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HomeMy WebLinkAbout253493 01/15/16 �Coq a`�'� 4f. CITY OF CARMEL, INDIANA VENDOR: 356491 ONE CIVIC SQUARE TARA WASHINGTON CHECK AMOUNT: $********60.00* i� .�� CARMEL, INDIANA 46032 4475 SILVER SPRINGS DR CHECK NUMBER: 253493 ,;i To*�` GREENWOOD IN 46142 CHECK DATE: 01/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 60.00 OTHER EXPENSES VOUCHER # 156975 WARRANT # ALLOWED i 356491 IN SUM OF $ WASHINGTON, TARA SOUTH PLANT i Carmel Wastewater Utility y ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code I WASHINGTO 01-7042-05 $30.00 NAsiCATonj, T ®I--7091-O S 30.00 1 I I Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund ` idiana Department of Environmental ManagementADEM ,10 N.Senate Avenue Mail Code 65-42 . Indianapolis, IN 4624.2251. Es"r 1986 July 17, 2015 �.v Tara M.Washington' 4475 Silver Springs Dr Greenwood IN 46142 Re: Admission Slip to Municipal Class IV . Wastewater Certification,Exam " Dear Tara.M.,Washington: Y app I. ation fir#lie munici al Glass{V wastewat t eats en lar operator examinatlon.has been approxe. .This is your .. - admission-slip to the wastewater certification exam.-This letter is valid for 180 days. A proctor will sign your letter after you M have taken the exam. o - lf:your name,address or certification class.is:not-correct as indicated on this letter,you should contact me as soon as possible. Please go to http lIMm Kivyteeh:edu/coiporatecollege/workforce-cert-center/ to schedule an exam date/time.at an Ivy:Tech testing center. Ther.I!is a$30 fee to IvyjT� ech when'"'registerinc 24 hour notice is:required to reschedule,or cancel an appointment. late cancellations.be no-shows will be assessed another$30 fee:::Application fees are not refundable. You must bring this:letter with you to the exam.No faxes or copies are allowed.A:valid,:non-expired government issued picture I.D.is also required. Pencils;calculators,formula sheets,conversion sheets and scrap paper will"all be-provided. You"will-be asked to store all personal belongings in.a locker or return items:to your car. Use of cell phones or other electronic devices during the exam, .::even,dy-ri.ng a break,'is not permitted. If you,are Date,you may not be allowed to take the,exam_so allow adequate time;to:arrive at the testiocation.You may leave the room for a short break,no longer than ten minutes,b leaving our testing materials and icture I.D.with the roctor.If you Y g Y g p� p do not return to the room within the allotted time,you will not be allowed to resume taking the"exam. If you have any questions, please-contact me at(317)232-8791. Sincerely, Rebecca McMonigle, Compliance Evaluation Section Office.of Water Quality completedTo be . Proctor Name: ;, - Test:Location: �_ T~ c,G� Lawre arc Exam Score; r1 01 7 .,,�. Indiana Department of Environmental Management X90 N.Senate Avenue Mail Code 65-42 Indianapolis,IN 46204-2251 EST �ela3e:. .. December 29, 2015 ti - Tara M.Washington 4475.Silver Springs Dr Greenwood IN 46142 Re: Certification Number: WW020533 Class: IV Score: 87 Dear Certified Wastewater Treatment Plant Operator: C-onsanatulations on receiving a_passingascoreI wour recent ope[ato ertfficatio�.examination Your original certificate and certification card will be sent.under separate cover. . PLEASE NOTE THE:FOLLOWING WASTEWATER OPERATOR CERTIFICATION REQUIREMENTS: 1. :Certificates are permanent innature,but must be validated by a current.certification card. The.certification card being. issued to you.is.valid until June 30,.2017;and must be renewed at that time. A billing notice will be sent to your last known mailing address at least 30 days prior to the due date. If you change your mailing address,or do not receive your billing, please notify this office. 2. Operators needing a replacement or duplicate certificate(s)must submit a written request including the following information: (1)class of wastewater operator, (2)name and classification of the plant to be operated, (3)date of issuance of the original certificate (if known),and (4)the certificate number. 3_ Priorto:renewing your certification in June 2017,you are required to.obtain at least the following continuing education contact hours from IDEM-approved training courses based on the classification of your certification- Classes I-SP ertification:Classes:)-SP and A-SO 5 contact hours for each two-year renewal.period Classes I,Il,A and B 10 contact hours for each two-year renewal period Classes III, IV,C and D 20 contact hours for each two-year renewal period A minimum of seventy percent(70%)of the required continuing education contact hours must be obtained from the technical category of approved continuing education courses.that address technical.matters related directly to.wastewater treatment plant and sewer system operations, maintenance,management;or supervision. Not more that 30%of the required continuing education contact hours may be obtained from non=technical subject matter. of approved continuing education courses that enhance the performance of the certified operator's responsibilities but are not directly related.to wastewater treatment plant and sewer system operations,maintenance,management,or supervision: If a course is not approved by IDEM within 90 days of its completion,,the course cannot be used,in:fulfilling the continuing r`education,-requirement. The continuing education requirements must be satisfied in.full in order to renew your certification in June 2017.:If you fail to renew on time and were the operator in responsible charge of a facility, both you and the facility would be in violation of State law. If you have any questions, please contact Rebecca McMonigle at 317-232-8791. Again,congratulations on your new certification. Sincerely, Mark W.Stanifer, Chief Compliance Branch Office of Water Quality mwrr-z MENhttps/l_ jYedl etlss elappomtmentslselect�a r ent_type!'`' p ems, % Certd cyt on&,Vto�kfnrceAss. Ce t fication&Assessment,.X {nh1 LS t s suggested Sites 0 N.Korea says it caridu_ e i ' - - -• I e -If - - e Indianapolis Lawrence f Municipal Wastewater Operator,Class IV 1 First:TARA Last WASHINGTON Candidate ID:738937 `AFprnr{ittexis {' The Mutticipal1ifestewater Uperator,Glass fUexam equizesa,payment of$30.OfS f11 M List How will you be paying for the exam? MYACCOUNT Q Pay now via credit card online. :Profile Already paid as part of an Ivy Tech course I am currently taking.------- ...... fi: Already paid through my employer or other third-party. J— — Already paid via Cash(CreditiCheck at campus BusinesslBursar Office.(Note:Appointment will not be approved until payment has been verified.) If you plan to pay at your campus Business/Bursar Office,but have not yet done so,please return to this scheduling system after payment has been made. i i Ivy Tech Community College of Indiana 2016 Account WFTM113 Page I of I BILLS 70 Pending Transactions Date Description Type Credit Debit Balance 01/05/16 Debit Pre-Auth THIELE HEATING& Hold $155.40 C el aged Transactions- I-Transactions 1 to 2(2 Total) Date Description Type Credit Debit Balance 9121011 1750IVY M=813117 921-4773 IN Date Credit $2,646.33 6F04431'060000069819698190 8220 Cardl i-1 21-01/15—-ETSY-CO—M- 888-961-4798 NY Date 12/01/15 Credit $51.75 $2,676.331 04224430000067962679620 5699 Debit Card 1-'Transactions 1 to 2(2 Total) i CURewards Points CURewards Delivers a Word of Value!CURewards Website https://me.bcu.org/AcctDetaiIsChecking.aspx?print--true&dddownloadtype=O&rptrcards$ctl... 1/6/2016 Check Image Page 1 of 1 CHRISTOPHER L WASHINGTON ® 1021 4475 SILVER SPRINGS DR. GREENWOOD,IN 46142 � { 7ae240/2719 h tom. 1� www.B A GUUh OA r, E MEMBERMBER 0W1MNE0 BLOOMINGTON.IN 474Q3 1: 2199 24001: 1700000334 134511' LO 2 1 I I • I I 024 HUNTINGTON BANK ENDORSEMENT GUARANTEED >044115126< BCU-InClearings 07/17/2015 990000772 00990020003 .-- - CLOSE WINDOW t PRINR CHECK - ---- - - https:Hme.beu.orgNiewChecklmage.aspx?AccountlD=70&ShareType=75&cn=1021&cd=7... 1/6/2016 FOR OFFICE USE APPLICATION FOR WASTEWATER TREATMENT PLANT OPERATOR Classification CERTIFICATION EXAMINATION State Form 47289(R7/2-15) Status Approved by State Board of Accounts,2014 as INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Pursuant to 327 IAC 5-22 Remarks NOTE- A$30.00 FEE MUSTa.BE.S7VIMITaTED FOR EACH CERTIFICATION EXAMINATION"AM0C' + I: FAILURE TO FILE A PROPERLY COMPLETED APPLICAifON MAY RESULT IN THE APPLICATION BEING DISAPPROVED. APPLICATIONS ARE DUE NO LATER THAN 45 DAYS PRIOR TO THE DATE OF THE EXAMINATION IF YOU INTEND TO TAKE THE EXAM AT IDEM.THERE IS NO DUE DATE IF YOU PLAN TO TAKE THE EXAM AT IVY TECH.(APPLICATION FEE IS NONREFUNDABLE.) 1.This is an application for:(check one) ❑wastewater Apprentice ❑ Certified Operator 2.Classification requested:(check one) Industrial: []A-SO ❑A ❑B ❑C ❑D Municipal: ❑ I-SP ❑I ❑II ❑III ❑IV 3.If you are applying for Certified Operator,would you accept a lower operator classification if you do not currently meet the education and experience requirements for your first choice? ❑YES [-]NO 4.Where would you like to take the exam? ❑ At IDEM in Indianapolis when it is next offered(annually in October).This is a paper exam only. ❑ Atone of the-participating-IVY-Tech locations(any standard business day). -------- Note: Ivy Tech charges an additional$30 fee for administering the test.This is a computerized exam only. ,GENERLINFORMAT16W RALLAl PPLICANTS: leaser e.or_ 'ri'ntae !'bl ,' n; „ ; 77 Name of applicant(last,first middle) Fj Mr. Miss Mrs. FlMs. MDr. B.Mailing address(number and street): City: State: ZIP code: County: Office telephone number: Home telephone number: Fax number: E-mail address: C.Date of birth:(month/day/year) D.Have you ever applied for wastewater certification in Indiana before? ❑ Yes ❑ No E.Are you presently a certified operator in Indiana? Certification number: Date of expiration:(month/day/year) [—]Yes ❑No II.EDUCATION ANDTRAIMNG-Mist be com leted.,for certification a' "'licarifs ,o tlonal'foraerticea' licants' List below all high schools and post high schools attended. Name/Location of School From(month/year) To(month/year) Diploma(GED)or Type of Degree and Date of Graduation High School Graduate? ❑Yes ❑ No College Graduate? ❑Yes ❑ No Other: If you are applying for Class IV/Class D certification,original transcripts must be enclosed. For the consideration of using college education to substitute for work experience,original college transcripts must be enclosed. If you would like to have your original transcripts retumed,please check the box and enclose a self-addressed,stamped envelope.❑ Specialized Training or Classes Relevant to Certification Title of Specialized Training or Class Company/School Attended Dates Attended Credits or Contact Hours (month/day/year) earned: Copies of credit report forms or proof of attendance must be enclosed. "Contact Hour"means a fifty(50)to sixty(60)minute instructional session,approved by the Commissioner and involving a qualified instructor or lecturer. Ten 10 contact hours equals one 1 continuing education unit CEU . Page 1 of 4