ML20006D698
| ML20006D698 | |
| Person / Time | |
|---|---|
| Site: | Vermont Yankee File:NorthStar Vermont Yankee icon.png |
| Issue date: | 01/05/1990 |
| From: | Gallo R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | Murphy W VERMONT YANKEE NUCLEAR POWER CORP. |
| References | |
| NUDOCS 9002140262 | |
| Download: ML20006D698 (8) | |
Text
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JAN 51990 Docket' No. MP271
> Vermont Yankee Nuclear Power Corporation ATTN: fMr. Warren P. Murphy Vice President and Manager of Operations =
._ RD 5, Box 169 Ferrs Road!
Brattleboro, Vermont 05301 Gentlemen:
SUBJECT:
' REVISED NRC FORMS 396 AND 398 a
-Enclosed is a copy of the revised NRC Form-398 (Enclosure 1), Personal Qualifications Statement - Licensee and revised NRC Form-396 (Enclosure 2),-
Certification of Medical Examination By Facility Licensee.
~All changes toLthe NRC Form-396 are detailed in Enclosure 3.
Changes to NRC Form-398 are' detailed in-Enclosure 4.
All applications for licenses are-to be submitted on these-revised forms no-later than' February 1, 1990.
The enclosed applications are'for your use. Additional copies can be obtained l
fby contacting Beverly Martin, U.S. Nuclear Regulatory Commission, by telephone
-i
-(301)'492-8138 or by writing to her, U.S. Nuclear Regulatory Commission,
. l Information and Records' Management Branch, Mail Stop NMBB 7714, Washington, D.C.-
~20555.
,If you;have any questions regarding these forms, please contact Richard J.
Conte at (215) 337-5120 or Peter W. Eselgroth at (215) 337-5211.
Sincerely, Originni Signed Pat l
Robert M. Gallo, Chief Operations Branch l
Division of Reactor Safety
Enclosures:
As stated 90021Ao26g Q$
27i FDR_ ADOC FDC 0FFICIAL RECORD COPY 396 & 398 FORMS - 0005.0.0 1
V 12/14/89 l
--._-_J
l' Vermont Yankee Nuclear Power 2
Corporation ec w/o enc 1:
J. Weigand, President and Chief Executive Officer J. Pelletier, Plant Manager J. DeVincentis, Vice President, Yankee Atomic Electric Company L. Tremblay, Licensing Engineer, Yankee Atomic Electric Company J. Gilroy, Director, Vermont Public Interest Research Group, Inc.
G. LeClair, Training Manager (w/ enclosures)
Vermont Yankee Hearing Service List Public Document Room (PDR)
Local Public Document Room (LPDR)
Nuclear Safety Information Center (NSIC)
NRC Resident Inspector State of New Hampshire, SLO Designee State of Vermont, SLO Designee Commonwealth of Massachusetts SLO Designee bec w/ enc 1:
Region I Docket Room (with concurrences)
M. Perkins, DRMA (w/o encl)
R. Blough, DRP J. Johnson, DRP G. Grant, SRI - Vermont Yankee H. Eichenholz, SRI - Vermont Yankee M. Fairtile, NRR OL Facility File DRS:RI Gallo/pb 01/02/90 V6{'
90 0FFICIAL RECORD COPY 396 & 398 FORMS - 0006.0.0 12/14/89 d
i INSTRUCTIONS POR ODMPLETING NRC PORM 200 PE A30NAL OUALIFICATION ST ATEMENT-LICENBEE TO CETAIN VALO,THD FORM MUST NOT BE ALTEZED 4
TYPE OF APPL.lCAT10N 2.4 NEW "X" IF YOU ARE A NEW APPLICANT COMPLETE EACH CATEGORY OF THE FORM COMPLETELY, FOLLOWING THE INSTRUCTIONS DELOW. THt8 IS TO INCLUDE ALL EDUCATION, TRAINING AND EXPERIENCE THAT YOU HAVE RECEIVED UP TO THE DATE OF THIS APPLICAT40N. NOTE: Sif ITEM 74 - THERE IS AN EXCEPTION. ALDO,THl6 BLOCK IS TO DE MARKED IF PREVIOUS NEW APPLICATION WAS WITHDRAWN, PLEASE WRITE " WITHDREW" NEXT 10 "N E W."
2A thru 2.o FOR 2b THRU 2.e, COMPLETE E ACH CATEGORY COMPLETELY, BUT INDICATE ONLY THE EDUCATION, TRAINING, AND EXPERIENCE YOU HAVE RECEIVED SINCE YOUR LAST APPLICATION NOTE: Sif ITEM 74 - THERE IS AN E XCEPTION.
2A RENEWAL
- X"lF YOU ARE RENEWING CURRENT LIC1NSE.
2.s UPGRADE
2.d MULTl UNIT "X" IF YOU CURRENTLY HOLD A LICENSE AT YOUR F ACILITY AND ARE APPLYlNG TO AMEND YOUR CUR.
RENT LICENSE TO ADD AN ADDITIONAL UNIT.
2.e REAPPLICATION "X"IF YOU HAVE PREVIOUSLY BEEN DENIED A LICENSE AND ARE REAPPLYlNG.
2.f WAIVER REOVESTED
X"THE. APPLICABLE WAlVER REQUESTED AND JUSTlFY IN COMMENTS SECTION (ITEM 17),
2.s DATE PASSED GENERIC FUNDAMENTALS EXAMINATION SECTION (GFES).
THIS IS NOT APPLICABLE TO RESEARCH REACTORS. ENTER THE MONTH AND YEAR THE GENERIC FUNDAMENTALS EXAMINA.
TION SECTION OF THE WRITTEN EXAMINATION WAS PASSED IF THE GFES WAS NOT TAKLN,YOU MUST HAVE PASEED AN NRC LICENSING EXAMINATION ON THE APPLICABLE REACTOR TYPE (PWR OR BWR) AFTER FEBRUARY 1,1982,WHICH LED TO THE ISSUANCE OF A LICENSE THIS DOES NOT INCLUDE INSTRUCTOR CERTIFICATION EXAMINATIONS OR REQUALIFICATION EXAMINATIONS.
11.
EDUCATION - INDICATE BOTH ACADEMIC AND VOCATIONAL / TECHNICAL POST HIGH SCHOOL EDUCATION. FOR MAJOR AREA (S) OF STUDY. INDICATE THE NUMBER OF YEAR $ SPENT IN EACH COLLEGE CURRICULUM AND THE HIGHEST DEGREE RECEIVED, USING THE DEGREE CODE PROvlDED. FOR VOCATIONAL / TECHNICAL EDUCATION. INCLUDE PROGRAMS SUCH AS NUCLEAR POWER SCHOOL, MILITARY TRAINING, AIR CONDITIONING / REFRIGERATION, DIESEL MECHANIC SCHOOL. ETC.
INDICATE THE NUMBER OF MONTHS IN EACH PROGRAM AND WHETHER A CERTIFICATE OR DEGREE WAS AWARDED. IF ADDI.
TION AL SPACE IS NEEDED, CONTINUE UNDER COMME NTS (ITEM 17).
12.
TRAINING - INDICATE THE TRAINING YOU HAVE RECElVED TO MEET THE REQUIREMENTS OF ANSI N18.1/ANS 3.1. THE BREAKDOWN OF TRAINING IN THIS CATEGORY PARALLELS THE ANS STANDARDS REFER TO THE STANDARDS IF YOU NEED FURTHER CLARIFICATION. INCLUDE BOTH BEGINNING AND COMPLETION DATES AND THE TOT AL NUMBER OF WEEKS SPENT IN EACH TYPE OF TRAINING. THE NUMBER OF WEEKS IS PROVIDED,IN ADDITION TO BEGINNING AND COMPLETION DATES, TO ACCOUNT FOR INTERMITTENT TRAINING (FOR EXAMPLE,4 WEEKS OF CLASSROOM TRAINING SPREAD OVER A 2. MONTH PERIOD). THEREFORE, THE DATE COLUMNS MAY INDICATE A LARGER TIME SPAN THAN THE ACTUAL NUMBER OF WEEKS SPENT IN FULL. TIME TRAINING, TIME IN TRAINING FOR THE LICENSE APPLIED FOR CANNOT BE DOusLE COUNTED UNDER EXPERIENCE (ITEM 13).
ALL REQUALIFICATION TRAINING TIML IS TO BE ACCOUNTED FOR IN THE REQUALIFICATION ITEM. PLEASE DO NOT " DOUBLE LIST" THE TIME SPENT IN REQUAllFICATION TRAINING UNDER ITEM 12.6, REQUALIFICATION, EVEN THOUGH IT MAY INCLUDE CLASSROOM OR SIMULATOR TIME, 13.
EXPERIENCE - A MINIMUM OF 6 MONTHS AT THE SITE FOR WHICH THE LICENSE IS SOUGHT IS REQUIRED FOR EACH PCSITION HELD, COMPLETE ITEM 16. DO NOT DOUBLE COUNT TIME. IF YOU HAD OVERLAPPING DUTIES,THE MONTHS SHOULD REFLECT THE PROPORTIONATE AMOUNT OF TIME YOU WERE ASSIGNED TO THOSE PARTICULAR DUTIES. IN NO CASE SHOULD THE NUMBER OF MONTHS REPORTED FOR A PARTICULAR TIME PERIOD EXCEED THE NUMBER OF MONTHS THAT ARE IN THAT TIME PERIOD.
14 FACILITY OPERATOR TRAINING PROGRAM - INDICATE s. ORADUATE OF INPO ACCREDITED OPERATOR TRAINING PROGRAM:
AND b. CERTIFIED (ON NRC 80"Y 'M M NRC APPROVED 0!MULATION FAC4.iTY 35 USED iN TnE OFEimTOn (RAINING PRO.
GRAM, IF "YES" is CHECKED IN BOTH ITEMS 144 AND 14b THEN ITEMS 11 (EDUCATION),12 (TRAINING),13 (EXPERIENCE),
AND 16 (EXPERIENCE DETAILS) DO NOT HAVE TO BE DOCUMENTED. NEW APPLICATIONS MUST STILL INCLUDE THE NUMBER
' OF SIGNIFICANT CONTROL MANIPULATIONS UNDER ITEM 12.3. NOTE: INPO ACCREDITED MEANS ACCREDITATION BY THE i
NATIONAL NUCLEAR ACCREDITING BOARD AND MEANS THAT AT LEAST THE MINIMUM REQUIREMENTS OF REGULATORY GUIDE 1.B. REV,2. ARE MET, 15.
FOR RENEWALS ONLY - (1) ENTER THE APPROXIMATE NUMBER OF HOURS $1NCE PREVIOUS RENEWAL OR ISSUANCE OF LICENSE IF FIRST RENEWAL. (2) ENTER DATE AND RESULT OF MOST RECENT NHC ADMINISTERED REQUALIFICATION EXAMI.
N ATION.
it.
EXPERIENCE DETAILS - INCLUDE POSITION TITLE, TIME PERIOD-FROM/TO, F ACILITY, AND A BRIEF DESCRIPTION OF DUTIES PERFORMED WHILE SERVING IN THAT POSITION. IF MORE SPACE IS NEEDED, USE COMMENTS (ITEM 17), OR IF NECESSARY, ATTACH ADDITIONAL INFORMATION.
17.
COMMENTS - USE THIS SPACE TO INCLUDE ANY EXTRA INFORMATION OR CLARIFICATION FOR OTHER ITEMS ON THE APPLt.
CATION FORM IF THE SPACE PROVIDED IS NOT SUFFICIENT, YOU MAY ATTACH EXTRA INFORMATION WITH YOUR APPLICA.
- TION, 18.
NRC FORM 396, CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE - MUST ACCOMPANY THIS APPLICATION.
13.
SIGNATURES - SIGN AND DATE ITEM 10a. OBTAIN YOUR TRAINING COORDINATOR'S SIGNATURE AND THAT OF YOUR SENIOR MANAGEMENT REPRESENTATIVE ON SITE.
DETACH THESE INSTRUCTIONS AND SU8MIT THE COMPLETED NRC FORMS 398 (ORIGINAL AND TWO COPIES EACH) TO THE APPRO.
PRIATE REGIONAL ADMINISTRATOR.
--.~
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'POWE R RE ACTO 8t5 THIS CL RitFil5 TH AT THE APPLICANT HAS $t t N FOUND TO utti THt 5Af tGUARDS~ AND FITNE SS FOR DUT Y REOuiR4 MENTS OF THi$ F ACILITY FOR LICENSED OPf R ATORS NON POWE R RE ACTORS.
THit CERTIFitt THAT THE APPLICANT HAS 8 TEN FOUND TO MEET THE $Af tGUARDS' REOutREMiNTS OF THIS F ACILITY FOR LICENSID OPER ATORS. AND 1 HAvt NO KNOWLEDGE OF THE APPLICANT t XCLEDIPiG THE CUTOF F LE vt LS FOR ALCOHOL Om mNTROLLED SUBSTANCES AS EST ABLISHED PURSUANT TO to CFR 26 evv e aus ata f autwt un uwessium in tais pucuwamt imuuoimu at tacawthis wav se susatt.: tv uvat ano onevena6 saNuiuhm. e uwi n v ma M et Nav i e eamJune twat twe emeomvation en vwas pocuwtwt awo attacHushtsis inut aNo compact PAINTf.D N AME AND EIGN ATURE (Senor 48anavement Aepresentarne on sere) TIT Lt DAlt in accordance with to CF R 66.6. Communications. tnet form shall be subemtted to lho NRC a tailoot 8Y MAIL ADDRLLSED TO.
Regenal Administrator Region i Regenet Admmistratet, Region il liegionai Administrator. Region all U S. Nuclear Requistory Commessen U.S. Nuclear Regulatory Commission U $ Nuclear Reemtory Commitoon 476 Allendaie Road 101 Marietta Street. Suite 3100 799 Rooseveit Roao Kmg of Piustia F A 19406 At6anta GA 30373 G.en ilivn. IL 60137 Regiew Administrator. Region IV Regionsi Admmistrator. Region V U $ Nuclear Requistorv Commissen U S Nuclear Requistory Commitien 611 Ryan Piara Drive Suite 1000 te50 Mare Lane. Suite 210 Arsmgton. TX 76011 Walnut Cieet, CA 94596 PRIV ACY ACI 5f Af tMt Nt Pursuant to 5 V 5.C 652alall3L enactal mio ta* by wenon 3 of the Privacy Aci of ROUTINE USES The entormanon may be discioned to an approprote Feuerc State. or 1914 (Public La* 93679). the followmg statement.s uraithed to individuait who locai agency in "'* everit the m'ormation iruticates e eeistion or potential violaten of law e
tuppsy information to the U S Nuclear Reguistory Conimissen on NRC Form 396 and m the event the iriformeten eno cates a veisten or potent.c esoisten of iew and m This mtormaien it mamtamed m a system of recs 3rds oetignatecs at NRC 16 and the course of an administrative of 6udicial proceedmg in Moiton. th4 m#ormaten may be descritwd at 615 enerai Register 33167 (September 18 1986).
transferred to en appropriate Feoerai. State, and 60cas agency to it4 estent relevant and AUTHORITY Sectent 107 and 16111 of the Atomic Energy Act 011954 as necessary for an NRC decroon anout you i
amended (4? U.$ C. 2137 and 2201Bi))
WHETHER DISCLOSURt is MANDATORY OR VOLUNTARY AND EFF ECT ON j
PRINCIPAL PURPOSilSI: informaten entered on this form is used to oeverme. INDIVIDUAL OF NOT PRovlDING INFORMATION Disclosure is voluntary. If the whether the physical conditen and general health pl the apphtent are luch that they ressuested information it not provided however the aDputaten tar a facdtty operator 3 will not cause coeretional errors ennangerme pubhc healta and sa'ety This informa D' tener ode'ato's 8. cense may be penied tion may be wied by the NRC staff to ottermee of the mdivioup meets the eersuite SYSTEM MANAGERIS) AND ADDntSS Ch,,f Orerator Licentmg Branch Omce o' ments of 10 CF R 66 to taae en enemmaten or to be issued an ooerator 1 hcense Nacieer Reactor Hewiaten. U S Nucwar Reguiaiory Commwon. Aashevion. DC 20655 we eniew we < mafb
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D Q GiURI 3 Sitt%RY OF QUH3ES M Hic PolM 396 Medical Examination Certification Added block " Restriction Change Frca Prwious Sunnittal" plus Remarts eaction.
Non-Medical Certificatica Chansed non-madir=1 certificatica statement to: 1%uer Besctore-This certifies that the applicant has been found to meet the safesuards' and fitma== for daty requirementa of this this facility for licensed operators.
Henpower-This certifies that the applicant has been found to meet the
==far=@' requirements of this facility for licensed operators and I have no knowledge of the applicant wingr the autoff levels for alochol or controlled substances as es+=h14=had pursuant to 10 CFR 26.
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/ g, DK1460RE 4 SLtetAirl CF C5 WEE 5 '!O 1801991398 Item 4.d Added clarifying statament to indimte this is to be checked only if application is to amend lioenee to add additional unit (s).
Itan 4.f Added "g(Categor..y)" to Operating.
g Item 4.s Added a new item " Data Passed Generic Fundamentala K=am 4mtion Section".
Item 12.3 Changed wording to " Certified Startup P.w.
Completed" for clarification.
Item 12.5 Chansed wording to "Ratra Person on Shift In Control Boom (13-week minimum)" for clarification.
Item 12.5a Added a new item " Time Cn Shift above 20E Power (6-week mininnam)".
Item 14.a Added the wortis "That Is Bened Upon A Systens Aw.vash to Traiaia=" for clarification.
Item 15 Added "Date and Beault of Host Recent 150 Administered Bequalificatica ibacination".
Itas 19.a Added the wording "I Aarther certify that I have notified.
my current entplorer of t (1) all previous employers: (2) anr instance where I have been tasted by a Health and launan Services (191B) Certified Drug Testing Id~.eww or a Licensee's testing facility for alcohol or a controlled substanos, and the test resulta munmadari the cutoff levels established pursuant to 10 CFR Part 26: (3) any instance where I have been arrested for the sale, use or posseseien of a ocatrolled substanna described in 10 CFR Part 26 and.
(4) any reasons for renoval or twoomation of uneocorted aooses at a nuclear facility".
Item 19.b and Item 19.c Hoved 19.b and 19.c toesther. Asqplicable box aust now be checked. Also added block for typed nome of Training Coordinator and Senior Management Repasser.tative On Site.
WOR lac USE Onder waiver ostesory added "taniinaia
.