BVY-93-144, Forwards Applications & Medical Certificates Required for Renewal of SRO Licenses for Lj Cantrell & Le Doane,Per 10CFR55.57.Medical Certificates Withheld

Forwards Applications & Medical Certificates Required for Renewal of SRO Licenses for Lj Cantrell & Le Doane,Per 10CFR55.57.Medical Certificates Withheld

ML20062M228
Person / Time
Site:	Vermont Yankee
Issue date:	12/23/1993
From:	Wanczyk R VERMONT YANKEE NUCLEAR POWER CORP.
To:	NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
Shared Package
ML19311B309	List: BVY-93-144, Forwards Applications & Medical Certificates Required for Renewal of SRO Licenses for Lj Cantrell & Le Doane,Per 10CFR55.57.Medical Certificates Withheld
References
BVY-93-144, TDL-93-38, NUDOCS 9401060336
Download: ML20062M228 (6)

Text

, V snMDNT, YANKEE NUCLEAR POWER CORPORATION y Ferry Road, Brattleboro, VT 05301-7002 s Y December 23,1993 BVY 93-144-(802) 257-5271 TDL 93-38 United States Nuclear Regulatory Commission Document Control Desk Washington, DC 20555

References:

(a) License No. DPR-28 (Docket No. 50-271)

Subject:

Submittal of license renewals i

Dear Sir:

l l

l In accordance with the provisions of section 55.57 of Title 10, Code of Federal Regulations, Chapter 1, Part 55, the enclosed application's and medical certificate's required for the renewal of the senior reactor operator license's for Lonnie J. Cantrell, SOP-4157-3 and I.awrence E. Doane, SOP-4158-3 are herewith enclosed for your consideration.

l Mr. Cantrell and Doane were licensed effective 02/02/88 to supervise the manipulation of all controls at the Vermont Yankee Nuclear Power Station.

During the effective term of their current licenses, Mr. Cantrell and Doane have satisfactorily completed Vermont Yankee's requalification program and have 6scharged their license responsibilities in a competent and safe manner.

If you have any questions, please contact Mr. Edward L. Harms, Operations Training Supervisor, in our Brattleboro office at (802) 257-5271, ext. 334.

Very truly yours, VERMONT YANKEE NUCLEAR POWER CORPORATION l 080u.:- .i < tw h f N x R rt J. Wanczyk M ant Manager Attachment I Attachment II - Withhold from Public Disclosure l

I c: USNRC Region I Administrator USNRC Resident Inspector - VYNPS (Without Attachment II)

USNRC Project Manager - VYNPS (Without Attachment II)

USNRC Virgil Curley - Region I N g5%0 WITHHOLD ATTACHMENT II FROM PUBLIC DISCLOSURE PN L.f 9401060336 931223 0  %

ADOCK O 21 lk g h9 hDR

l ATTACIIMENT I LICENSE APPLICATIONS (398) l 1

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• 2 NRC FORM 398 U S. NUCLE AR RE GULATORY COMMISSON APPROVED By OMB: NO,3150-0090 L $542) DATE RECEfVED EXPIRES.12 31-94 (To be compdered by NAC) 10 CFR 55.31,55.35.

• 55 47, and 55.57 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THis l INFORMATION COLLECTION REQUEST: 2 0 hAS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION PERSONAL QUALIFICATION STATEMENT-LICENSEE AND RECORDS MANAGEMENT BRANCH (MNBB Um US NUCLEAR REGULATORY COMMISSON. WASHINGTON. DC 2055$-0001. AND TO l THE PAPERWORK REDUCTION PROJECT (3150-00901, OFFICE OF TO REMAIN VAUD. THtS FORM MUST NOT BE ALTERED MANAGEMENT AND BUDGET, WASHINGTON. DC '0503 i

1. APPUCANT'S FULL NAME (Last First Meddler AND ADDRESS (includeZIP Codel 4. TYPE OF APPUCATION (ChecA applicabie bones) l y l HOT l l COLD f Doane, Lawrence E. -

a.NEW l E WAfVER REQUESTED uuerr4 on Reversel '

20 Atwood Street E b. RENEWAL 1. WRITTEN (Ceregory)  !

c. UPGRADE -

Brattleboro, VT 05301 -

d. uultouNrnAuENo 70 2. OeERAnNG <Cerego,v,

_ , , , , INCLUDE ADDITCNAL UNin

e. REAPPUCATION _

1. FIRST _

2. CITIZENSHIP 3. BIRTH DATE 2 SECOND 5 0THER 1 a. UNITED STATES MONTH DAY VEAa

3. THIRO l 3 DATE PASSED GENERIC FUNDA-MENTALS E KAMINATION SECTION l

b. OTHER (Soecetys (N 1 1l O 3ld W APPLICABW

5. TYPE OF UCENSE APPUED FOR 6. PREVIOUS UCENSE(S) HELD

e. OPERATOR a DOCKET NUMBER Ro sRo b. UCENCE NUMBER * ((** [ d. FACluTY DOCKET NUMBER w -

1 b. SENIOR OPERATOR 8 i i

e. uuirtD SRO <e. roe, Hand,er, 55~

6481 X SOP-4158-3 0!20!29!4 5*

271

7. NAME AND ADDRESS OF APPUCANT'S EMPLOYER flocsude DPCode/ 10. CURRENT POSTDON AT FACILITY

a. PLANT $bPERINTENDENT L AUX 1UARf UNIT OPER- f Vermont Yankee Nuclear Power Corp ATOfWRAINEE/ruRBINE ,

b. ASSISTANT PLANT SUPERINTENDENT BUILDINGlEQUIPMENT {

Ferry Road -

c. SHirisueERviSOR PERAio o o rn,R N N LMS-Brattleboro, VT 05301 -

d. STAFF ENGINEER X 1. OTHER (Specs 4)

8. NAME OF APPUCANT'S F ACIUTY l FACluTY DOCKET NUMBER e. SHsFT TECHNICAL ADvlSOR$HIFT ENGINEER Operations Vermnt- Ya@m 50-271

f. INSTRUCTOR s m ee' m t

~

9. ADDITIONAL FACluTY DOCKEIS #Mutteuswr Leenseess

g. SENIOR CONTROL ROOM OPERATOR

h. CONTROL ROOM OPERATOR

11. EDUCATION i

s. HIIH SCHOOL s. MAJOR AREA (S) OF STUDY oyj g DEGREE CODES d. VOCATIONAL / TECHNICAL "V""I" y U$$TE (To be used for 'HlGHCST

-X ' gpgnugyg ENGINEERING {flELDSI oun cen *, DEGREE ~ octeuned) - m a m% McNrps vn w GED EQUlvALENCY 0-NONE

_ OTHER 1 - CERTIFICATE NO 2 ASSOCLATE

o. NuMeta of 3 BACHELOR -

}

YM 4. MASTER 5 - DOCTORAL ,

12. FACIUTY OPERATOR TRAINING PROGRAM a GhADUATE OF INPO ACCREDf'ED OPERATOR

b. Cf #nFED ON NHC FORM a74 ('$sMt/LA frON f ACfLTfV TRAINING PROGRAM THAT e5 BASED UPON A YES NO crenrecAnoN son NRC APPROVED SJMULAnON FACluTV IS YES NO SYSTEMS APPRGACM TOTRAeHNG X WSED IN THE OPERATOR TRApJNG PROGRAM 1

13. TRAINING (SINCE LAST APPLICA TION - SEE INSTRUCTIONSI 14. EXPERIENCE (DO NOTDOUBLE COUNT-SEE INSTRUCTIONSI *

. wm Aw vte 6 usu n wuarp FDDy

. uw Aw vt u 5 Of WIEK$ NAVY FOM m OF WEEKS 1 - NUCLEAR POWER PLANT FUNDAMENTALS D 1.RO 2 - PLANT SYSTEMS 2 EOOWIPPWO CLASSROOM 3 - EWS/PPWS OBSERVATION 4-ERS/CPW 3 - OPERATING PRACTICE 6 - OTHER (Specs 4)

CONTROL ROOM OPERATONS ON SHIFT COMMERCLAL NUCLEAR (Includong flesearch/ Test Reactorp SIMULATOR OPERATING fineduons Classroom) to REACTOR OPERATOR (Lacensed)

SIMULATOR NAMES . + '

11 - SENIOR OPERATOR (L# censed) 12 SHIFT SUPERVISOR (Lecensed) b' -

I CE8NED STARTJP 13 - STAFF / SHIFT ENGINEER (Licensed) j l 'e

'*OG"'" CSd"1 MD f f 14 - AUXJEQUIP. OPERATOR (Nonocensedf s NWHf 9 OF SIGN 41 CANT ("QN'ROL MANI#ULATONS ' *

• PLAm s4Mu w on u.~.

is. PLANT STAFF h

~

Y- 16 - OTHE R ISpectivl 4 - SRO INSTRUCTION g E #5 N $*nFT IN CONTROL MDOM FOSSIL

.yg gAsovE 2tm power 6 OPERATOR e- REOuAunCATC" 8""'""'8 "

02/88 01/94 34 T - OTHER (Speco49 9 OTHEf1(Specs 4)

Nhc FURM 39u t6-924 1

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15. EXPERIENCE DETAILS

a. POSITION TITLE FROM TO b. FACILITY c. DUTIES Shift Supvr 36/87 05/89 Venrant Yankee Supervise Plant Operations.

Asst Ops Manager 35/89 03/93 7ermont Yankee Assist in supervision of Operations Dept.

I Operations Mgr. 33/93 presert Vemont Yankee Supervise Operations Department.

1 i

18. FOR RENEWALS ONLY l b. DATE AND RESULT OF MOST

a. HOURS OPERATED F ACILITY: 1700 RECtut NRC AouiNiSTEREo 11ino/on y 4

PASS Fall l

REQUALIF6 CAT ON EKAMINATION / v # 07

17. COMMENTS ISpectfy the item number to which you are elaborating. Attach additional sheets H necessary.)

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i r l 13. NRC FORM 396. CERTIFICATION OF MEDICAL EXAMINATION SY FACILITY UCENSEE,15 ATTACH i ANY FALSE STATEMENT OR OMISSION IN THIS DOCUMENT. INCLUDING ATTACHMENTS, MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS.

! 19a. I certify unde

• penalty of periury that the enformation m the document and attachments is true and correct I further certify that I have notified my surrent employer of: 11) ell previous employers;(2) any mstance where i nave been tested by a Health and Human Services (HHS) Certified Drug Testing Laboratory or a Licenses s testmg facility for alcohol or a controlled substance, and the test

' results exceeded the cutoff levois estaD9hed pursuant to 10 CFR Part 26; matance where I have been arrested fof the sade, use of possessen of a controlled substence cosenbad M 10 CFR l Pa't 26. and 14l eny reasens for removal or revocation of uriesco ted acco t a nuclear facility. I also authorne the NRC to sut>mn me resuits of exammations to my employers for use 6n preparmg i j retro nmg programs. as neceasarv. f l,

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SIGNATUC. APPLICANT 5 / lDATE N/n,/13 l

Ljn.~ r r '

CHECK APPLICABLE SOX ensed as an operator /semor operator pursu l b. Reoulai..,s.

i cutsty mat eam me.ndabove tnat thenoned ind.widuar monndual has has a need to.successfutty completed t one,ator Senior the tacshty operator incense hcensees io ,e, form his reauirements to be lic,he, .ssioned e made dui,es and avaii.bie fo,ihat toe iacii,ty wiii a esaminaimn.

I also cetfy under penaPy of perjury that the information in thes document and atta:hments is true and correct.

l r c a*At outv -i cew mai me . novo n.med md .duai m.ets me app, owed recuaw.caimn oroerem tw,rn e c.gr,ons nor,d m , sie as reausred by .ecimn so.64 6.-u of so CFR 60. and l J snet I.e she has discharged higher heensed responsibihties competently and sately. I atso certify under pensity of perjury met the mtormation in this document and

seinenments a true and correct l TRAINING COORDINATOR SENIOR MANAGEMENT REPRESENTATIVE ON SITE PPINTED OR TYPED NAf/E PRINTED OR TYPED NAME Mark L. Mervine Robert J. Wanczyk

\

.. IGNATUf4E lDATE lDATE

& l 2? ) \ . % ~~ r-I ~

FOR NRC USL WAtVER (Check or Complete items, as applicable) \ MfETS REQUIREMENTS l l DOES NOT MEET REQUIREMENTS (Explasn bekiw) um c s. mw3Tw CATEGORY m m;m moi, ,,mp y ,3, m,m WRITTEN -

OPERATING .

ELifulBILITY MEDICAL SIGNATURE-REVIEWER lDATE OTHER ,

NRuonu bue s szs

M 3 NRC FORM 39s U.S. NUCLE AR RE GULATORY COMMISSION iS G2R APPROVED BY OMB. NO. 315(H3090 DATE RECEIVED

• EXPIRES.12 31-94 (Te be compiered by NRC) 10 CF R 55.31. 55.35. l 55 47. and 55 57 ESTIMATED BURDEN PER RESPONSE TO COMPLY wtTH THIS l INFORMATION COLLECTION REQUEST: 2.0 HRS. FORWARD l PERSONAL QUALIFICATION STATEMENT-LICENSEE i," E "S 0^4, E u'Ei E E'CH"*IIRE'IE.u'$N""sCE i REGULATORY COMMISSION. WASHINGTON. DC 20555-0001. AND TO I THE PAPERWORK REDUCTION PROJECT (3150 0090L OFFICE OF TO REMAIN VAUD. TWS FORM MUST NOT LE ALTERED MANAGEMENT AND SUDGET. WASHINGTON. DC 20503

1. APPUCANT'S FULL NAME (last best, Middlet AND ADDRESS (incluoe ZIP Codel

4. TYPE OF APPUCATION (Crieck appncabJe comi ly l HOT l l COLD Cantre11, Lonnie J. A NEW l f. WANER RE QUESTED uusti4 cn Rempi P.O. Box 21 ] b. RENEWAL 1 WRITTEN (Carepot)

East Dover, VT 05341 c. WRADE _

j

d. MULTl-UNIT sAMEND TO

^ #'*8'*'

.__ INCLUDE AODITIONAL UNIT)

e. REAPPUCATION j 1 - FIRST t l

2. CITIZENSHIP 3. BIRTH DATE 5 OTHER 2 SECOND l

.1 E UNITED STATES MONTH Day vtAR 3 - THIRD 9. DATE PASSED GENERIC FUNDA-MENTALS EXAMINATION SECTION

6. OTHER isoecr%s n l r) nl i Al0 tlF APPUCABLE) l p

5. TYPE OF UCENSE APPUED FOR 6. PREVIOUS UCENSE(S) HELD

a. OPERATOR a. DOCKET NUMBER Ro sRo b. UCENCE NUMBER *C [^2  % d. FACIUTY DOCKET NUMBER V b. SENIOR OPERATOR i l i

c. uurrED SRO <e s, roeia,,=,;ere 55 6482 X SOP-4157-3 1 0 .l 2 0 . 2 9 .l 4 50~

271 i

7. NAME AND ADDRESS OF APPUCANT'S EMPLOYER fincludellPCooe) 10. CURRENT POSITION AT FACIUTY

a. PLANT SUPERINTENDENT l. AUXILIARY UNIT OPER.

Vemont Yankee Nuclear Power Corp -

b. AS$tSTANT PLANT SUPERINTENDENT L N QUI T Ferry Road i Brattleboro, VT G3301 { c. SHiriSUPERviSOR

.. STArF ENGINEER

,PE 0 y NONuCENS.

j. OTHER (Speci4)

8. NAME OF APPUCANT'S F ACIUTV

{ FACIUTY DOCKET NUMBER e. SHIFT TECHNICAL ADVISOR / SHIFT ENGINEER Ve mont va

• n R0-271 ~~-

r. INSTRUCTOR

9. AcomoNAuActuTv dockets (Mum.umrocennes, p gq

h. CONTROL ROOM OPERATOR

11. EDUCATION

e. H41H SCHOOL s. MAJOR AREA (Si OF STUDY 7" My DEGRh5kODES d. VOCATIONAUTECHNICAL "UMBE 8 Ch'[hA[E

^

Y GRADUATE ENGINEERING IFJELDS) a= c=== EG E bra "#** " "

• GED EQUIVALENCY 0.NONE

~ OTHER 1 - CERTIFICATE NO 2. ASSOCIATE

, m, g, 3-BACHELOR vs Aps o, 4. MASTER coufGs

5. DOCTORAL

12. FACIUTY OPERATOR TRAINING PROGRAM e GRADUATE OF INPO ACCREDITED OPERATOR TRANNG PROGRAM THAY 15 BASED UPoN A h CERTWFD ON NRC 80RM 474 r ssMULArsO4 FACitfrY YES NO CE*nrecA re on NRc APPROVED siuvunos e ActuTV 15 SYSTEMS APPROAcMTOTRAraNG YES NO y USEDIN THE OPERATOR TRANNG PROGRAM y

13. TRADNING (SINCE LAST APPLICATION -SEE INSTRUCTIONSI 14. EXPERIENCE (DO NOT DOUBLE COUNT-SEE INSTRUCTIONSI e u.;m* aw nu a usuats ppou To DF WEEKS e uu .m aNo na o avMBEF NAVY mou m OF WEEK $

1 - NUCLEAR POWER PLANT FUNDAMENTALS U 1 RO 2 - PLANT SYSTEMS 2 EOOW1PPWO f

CLASSROOM 3 EWS!PPWS OBSERVATION 4 - ERS/CRW 3 - OPERATING PRACTICE 5 OTHER ISpeci4) [

CONTROL ROOM OPERATIONS ON SHIFT SIMULATOR OPERATING tincludes Classroom > COMMERCIAL NUCELAR (Includmg ResearcWTest Reactort 19 - REACTOR OPERATOR (Licensed)

SIMULATOR NAMES

{ ' 4.c . '

.M

,g

,, _-e-  % ~~

12 - SHIFT SUPERVISOR (Licertsedl b.

g cf.mnEa sT.,y, .- <- w- , - -, 13- STAFF / SHIFT ENGINEER flecensed) ,

"'vu S $ sc~,,xA~rco~tso ..~,,x ,v.c~s [, "'"""E***""""# * '

r.w sium ._

g.h. 4_ _.O 15 PLANT STAFF 16 - OTHER (SpecnNI 5 ga,s,gMeT = comaat Roo. FOSSit

,. Twr g Aeovt nos power 6 OPERATOR 5- REQUAUFICATION 7 SUPERVISOR gg gg q 7- OTHER (Specr4) 9 OTHES (Spect49 ,

fu h0RM 398 t&9h

i i

18. ExPERmNCE DETAm.s

a. POSITION TITLE FROM TO b. FAC!UTY c. DUTIES l

Shift Supervisor 05/88 Pres Vermont Yankee Supervise plant Operations Ops Tmg Inst 01/87 05/88 Vermont Yankee Operator Training i

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14. FOR RENEWALS ONLY

~ ***

t6 DATE AND RESULT OF MOST

• • HOURS OPERATED FAC1UTY: RECENT NRC ADMINISTERED PASS FAlt 5007 REouAunCArion ExAuiNAToN inf9q/qq y .

17. COMMENTS ISpecify the item number to which you are elaborating. Attach additiornal sheets if necessaryJ l *

?

l i

1

+

l 18. NRC FORM 396, CERTIFICATION OF MEDICAL EXAMINATION SY FACluTY LICENSEE,IS ATTACH l ANY FALSE STATEMENT OR OMISSION IN THIS DOCUMENT, INCLUDING ATTACHMENTS, MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS. l 19s Icertify under penalty of perigry that the mformation in this document arid ;*tachments is true and correct. I fo!Ther certtfy triat I have notified my current employet of- (1) all previous employers. W l any matarr a where i have been testod by a Healtn and Human Services fMHSp 6,dttsfed Drug Testm0 LaDoratory or s Licensee's testang facility for alcohol or a controlled substance, and the test resuits eacessed the cutoff seveis established pursuant to to crR Part 26;(31 any matance where I have been errested for the sale, use or possession of a controHed substance described in 10 CFR Pan 2tc and to any reasons for removat or revocaten of unesco ted access at a nucher facitay. I also authortre the NRC to submn the resutts of exammatione to my emp6cyers for use 6n propermg rettemmg programs. as necessarv.

l

• SIGNATURE-APPUCANT l DATE Ab MM ~'JUA N

CHECK APPLICASLE b6X [/

j b. a cerufy that the above maned mdiveouat has successluffy completed the taciltty licensees requirements to be incensed as an Operator / Senior Operator pursuant to Tme io, Coos of Federal Regutatens. Part $5. and that the individual ha6 a need for an Operator!Semor Operator locarse to perforrr. his/her assigred duties and that the facility will be made available for exammation.

I also cetty under penetty of perjury that the mformaten en this document and attachments as true and correct.

c. 8tENEWAL ONLY-I cevy snat tne soove named moividuas meets the opproved requalitcaten program awarn exceptrons noted m stam U/ as roousred by secbon 60.64 b li of 10 CFR 50, and j that teenne has discharged his/her Imensed responsibilities competentty and safety. I sino certify under penalty of perjury that the informaison in ttus document and anectiments is true and correct;.

TRAINING COORDINATOR SENIOR MANAGEMENT REPftESENTATIVE ON SITE FPiNTED OR TYPED NAME PRINTED OR TYPED NAME Mark L. Mervim Robert J. Wanczyk ~

\ $1G ATURE l DATE lDATE f&/ '2/H/ff /s km QL) 1 L A T N)

! FOR hlRC USE T t

WArVER (Check or Complete items, as apphcable) N MEEIS REQUIREMENTS l l DOES NOT MEET REQUIREMENTS tfrplam babw1

, ww ur wun e, CATEGOW wtaam, t % . 3g,, ,qansantn3 eg g40,,

WRITTEN ,

OPERATING EUQBfLITY ,

l MEDICAL. SIGNATURE-REVIEWER lDATE OTHER l NHC FORM m (H2)

I

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