Plant of the Year Nomination Form

INSTRUCTIONS: All fields must be completed for Award eligibility. Please refer to the "Plant of the Year" Awards Criteria as you complete this application. To be considered in the next Award, your completed form must be submitted by May 20th. GOOD LUCK!

Facility Description
Plant Name*
Type of Membrane Treatment Plant*
Type of Treated Water*
Population Served*
Number of Maintenance Personnel*
Number of Plant Operations Personnel*
Total Number of Plant Personnel*
State/Federal Plant Operations Classification and Level*
Number of Operators in Certification Class 1
Number of Operators in Certification Class 2
Number of Operators in Certification Class 3
Number of Operators in Certification Class 4
Number of Operators in Certification Class 5
Total Number of Operators*
Process Description
Plant Design (Build-out) Flow, gdp (mgd)*
Membrane Design (Build-out) Flow, gdp (mgd)*
Plant Daily Average Operating Flow, gdp (mgd)*
Membrane Daily Average Operating Flow, gdp (mgd)*
What Makes This Plant Unique*
Describe any process or equipment that makes your plant unique. Upload supporting document if necessary.
Upload Document
Accepted file types: doc, docx, pdf, txt.
Upload Document
Accepted file types: doc, docx, pdf, txt.
Your Contact Information
Your Name*
Title*
Telephone
Email Address*
Email Notifications*
- Yes, I authorize receiving publication email notifications
- No, I would not like to receive publication email notifications (opt-out)
Authorization for receiving publication email notification from NWMOA.
(applies to all email addresses on this form)
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Questions/Comments
Questions/Comments
Final Step of Nomination Process
Captcha
Please enter the letters displayed below to complete your nomination and then click Submit.

Plant of the Year Nomination Form

Facility Description

Process Description

Your Contact Information

Questions/Comments

Final Step of Nomination Process

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