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 the extended deadline Wednesday, July 15th. 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 DescriptionPlease refrain from using all caps/uppercase letters, please use sentence structure letter case.Plant Name*Type of Membrane Treatment Plant*MBRMFUFNFROIntegrated SystemPlease indicate what types*Type of Source 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 Supporting Documents Drop files here or 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 Supporting Documents Drop files here or What Makes This Plant Unique*Describe any process or equipment that makes your plant unique. Upload supporting document if necessary.Upload Supporting Documents Drop files here or 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 Supporting Documents Drop files here or Does the Plant Have Any Violations as Recorded by the Local Regulation Body within the Last Year?YesNoPlease Specify the Date of Violation, Description of Violation, and Actions Taken to Remedy It* At a Minimum, Please Attach Three Pictures that Showcase Your Plant. In Addition, You May Also Include a PowerPoint, Video, and/or a YouTube of Your Plant at Your Own Discretion.* Drop files here or 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 State PWS ID#:*TCEQ Plant ID #:* Comments and CaptchaQuestions/CommentsCAPTCHAPlease refer to SCMA’s Privacy Policy if you have any questions regarding your preferences.