine (m3/min, average) for underground mines

8.4 Volume of pure methane in ventilation air (average m3/min) for underground mines

8.5 Average concentration of methane in mine ventilation air (%)for underground mines

8.6 Fluctuation of methane concentration in mine ventilation air (range in %) for underground mines

8.7 Total volume of gas drained from mine (average m3/min)

8.8 Volume of pure methane drained (average m3/min)

8.9 Average methane concentration in drained gas (%)

8.10 Volume of drained gas that is > 80% methane (m3/min)

8.11 Volume of drained gas that is < 30% methane (m3/min)

8.12 Fluctuation of methane concentration in drained gas (range in %)

8.13 Coal permeability (millidarcy)

8.14 Coal in situ gas content (m3/tonne)

8.15 Relative emissions (m3/tonne of coal mined)

9.0 Estimated greenhouse gas emission reductions

9.1 Number of mine ventilation shafts for underground mines*

9.2 Total volume of methane already recovered and utilized per year (cubic meters) *

9.3 Total volume of methane expected to be recovered and utilized per year (cubic meters)*

9.4 Name of organization or person(s) who own rights to the coal mine methane

9.5 Estimated emissions recovered and used by the proposed project (cubic meters methane per year for the life of the project and cumulative total)

9.6 Estimated emissions recovered and used by the proposed project (MTCO2e per year for the life of the project and cumulative total)

10.0 Proposed project details

Please attach a description of the likely end use(s) for CMM, including specific technology details if known

10.1 Pipeline injection?

10.2 Power generation?

10.3 Boiler fuel?

10.4 Coal drying?

10.5 Industrial use?

10.6 Surface space requirements for equipment, etc. (square meters)

10.7 Additional project needs (list all that apply)

11.0 Market analysis / demand analysis

*Please attach a description of the market for the potential CMM end use(s), location and size, number and types of consumers, and financial positions of the buyers

11.1 Annual heating demands at mine (m3/yr gas)

11.2 Annual electricity demands at mine (MW-hrs)

11.3 Heat prices paid by mine (average US$ / m3 gas)

11.4 Electricity prices paid by mine (average US$ / MW)

11.5 Specify the end user(s) if known

11.6 Available surface / ground area onsite to install equipment? (specify square meters and location)

12.0 Project finances

12.1 Estimated total capital investment costs of project ($US)

12.2 Operating and maintenance costs (US $ / year)

12.3 Available funding contributions (project equity)? (specify US $ available from each)

12.4 Potential source(s) of project financing (debt) – specify for each:

12.5 Anticipated revenue from carbon credits (US$)

12.6 Project lifetime (years)

12.7 Forecasted internal rate of return (calculated without carbon credits)

12.8 Depreciation rate:

12.9 Insurance cost (US$ per year)

12.10 Income tax / VAT (US $ per year)

12.11 Other taxes expressed in local currency per unit of energy produced or sold

12.12 Expected project revenues (specify $US / yr from each source; specify source(s))

12.13 Energy savings from project

12.14 Total expected revenues from project (US $ / yr) (total of carbon financing and other project revenues listed above)

13.0 Legal Issues

13.1 Does project sponsor have legal right to borrow funds?

13.2 Does project sponsor have clear ownership, legal title, or property rights, including licenses and rights to use the methane?

13.3 Is the project sponsor certifiably creditworthy?

13.4 Has the project sponsor identified suitable commercial, municipal, or national government guarantees for the proposed investment?

14.0 Socio-economic impacts of the project

14.1 Estimated number of jobs created as a result of this project?

14.2 Will any training or education be provided to the local workforce / community as a result of this project? (if yes, specify)

14.3 Estimated number of people / households that will directly benefit from this project? (specify location and type of benefit)

14.4 Is this project compatible with goals and objectives of sustainable development?

14.5 Are there any anticipated environmental impacts at the local, regional, or national level associated with this project (e.g., increased or decreased local air pollution, impacts on local water quality, etc.)? If so, specify (attach description)

14.6 Does this project conform to the World Bank’s social and environmental safeguard requirements?