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Wastewater Treatment Plant / Biosolids Award Nomination

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Please complete the following nomination form. An inspection form and documentation list will be sent to each plant nominated prior to the inspection date. If you would like a copy of these forms, please contact Tyler Pjesky. Nomination forms will not be accepted if received after July 14, 2017.

Fields marked with an (*) are required.

I wish to nominate the facility below for the following award(s):(*)
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Facility Name(*)
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Facility Address(*)
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City(*)
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State(*)
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Zip(*)
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Name of Facility Representative(*)
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Representative Phone(*)
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Class Description Design PE
I (a) Any Waste Stabilization Pond < 1,500
I (b) Any Waste Stabilization Pond 1,500 and above
II Any Secondary Treatment Plant < 3,500
III Any Secondary Treatment Plant
3,500-10,000
  or Any Advanced or Specialized Facility < 5,000
IV Any Secondary Treatment Plant
10,000-30,000
  or Any Advanced or Specialized Facility 5,000-10,000
V Any Secondary Treatment Plant
> 30,000
  or Any Advanced or Specialized Facility >10,000
VI (a) Industrial Treatment Plant - Direct Discharger All
VI (b) Industrial Treatment Plant - Indirect Discharger All
Plant Award Class(*)
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Design Flow(*)
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Number of NPDES violations this year(*)
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Number of POTW pretreatment violations (indirect discharger)(*)
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Reasons why you think this facility is deserving of the award(*)
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Full Name(*)
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Phone(*)
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Email(*)
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