CWEA Nomination Form

Collection Systems Committee
Richard D. Pomeroy Award

Nominee:
Name:
Agency:
Address:
City, Zip Code:
Work Phone: Fax:
Email Address:
Local Section:
Nominator:
Name:
Agency:
Address:
City, Zip Code:
Work Phone: Fax:
Email Address:
Local Section:

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 service must have been for a minimum of 15 years in any of the following areas: management, overall planning, operations and maintenance, facility design, education or training in the wastewater field.
Include four copies of the nomination packet.
Documentation and supporting information detailing the nominee’s achievement towards the advancement of existing knowledge of wastewater collection must be provided. A formal report of achievement is desirable.
Participation as chairperson, co-chair, or as a member of a CWEA committee for a CWEA event is considered desirable.
Must hold a current CWEA Collection Systems certification.
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 awardsdeadline given below:

CWEA Nomination Form

Collection Systems Committee
Richard D. Pomeroy 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

CWEA Nomination Form

Collection Systems Committee
Richard D. Pomeroy 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

CWEA Nomination Form

Collection Systems Committee
Richard D. Pomeroy 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

CWEA Nomination Form

Collection Systems Committee
Richard D. Pomeroy Award

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

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

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

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

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

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

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

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

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

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

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.

CWEA Nomination Form

Collection Systems Committee
Collection System of the Year

Local Section Instructions

  1. A single nomination for each category of this award may be submitted by each Local Section on behalf of the Local Section winner.
  2. The CWEA Richard D. Pomeroy Awardis coordinated by the CWEA Collection System Committee Awards Evaluation Team. The team is comprised of the Awards Subcommittee Chair, Committee Chair, and equal representation from the Northern and Southern regions.
  3. The team 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 John Hough, Collections Systems Committee Awards Chair at (916) 875-6417 or .

TO BE COMPLETED BY NOMINATOR

Note: Please Review Rating Criteria Form Before Submitting.

I.NOMINEE:

A.Name of Nominee:

B.WEF Member? Yes No

  1. Why should the nominee receive the Richard D. Pomeroy Collection System Award?
  1. Please list work history and significant contributions to CWEA Collection System Field and/or its Committees.