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 extended deadline July 17, 2018. GOOD LUCK! Please note: Applications will be reviewed and narrowed down to top three. Plants will be visited if possible; otherwise, the committee will rely on the applicant’s submitted documentation. Documentation may include PowerPoint and/or video/YouTube as backup materials to this application form. Facility DescriptionPlant Name*Type of Membrane Treatment Plant*MBRMFUFNFROIntegrated SystemPlease indicate what types*State PWS ID#:*TCEQ Plant ID #:*Type of Treated Water*seawatersurfacegroundreuseNumber of Maintenance Personnel*Number of Plant Operations Personnel*Total Number of Plant Personnel*Number of Operators in Certification Class ANumber of Operators in Certification Class BNumber of Operators in Certification Class CNumber of Operators in Certification Class DTotal Number of Operators* Process DescriptionPlant 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)*How Your Plant Demonstrates an Exemplary Safety Record*Describe how your plant demonstrates an exemplary safety record. Upload supporting document if necessary.Upload Document Drop files here or Accepted file types: doc, docx, pdf, txt. How Your Plant Demonstrates a Neat and Clean Appearance*Describe how your plant demonstrates a neat and clean appearance with minimal impact to the neighbors. Upload supporting document if necessary.Upload Document Drop files here or Accepted file types: doc, docx, pdf, txt. What Makes This Plant Unique*Describe any process or equipment that makes your plant unique. Upload supporting document if necessary.Upload Document Drop files here or Accepted file types: doc, docx, pdf, txt. How Your Plant is Used to Educate the Public on Water Supply, Water Quality, and Water Treatment*Describe how your plant is used to educate the public on water supply, water quality, and water treatment. Upload supporting document if necessary.Upload Document Drop files here or Accepted file types: doc, docx, pdf, txt. Your Contact InformationYour Name*Title*TelephoneEmail Address* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Communication and Data Sharing PreferenceSCMA has been diligent in Data Security and being compliant with US and other Nations regulations.Email Notifications*Authorization for receiving publication email notification from SCMA.(applies to all email addresses on this form)Yes, I authorize receiving publication email notificationsNo, I would not like to receive publication email notifications (opt-out)Data Sharing*Opt-In: It is ok to share my contact information (name, job title, company, address, email, phone, etc.) with SCMA Board, Event Sponsors, Speakers, Moderators & Attendees.Opt-Out: Do not share my contact information. Outside of SCMA Administration, only my name, title and company will be shared with SCMA Board, Event Sponsors, Speakers, Moderators & Attendees. CaptchaEnter the letters displayed to prove you're human.