Get Operator Of Record (orc) Notification Form

Filling out the Operator Of Record (ORC) Notification Form is a crucial step in maintaining compliance with the Ohio Environmental Protection Agency’s requirements. This guide provides clear instructions for users to complete the form online efficiently.

Follow the steps to accurately complete the ORC Notification Form.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the first section, 'System Information', fill in the name of the water system, phone number, PWS ID/NPDES permit number, and STU number. Ensure that the classification type is also completed.
3. Proceed to enter the name and title of the facility owner or permittee in the designated fields. Make sure to include their signature to validate the form.
4. In Section II, 'System Type', check only one option from the list provided: Public Water System, Distribution System, Treatment Works, or Collection System. If additional space is needed, include extra sheets.
5. Next, tackle the 'Operator Of Record Information' section. Specify if you are adding (A), new (N), or removing (R) an operator. Fill in the name of the operator of record along with their certification number and expiration date.
6. Ensure that the onsite certified operator responsible for the facility signs the form, indicating their acknowledgment of responsibility. Note that a signature is not required from an operator being removed.
7. Indicate the amount of time the Operator of Record spends onsite at the facility. If necessary, attach additional sheets for more detailed information.
8. Review all entered information for accuracy. After completing the form, you can choose to save changes, download, print, or share the completed document.

Ensure your compliance by filling out the Operator Of Record (ORC) Notification Form online today.