Get Ew 107 Certified Operator Requirement (04/11) Waiver Application ... - Wvdhhr

The EW 107 Certified Operator Requirement Waiver Application is an essential document for water system operators seeking a waiver. This guide provides step-by-step instructions to help users complete the application accurately and efficiently.

Follow the steps to successfully complete the waiver application.

1. Press the ‘Get Form’ button to access the application and open it in your chosen editing tool.
2. Fill in the Public Water System Identification Number (PWSID#) and the name of your Public Water System (PWS Name). Ensure that the information is accurate and reflects the official records.
3. Provide the PWS Phone number and the name of the Administrative Contact in the appropriate fields. Make sure to include their contact phone number.
4. Complete the address section including the street address, state, and zip code for the water system.
5. Indicate the primary water source by selecting one of the options: Ground Water (GW), Ground Water Under the Direct Influence (GWUDI), or Surface Water (SW).
6. Enter the size of the population served by your PWS and the classification level of your PWS.
7. List your OEHS District Office Affiliation in the specified field.
8. Answer whether the OEHS District Office engineers recommend approval of this waiver request by selecting 'Yes' or 'No.' Attach the recommendation comments if necessary.
9. Fill in the Chief Operator's name and signature, along with their certification level and number. Additionally, indicate whether the Chief Operator recommends approval of the waiver request.
10. Provide the name and title of the individual requesting the waiver and explain the reason for the request in the designated area.
11. Input the name of the Interim Operator, their certification level, current experience, certification number, and total hours of education.
12. Once all fields are completed, review the application for accuracy. You can then save any changes, download, print, or share the completed form as needed.

Complete your EW 107 waiver application online today to ensure timely processing.