CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Nominator:

Name:
Agency:
Address:
City, Zip Code:
Work Phone:
Fax:
Email Address:

Local Section:

Nominee:

Name:
Agency:
Address:
City, Zip Code:
Work Phone:
Fax:
Email Address:

Local Section:

P3S_PERSON_form.docxPage 1 of 6

CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Checklist of Awards Criteria: You must include all of the following to be eligible for the award.

Nominee must be a CWEA member, proof of membership is required.

Nominee must be actively involved in CWEA and pretreatment, pollution prevention or stormwater.

Over the last three years, involved in the a) implementation and/or enforcement of pretreatment, pollution prevention, and/or stormwater regulations and/or best management practices; b) design, operation or research of source control, pretreatment, and/or stormwater facilities; and/or c) training and/or education of pretreatment pollution prevention, and or/stormwater personnel.

Developed an original concept or significantly contributed to improving the pretreatment, pollution, and stormwater professionals including industries, regulators, peers and management.

Acted in a professional and ethical manner in promoting and working with pretreatment, pollution prevention and stormwater professionals including industries, regulators, peers and management.

Six copies of award application. Supporting documents encouraged.

Nominator Instructions:
1. All nominations must use the attached form. Other formats will not be accepted.
2. Application data must be from your agency’s prior fiscal year.
3. Submitted materials will not be returned.
4. Submit this nomination form and all attachments to your local section awards chair/contact by the awards deadline given below:

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Central San Joaquin (CSJ)

Deadline:November 1, 2015

Awards Chair: Thomas Adams

5607 West Jensen Ave.

Fresno, CA 93706

, 559-621-5140

Colorado Basin Section (CORBS)

Deadline:November 13, 2015

Awards Chair: Mark Graham

68380 Moonlight Dr.

Cathedral City, CA 92234

, 760-328-6896

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Desert and Mountain (DAMS)

Deadline:October 2, 2015

Awards Chair: Kim Booth, BBRWA

121 Palomino Dr. P.O. Box 517

Big Bear City, CA 92314

, 909-584-4018

Golden Empire Section (GES)

Deadline:Contact local section

Awards Chair: Mike Popichak

PO Box 9956

Bakersfield, CA93389

, 661-979-3276

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Los Angeles Basin Section (LABS)

Deadline:November 20, 2015

Awards Chair: Miluska Propersi, RMC Water and Environment

2400 Broadway Suite 300

Santa Monica, CA 90404
,

310-566-6460

Monterey Bay Section

Deadline:October 1, 2015

Awards Chair: Jackie McCloud, City of Watsonville

500 Clearwater Ln.

Wastonville, CA 95076

, 831-768-3172

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CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

North Coast Section (NCS)

Deadline:Contact local section

Awards Chair: T.K. Williams

2752 Hillcrest Dr.

Eureka, CA , 323-257-7749

Northern Sacramento Valley (NSV)

Deadline:October 30, 2015

Awards Chair: Nolan Randall

111 Main St.

Palm Springs, CA 99999

, 530-229-3341

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Northern San Joaquin Section (NSJ)

Deadline:October 30, 2015

Awards Chair: Bonnie Dennedy

17103 West Bethany Road

Mountain House, CA 95391

,
209-836-3351

Redwood Empire Section (RES)

Deadline:Contact local section

Awards Chair: Rodrigo Montanez

4539 Crimson Clover Dr.

Fairfield, CA 94534

, 707-258-6083

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Sacramento Area Section (SAC)

Deadline:Contact local section

Awards Chair: Debi Lewis

3321 Power Inn Road STE 300

Sacramento, CA 95826

,
916-418-8293

San Diego Section (SD)

Deadline:November 20, 2015

Awards Chair: Steve Jepsen, DUDEK
605 Third Street

Encinitas, CA 92024

, 760-415-4332

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

San Francisco Bay (SFB)

Deadline:October 15, 2015

Awards Chair: Steve Dominguez, Veolia

3000 Airport Rd.

Rio Vista, CA 94571

,
707-374-2633

Santa Ana River Basin (SARBS)

Deadline:November 6, 2015

Awards Chair: Megan Yoo Schneider,
Moulton Niguel Water District

27500 La Paz Road

Laguna Niguel, CA 92677

, 949-448-4020

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Santa Clara Valley Section (SCV)

Deadline:Contact local section

Awards Chair: Sid Nash

1567 Kooser Road

San Jose, CA 95118

, 408-515-3084

Sierra Section

Deadline:November 5, 2015

Awards Chair: Evy Henkel

PO Box 1609

Truckee, CA 96160

,
530-277-4887

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Tri-Counties Section

Deadline:Contact local section

Awards Chair: Thomas Welch

520 E. Yanonali

Santa Barbara, CA 93103
,
805-568-1002

Go to myCWEA.org and click on Local Section on the menu to learn more about each local section.

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CWEA Nomination Form

P3S

Pretreatment, Pollution Prevention & Stormwater

Person of the Year Award

Local Section Instructions

  1. No more than one nomination for the P3S Award may be submitted by each Local Section as their Local Section Winner. Submittal of more than one nomination will invalidate that Local Section’s entry.
  2. The CWEA P3S Awards are coordinated by the CWEA P3S Nomination Committee. The team is comprised of the Awards Subcommittee Chair, Committee Chair, The Committee is chaired by the previous year’s winner of Person of the Year. The other members are the most recent recipients of the award who are available to serve.
  3. The committee will evaluate all nominees for this award.
  4. All award nominees will be notified of their award status prior to the CWEA Annual
    Conference.
  5. Send State Award Nominations to CWEA Awards program, 7677 Oakport Street, Suite 600, Oakland, CA 94621 or email to as a pdf. Other file formats will not be accepted.
  6. All State awards must be received by FRIDAY, January 8, 2016. Postmarks will not be accepted.

Questions:

Call Nick Klumpp, P3S Committee Awards Chair, (510) 287-1646.

SEND SIX COPIES OF THE FOLLOWING INFORMATION

  1. Nominee Information
  2. Name
  3. Organization
  4. CWEA Membership Number
  5. Number of years in the P3S field
  6. Number of years in the local section or on the CWEA Standing Committee
  7. Narrative Information, covering the last three years.

Describe the Nominee’s:

  1. Education and certifications
  1. Job position and responsibilities
  1. Participation in the local section, CWEA standing committee, and P3S Committee
  1. Implementation and/or enforcement of industrial waste, and/or storm water regulations, and/or implementation of pollution prevention, and/or best management practices programs
  1. Design, operation, research of pollution prevention, source control, pretreatment, and/or storm water facilities
  1. Training and/or education of industrial waste and/or storm water personnel
  1. Original concept or significant contribution to improving the industrial waste, pollution prevention, or storm water profession (This might include the development of a device, method, or procedure that improves the effectiveness of the professionals in the industrial waste control or storm water field)
  1. Professional and ethical behavior in promoting and working with industrial waste control professionals including industries, regulators, peers, and management (Professional and ethical manner defined as the person trustworthy, respectful, responsible, fair, and caring; firm and consistent in making the right legal, moral, and ethical decisions)

Excluding this form, the Nomination Committee will only consider ten pages of information from the Nominator.

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