Form CI-IV "Class IV (Soil Evaluator) License Examination Eligibility Assessment Request" - Rhode Island

What Is Form CI-IV?

This is a legal form that was released by the Rhode Island Department of Environmental Management - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 2, 2019;
  • The latest edition provided by the Rhode Island Department of Environmental Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CI-IV by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Environmental Management.

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Download Form CI-IV "Class IV (Soil Evaluator) License Examination Eligibility Assessment Request" - Rhode Island

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R
I
D
E
M
HODE
SLAND
EPARTMENT OF
NVIRONMENTAL
ANAGEMENT
Onsite Wastewater Treatment Systems Program
Office of Water Resources
235 Promenade Street, Providence, RI 02908-5767
Tel. (401) 222-3961; Email: DEM.OWTS@dem.ri.gov; Web:
www.dem.ri.gov/septic
www.dem.ri.gov/septic
Class IV (Soil Evaluator) License Examination Eligibility Assessment Request
Eligibility for the RIDEM Class IV (Soil Evaluator) Licensing Exam may be fulfilled by professional registration as a Soil Scientist (SSSSNE or ARCPAC) or a
combination of work experience, and education. Applicants who are not registered Professional Soil Scientists must demonstrate successful completion of
three college courses (9 Credits, or semester hours) in soil science as stipulated on the List of Approved Soil Courses. RIDEM reserves the right to determine
which courses are acceptable in meeting the requirement for nine (9) semester hours in soil science in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules and
may determine that training other than courses from an accredited college or university are an equivalent and acceptable alternative to all or part of the
requirement in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules.
You must fulfill one of the three options below.
Option
Rule
Professional Experiential Component
Check box if “Yes”
number
Registration as a professional soil scientist by
If yes, you must provide your
registration number on your
1. The Society of Soil Scientists of Southern New England
1.
6.11(4)(a)(1)
Application Form and attach copy
or
of certificate when you submit the
2. The American Registry of Certified Professionals in Agronomy, Crops and Soils
application to RIDEM.
1. Four (4) years professional experience in soil studies for OWTS design in Rhode Island or in
soil classification, mapping, interpretation or a combination thereof;
and
2.
6.11(4)(a)(2)
2. Successful completion of nine (9) semester hours in soil science from an accredited college or
university (list courses in table below).
or
1. Two (2) years professional experience in soil studies for OWTS design in Rhode Island or in
soil classification, mapping, interpretation or a combination thereof;
and
6.11(4)(a)(3)
2. A bachelor's degree or graduate degree from an accredited college or university in soil
3.
science, geology, engineering or similar discipline
and
3.
Successful completion of nine (9) semester hours in soil science from an accredited college or
university (list courses in table below).
Soil Science Coursework - 9 credits (semester hours). OWTS rule 6.11(4)(a)(2) and (3).
List below, the courses either listed on, or which you believe conform to the requirements in the Approved Soil Course Listing.
RIDEM reserves the right to determine which courses are acceptable in meeting the requirement for nine (9) semester hours in soil science according to OWTS rules
6.11(B)(4)(a)((2)) and ((3)) and may determine that training other than courses from an accredited college or university are an equivalent and acceptable alternative to all or
part of the requirement in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules.
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
DATE OF
DEGREE
College/University - Submit copy of diploma, or transcript indicating degreee conferred with application form.
GRADUATION
CONFERRED
Cl-IV (Soil Evaluator) License Exam Eligibility Assessment Request (10/2/19)
R
I
D
E
M
HODE
SLAND
EPARTMENT OF
NVIRONMENTAL
ANAGEMENT
Onsite Wastewater Treatment Systems Program
Office of Water Resources
235 Promenade Street, Providence, RI 02908-5767
Tel. (401) 222-3961; Email: DEM.OWTS@dem.ri.gov; Web:
www.dem.ri.gov/septic
www.dem.ri.gov/septic
Class IV (Soil Evaluator) License Examination Eligibility Assessment Request
Eligibility for the RIDEM Class IV (Soil Evaluator) Licensing Exam may be fulfilled by professional registration as a Soil Scientist (SSSSNE or ARCPAC) or a
combination of work experience, and education. Applicants who are not registered Professional Soil Scientists must demonstrate successful completion of
three college courses (9 Credits, or semester hours) in soil science as stipulated on the List of Approved Soil Courses. RIDEM reserves the right to determine
which courses are acceptable in meeting the requirement for nine (9) semester hours in soil science in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules and
may determine that training other than courses from an accredited college or university are an equivalent and acceptable alternative to all or part of the
requirement in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules.
You must fulfill one of the three options below.
Option
Rule
Professional Experiential Component
Check box if “Yes”
number
Registration as a professional soil scientist by
If yes, you must provide your
registration number on your
1. The Society of Soil Scientists of Southern New England
1.
6.11(4)(a)(1)
Application Form and attach copy
or
of certificate when you submit the
2. The American Registry of Certified Professionals in Agronomy, Crops and Soils
application to RIDEM.
1. Four (4) years professional experience in soil studies for OWTS design in Rhode Island or in
soil classification, mapping, interpretation or a combination thereof;
and
2.
6.11(4)(a)(2)
2. Successful completion of nine (9) semester hours in soil science from an accredited college or
university (list courses in table below).
or
1. Two (2) years professional experience in soil studies for OWTS design in Rhode Island or in
soil classification, mapping, interpretation or a combination thereof;
and
6.11(4)(a)(3)
2. A bachelor's degree or graduate degree from an accredited college or university in soil
3.
science, geology, engineering or similar discipline
and
3.
Successful completion of nine (9) semester hours in soil science from an accredited college or
university (list courses in table below).
Soil Science Coursework - 9 credits (semester hours). OWTS rule 6.11(4)(a)(2) and (3).
List below, the courses either listed on, or which you believe conform to the requirements in the Approved Soil Course Listing.
RIDEM reserves the right to determine which courses are acceptable in meeting the requirement for nine (9) semester hours in soil science according to OWTS rules
6.11(B)(4)(a)((2)) and ((3)) and may determine that training other than courses from an accredited college or university are an equivalent and acceptable alternative to all or
part of the requirement in §§ 6.11(B)(4)(a)((2)) and ((3)) of the OWTS rules.
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
Course Code: _________________ Title: ________________________________________________________________________________________________________
Institution: _________________________________________________________________________________________________________________________________
Credits/Sem. hrs.: ________ Date Completed: ______/______/______ Grade:_______
DATE OF
DEGREE
College/University - Submit copy of diploma, or transcript indicating degreee conferred with application form.
GRADUATION
CONFERRED
Cl-IV (Soil Evaluator) License Exam Eligibility Assessment Request (10/2/19)