Get Operator Of Record Notification Form

The Operator Of Record Notification Form is an essential document for ensuring compliance with Ohio's water system regulations. This guide will provide you with detailed instructions on how to accurately complete the form online, ensuring a smooth submission process.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the Operator Of Record Notification Form and open it in your online editor.
2. In the 'System Information' section, fill in the name of the water system, PWS ID/NPDES Permit number, phone number, STU number, and the classification of the system. Ensure all details are accurate.
3. Continue to 'Name of Facility Owner or Permittee'. Print the name clearly, followed by their title. Ensure that the facility owner or permittee provides their signature in the designated area.
4. In the 'System Type' section, check only one box that indicates the system type, whether it is a Public Water System, Distribution System, Treatment Works, or Collection System. If necessary, attach additional sheets to provide further details.
5. Proceed to the 'Operator Of Record Information' section. Indicate whether the operator is an additional (A), existing (E), new (N), or to be removed (R). Fill in the effective date of this information.
6. Enter the name of the operator of record, their certification number, and the expiration date associated with that certification. Ensure that this information is complete to avoid processing delays.
7. In the verification section, the onsite certified operator must affirm their responsibility for the technical operation of the facility. This involves entering their signature. Remember that if you are removing an operator, a signature is not required.
8. Specify the amount of time the Operator of Record spends on-site at the facility by indicating the hours and days per week.
9. Review all entered information for accuracy before finalizing.
10. Once completed, save your changes, download, print, or share the Operator Of Record Notification Form as needed.

Complete the Operator Of Record Notification Form online today to ensure your compliance and support your facility's operational needs.