ANNEX I

1.

Rated thermal input (MW) of the medium combustion plant;

2.

Type of the medium combustion plant (diesel engine, gas turbine, dual fuel engine, other engine or other medium combustion plant);

3.

Type and share of fuels used according to the fuel categories laid down in Annex II;

4.

Date of the start of the operation of the medium combustion plant or, where the exact date of the start of the operation is unknown, proof of the fact that the operation started before 20 December 2018;

5.

Sector of activity of the medium combustion plant or the facility in which it is applied (NACE code);

6.

Expected number of annual operating hours of the medium combustion plant and average load in use;

7.

Where the option of exemption under Article 6(3) or Article 6(8) is used, a declaration signed by the operator that the medium combustion plant will not be operated more than the number of hours referred to in those paragraphs;

8.

Name and registered office of the operator and, in the case of stationary medium combustion plants, the address where the plant is located.