"Combined Application for the Wastewater Operator Collection and Treatment Certificates - Grade I and Small Wastewater System" - Oregon

Combined Application for the Wastewater Operator Collection and Treatment Certificates - Grade I and Small Wastewater System is a legal document that was released by the Oregon Department of Environmental Quality - a government authority operating within Oregon.

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State of Oregon Department of Environmental Quality
Combined Application Instructions
For Wastewater Operator Certification:
• Small Wastewater System
• Combined Collection and Treatment Grade I
• Combined Collection and Treatment Grade I Provisional
Incomplete applications or incorrect fees will be returned for completion.
Fill in all sections. If the information requested is not applicable, write N/A.
Note: do not send these instructions with your application – keep for your records
A. Applicant Information
Enter applicant’s legal name and social security number (required unless already on file with DEQ).
B. Mailing Address and Contact Information
Complete all sections. Your email must be an actively monitored email address and confirm email spam
filters do not block emails from DEQ or from the exam contractor, PSI. Enter employer name and the
wastewater system name if it is different from the employer name. Answer Y/N to the next 3 questions.
C. Certificate Type/Grade
Select only one grade button. OIT can also be selected only if applying for Grade I certification. OIT is a
waiver to take the Grade I exam with less than 12 months of operator experience under the condition that
DEQ-approved training (see
https://www.oregon.gov/deq/wq/wqpermits/Pages/Wastewater-Operator-
Certification.aspx), is listed on page 6, Section M requirements. OIT will require a post-exam application
and fee at a later time to confirm that the experience and/or education requirement is now met.
Fee: Make checks payable to “Oregon DEQ” for the corresponding fee for that type.
For Page 2: Education and Training: Education documents must be legible and include the applicant’s
name, achievement type, and award or completion date. If required, post high-school documents (CEUs or
transcripts) must be attached or already credited and on file. Fill in the blocks for school data.
D. High School/GED Requirement
A valid high school diploma, transcript, or GED is the base education requirement for all certification
grades, and a legible completion document or copy must be included OR already on file with DEQ, even if
you also have college credits. If none are available, a school registrar letter may be substituted.
E. College/University, Community College, or Trade School
Awarded degrees and other accumulation of academic credits documented on transcripts and/or may be
accepted in the fields of engineering, chemistry, water/wastewater technology, physical, biological, or
applied sciences, mathematics, or operation management per OAR 340-049-0030(4). One or more years
of post-high school education equals the following: 1 year = minimum of 45 quarter hours or 30 semester
hours. List the semester/quarter credits and totals. Course credits outside these fields/majors may be
reviewed on a course-by-course basis through attaching transcript(s) to the application.
F. Continuing Education Units (CEUs)
Attach only if needed toward post-HS education. CEU awards must be legible documents that provide
the applicant’s typed name, number of wastewater CEUs, completion date, and instructor or sponsor. The
total CEU’s must be totaled in section F by the applicant. Additional sheets of page 2 may be attached in
order to list and provide a total of all CEUs. To receive credit, CEUs must be listed in this section and the
Oregon DEQ Instructions for Combined Application for Wastewater Operator Certification, June 2021
Page i of iv
State of Oregon Department of Environmental Quality
Combined Application Instructions
For Wastewater Operator Certification:
• Small Wastewater System
• Combined Collection and Treatment Grade I
• Combined Collection and Treatment Grade I Provisional
Incomplete applications or incorrect fees will be returned for completion.
Fill in all sections. If the information requested is not applicable, write N/A.
Note: do not send these instructions with your application – keep for your records
A. Applicant Information
Enter applicant’s legal name and social security number (required unless already on file with DEQ).
B. Mailing Address and Contact Information
Complete all sections. Your email must be an actively monitored email address and confirm email spam
filters do not block emails from DEQ or from the exam contractor, PSI. Enter employer name and the
wastewater system name if it is different from the employer name. Answer Y/N to the next 3 questions.
C. Certificate Type/Grade
Select only one grade button. OIT can also be selected only if applying for Grade I certification. OIT is a
waiver to take the Grade I exam with less than 12 months of operator experience under the condition that
DEQ-approved training (see
https://www.oregon.gov/deq/wq/wqpermits/Pages/Wastewater-Operator-
Certification.aspx), is listed on page 6, Section M requirements. OIT will require a post-exam application
and fee at a later time to confirm that the experience and/or education requirement is now met.
Fee: Make checks payable to “Oregon DEQ” for the corresponding fee for that type.
For Page 2: Education and Training: Education documents must be legible and include the applicant’s
name, achievement type, and award or completion date. If required, post high-school documents (CEUs or
transcripts) must be attached or already credited and on file. Fill in the blocks for school data.
D. High School/GED Requirement
A valid high school diploma, transcript, or GED is the base education requirement for all certification
grades, and a legible completion document or copy must be included OR already on file with DEQ, even if
you also have college credits. If none are available, a school registrar letter may be substituted.
E. College/University, Community College, or Trade School
Awarded degrees and other accumulation of academic credits documented on transcripts and/or may be
accepted in the fields of engineering, chemistry, water/wastewater technology, physical, biological, or
applied sciences, mathematics, or operation management per OAR 340-049-0030(4). One or more years
of post-high school education equals the following: 1 year = minimum of 45 quarter hours or 30 semester
hours. List the semester/quarter credits and totals. Course credits outside these fields/majors may be
reviewed on a course-by-course basis through attaching transcript(s) to the application.
F. Continuing Education Units (CEUs)
Attach only if needed toward post-HS education. CEU awards must be legible documents that provide
the applicant’s typed name, number of wastewater CEUs, completion date, and instructor or sponsor. The
total CEU’s must be totaled in section F by the applicant. Additional sheets of page 2 may be attached in
order to list and provide a total of all CEUs. To receive credit, CEUs must be listed in this section and the
Oregon DEQ Instructions for Combined Application for Wastewater Operator Certification, June 2021
Page i of iv
CEU certificates must be attached to the application, unless previously credited to you by DEQ. CEU
credits and academic course hours (by transcripts) can be combined toward post-high school education.
List and attach courses in chronological order.
G. Wastewater Operator Work Experience History
All sections are required; include detailed and accurate information. Use the checkboxes to summarize
your duties. The percentage blocks per each listed job must total 100%. Provide a description statement
of your wastewater operator direct and related experience. “Direct” operator experience = percent of the
work history segment related to the certificate type. “Related” operator experience can include wastewater
collections (for Treatment certificate), wastewater treatment (for Collection certificate), drinking water
distribution and/or treatment, or lab work (for either). Describe any Industrial, Pre-treatment, septic system
maintenance, water testing laboratory, or storm water management experience for consideration by DEQ.
Domestic wastewater treatment system experience is direct experience for a treatment certificate;
domestic wastewater collections/conveyance system experience is direct experience for a collections
certificate. See the Qualifications Table, Instructions page iii. Direct and Related experience is summed for
the total experience required. System Type, Classification (SWWS – IV), Permit # etc. are REQUIRED (see
the facility Permit, or the
PDF at the
Find Designated System Supervisory Wastewater Operators by Facility
bottom of our webpage for wastewater system details. The Designated System Supervisor is the System
Supervisor on record with DEQ. Operator In Training (OIT) Applicants: list relevant operator work
history information. If less than the required experience for Grade I certification is documented, your
application will be processed as an OIT provided that you list your DEQ approved training on Page 6 and
attach the training requirement. Do not co-mingle Cooperative Work Experience time earned for college
credit in the AAS curriculums with regular employment experience. Co-op Work Experience cannot be
double-counted toward both the degree program and the required work experience.
H. Reference
List one reference with first-hand knowledge of your operator work history and/or duties.
I. Affidavit of Most Recent Operator Work Experience
The supervisor or manager is to complete this block about the applicant’s employment and the System.
Complete each block accurately; permit and file numbers are required. OIT applicants can leave this
section blank if they have no operator experience yet. If additional experience documentation is needed,
DEQ may require additional Affidavits from previous work history to confirm your qualifications.
J. Supervisor’s Information, initials, and Statement of Applicant’s Routine Tasks and Duties
and Certification of Affidavit is REQUIRED
The applicant’s supervisor, manager, public works director, city administrator, commissioner, mayor, or the
equivalent submits their own statement describing the applicant’s principal operator tasks and duties. This
person who certifies the Affidavit by initialing, signing, dating in Section J shall have sufficient knowledge to
submit the statement of the applicant’s routine duties and tasks in Section J. The official position or job
description from the employment or records office may be attached in addition—but not as a substitution—
for this statement from the supervisor in Section J. OIT applicants with no operator experience can leave
this section blank also. Manager / signer to complete all other blocks in Section J.
K. Applicant Signature/Date (required from all applicants)
L. Name of Operator-In-Training (OIT) and Provisional applicant
Fill in the name of the OIT or provisional applicant.
M. DEQ-Approved Training Program (OIT and Provisional applicants)
The applicant must provide documentation of enrollment in, or completion of a DEQ- approved training
program. (See the DEQ wastewater operator webpage). Qualifying courses are the California State
Sacramento Volume I training course for each certificate type (collection and/or treatment), the WEF
Wastewater Treatment Fundamentals I (for treatment) and the AAS programs at CCC or LBCC (for
treatment and/or collection). List the qualifying courses/program in Table M, and attach the enrollment
Page ii of iv
Oregon DEQ Instructions for Combined Application for Wastewater Operator Certification, June 2021
receipts, the CEU certificates, college transcripts, or other documentation that verifies this training
requirement.
N. Training Supervisor Information (Provisional applicants only)
The certified training supervisor or system owner is to complete this block. System owner is to sign / date
at the bottom of page 6.
**********How To Use Qualifications Table Below**********
Paths A-E: Applicants may qualify for certification through different paths of experience and education.
Education (Ed):
• HS = valid high school diploma, transcript, GED certificate, or equivalent, documentation is required.
• Qualifying PHS Ed= Post-High School education in years: One year of post-high school education equals 45
qualifying Continuing Education Units (CEUs) or equivalent, or 45 quarter or 30 semester hours of qualifying college
or university credit. (HS + 1 = High School + 1 year of PHS Ed). Qualifying college degrees or credits must be in the
applied sciences fields (see Instructions for section E). Qualifying CEUs must be approved/ relevant to operator
job tasks and required knowledge, and may be combined with qualifying college credits.
• Credits for on-the-job training may be used to meet education or experience, but not both.
Experience (Exp in years):
• Year(s) of experience in the routine performance of operator duties, tasks, and responsibilities at a domestic
wastewater collection or treatment system (may include operator intern or trainee if not also CWE). DEQ may give
partial credit for experience in a related field, as allowed by rule.
• Grade I: an approved Associate of Applied Science degree in water quality / wastewater technology may substitute
for 6 months experience; confirm in advance.
• Grades III and IV: a minimum amount of System Class operator experience is required.
• Provisional application requires all 3: current employment at a wastewater system, enrolled in DEQ-approved
training, being trained and supervised by a properly certified operator (See Instructions for more details).
System Class of the classified domestic wastewater system:
The system classification of where you earned your experience. Page 1 of the permit contains this classification, or if no
permit, the collection-only wastewater system is classified by population or number of connections. At least half of the
total experience must be no more than one grade lower than the certificate grade desired.
Treatment System Operator Qualifications
Certificate
Path A
Path B
Path C
Path D
Level
HS or
Exp
Treatment
Qualifying
Exp
Treatment
Qualifying
Exp
Treatment
Qualifying
Exp
Treatment
Qualifying
(y)
System
PHS
(y)
System
PHS
(y)
System
PHS
(y)
System
PHS Ed
Class
Ed
Class
Ed
Class
Ed
Class
SWWS
HS
1
SWWS
Grade I
HS
1
I-IV
Provisional
SWWS-
HS
any
I
IV
Grade II
HS
3
I-IV
1
2
I-IV
4y ≥ II
2.5y ≥ II
2y ≥ II
1.5y ≥ II
Grade III
HS
8
1
5
2
4
3
3
5y ≥ III
3y ≥ III
2.5y ≥ III
2y ≥ III
Grade IV
HS+1
10
2
6
3
5
4
4
Oregon DEQ Instructions for Combined Application for Wastewater Operator Certification, June 2021
Page iii of iv
Collection System Operator Qualifications
Path A
Path B
Path C
Path D
Path E
Certificate
Qualify.
Collect.
Qualify.
Collect.
Qualify.
Collect.
Qualify.
Collect.
Exp
System
Exp.
Exp.
Exp.
Exp.
Level
Ed
PHS
System
PHS
System
PHS
System
PHS
System
(y)
Class
(y)
(y)
(y)
(y)
Ed
Class
Ed
Class
Ed
Class
Ed
Class
SWWS
HS
1
SWWS
Grade I
HS
1
I-IV
SW
Provisional I
HS
any
WS-IV
Grade II
HS
3
I-IV
1
2
I-IV
1.5y ≥
4y ≥ II
2.5y ≥ II
2y ≥ II
Grade III
HS
8
1
5
2
4
3
3
II
2.5y ≥
10 5y ≥ III
4y ≥ III
3y ≥ III
2y ≥ III
Grade IV
HS
1
8
2
6
3
5
4
4
III
Application Checklist
A complete application includes:
All sections and blocks legible and complete
Correct fee, make checks payable to Oregon DEQ
High school diploma / transcript or GED certificate attached unless already on file
Post-HS education documents if needed for this certification level and Path (page 2)
Detailed work experience (include duties, System information, state permit # and file
#, supervisor name / contact, etc.), page 3-4
Complete Affidavit, page 5, verifying your qualifying work experience:
Duties statement, initials, signature, and date signed, from manager / supervisor
Signature / date from applicant on page 5, at bottom
Complete page 6 for Operator in Training or Provisional Applicants (include DEQ-
Approved training documents)
Proof-read your application for errors or omissions prior to mailing
KEEP a COPY of this application for your records. Copy requests from DEQ will
incur a copying fee
Incomplete forms will be returned for completion.
Application fees are non-refundable.
Questions? Contact the Certification Program at
opcert@deq.state.or.us
or call
503-229-5349, 503-229-5161, or 800-452-4011
Oregon DEQ Instructions for Combined Application for Wastewater Operator Certification, June 2021
Page iv of iv
DEQ USE ONLY
Send Application and Fee to:
Oregon Department of Environmental Quality
Combined Application for the Wastewater
L2k Receipt #: _____________
DEQ Business Office
Operator Collection and Treatment Certificates
Application #: _____________
700 NE Multnomah Ave, Ste 600
Amount Received: _________
Portland, OR 97232-4100
Date Received: ___________
Check #: _________________
NOTE TO APPLICANT: Unless otherwise stated, all information is required for the application to be processed
A. APPLICANT INFORMATION
:
Last Name
First:
Middle:
Social Security Number*
(required):
*Note: SSN required per ORS 25.785 and 305.385 unless already on record with DEQ.
B. MAILING ADDRESS AND CONTACT INFORMATION
Address:
City:
State:
Zip Code:
Work Phone:
Home Phone:
Is this a change of mailing address?
Yes
No
Email (required):
Employer Name:
Wastewater System Name (if different):
Are you now, or have you ever been, certified in Oregon for wastewater system operation?
Yes
No
Have you ever had a wastewater system operator certificate or license revoked or suspended?
Yes
No
Do you require disability accommodation in testing? (If “yes”, submit an accommodation form)
Yes
No
C. CERTIFICATE APPLICATION TYPE, GRADE AND FEE (Select only 1 row of the 3 options)
FEES
1)
Small Wastewater System (SWWS)
$240
Grade I Provisional Combination Applicant:
2)
Collection and Treatment
**** Also submit page 6 ****
$400
Grade I Combination Applicant:
Check here if Operator-In-Training (OIT).
3)
$400
Collection and Treatment
Page 6 must be completed for OITapplications.
$0
Request for receipt of payment (optional)
Notes for applicants:
See Instructions for each lettered section on pages i-iv.
Checks are to be made payable to “Oregon DEQ”.
Please allow at least thirty days for DEQ to process your application.
You will receive an email notification of your eligibility to schedule an exam date online.
Oregon DEQ Combined Application, Collection and Treatment, Grade I, Provisional, Small Wastewater System Certificates, June 2021
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