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KWEA Wastewater Plant / Biosolids Award Nomination

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Please complete all required fields!

Please complete the following nomination form. Nomination forms will not be accepted if received after June 1.

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 Roman Rodriguez III.

Fields marked with an (*) are required.

Section A: General Information

I wish to nominate the facility below for the following award(s):

Award Type(*)

Plant Operations & Maintenance Award

Biosolids Award

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Facility Name(*)

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Facility Address(*)

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City(*)

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State(*)

Please SelectAlabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho IllinoisIndiana Iowa KansasKentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri MontanaNebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon PennsylvaniaRhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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Zip(*)

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Name of Facility Representative(*)

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Representative Phone(*)

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Section B: Facility Details

Class	Description	Design PE
1a	Lagoon	< 150,000 gpd
1b	Lagoon	> 150,000 gpd
2	Mechanical	< 350,000 gpd
3	Mechanical	0.35 to 1.0 mgd
4	Mechanical	1.0 to 3.0 mgd
5	Mechanical	> 3.0 mgd
6a	Industrial Direct Discharge	All
6b	Industrial Indirect Discharge	All

Plant Award Class(*)

Please Select1a1b23456a6b

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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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Section C: Reasons for Nomination

Reasons why you think this facility is deserving of the award(*)

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By submitting this form, I certify that the above information, provided by me, is true and correct.

Full Name(*)

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Email(*)

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Phone(*)

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