ML20134G715

Ack Receipt of 970108 Rept of Proposed Activities in Non- Agreement States & Initial Recognition Fee as Required by 10CFR150.20(b) & 10CFR170.31

ML20134G715
Person / Time
Issue date:	01/28/1997
From:	Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:	Byram M External (Affiliation Not Assigned)
Shared Package
ML20134G717	List: ML20134G715 ML20134G725 ML20134G731
References
NUDOCS 9702110012
Download: ML20134G715 (3)

Text

_ . . ___ __ _ _ _ _ _ ._ _._ m _ . . _ . _ _ . - . _ _ _ _ _

l January 28, 1997 I l

l HDR Construction Control Corporation  ;

ATTN: Mr. Michel Byram  !

Radiation Safety Officer 5100 West Kennedy Boulevard Tampa. Florida 33609

SUBJECT:

RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1997

Dear Mr. Byram:

This acknowledges receipt of your Report of Proposed Activities in Non-Agreement States (NRC Form 241) dated January 8.1997, and receipt of the initial recognition fee ( dated January 16. 1997) as required by 10 CFR 150.20(b) and 10 CFR 170.31 (Category 16 - Reciprocity).

We have already provided you with materials to apply for an NRC license, as you have indicated that the current job in Virginia will probably extend beyond the 180 day limit for reciprocity recognition in calendar year 1997.

It is preferable to have the location of use office be the license holder, although the corporate office may wish to hold a single license for all offices in NRC jurisdictional areas.

License Number 2253-1 issued by the State of Florida is recognized as valid for use in non-Agreement States for up to 180 days in calendar year 1997 only.

We have assigned a Location Reference Number (LRN) to the site you have reported. New activities should be reported on the enclosed NRC Form 241 marked as a revision. Revisions should be faxed to NRC Region II three days in advance of the proposed activity along with the fee for the revision.

There is no limit to the number of activities re)orted at one time, and one fee is charged without regard to the number on t1e revision page.

Clarifications change already-reported information or cancel jobs: they ,

require no fee. Please indicate the already-assigned LRN for the site. {

l Licensed activities at Exclusive Federal Jurisdiction areas which are within '

the boundaries of Agreement States (including your state) are under the jurisdiction of the NRC and should be reported to us via the Form 241. We have enclosed a procedure for you to use in seeking determination of the status of federal areas. We have enclosed information on contacting other Agreement States for your convenience.

Some NRC regulations may differ from those of your Agreement State. You are responsible for the content and compliance with NRC regulations while l conducting work within NRC jurisdiction. We have enclosed copies of the i

, pertinent regulations for your use. The regulations. your license and i procedures are required to be available so that staff who are occupationally l exposed to radiation can view them on the way to or from licensed activities.

9702110012 970128  ;

PDR STPRG ESGF g

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The Commission may, at its option, conduct an inspection of your activities.

Enclosed is a copy of NUREG 1600, " General Statement of Policy and Procedures for NRC Enforcement Actions." We shall notify the appropriate NRC offices and Non-Agreement States of your proposed activities.

A current license is required for licensed work in NRC jurisdiction. Please provide us with a renewed license or letter from the licensing agency prior to conducting work in NRC jurisdictional areas after the expiration date listed in your license on file with us.

Our fax numbers are (404) 331-7437/5559. My telephone number is (404) 331-5624. Please call should you have questions.

Sincerely, i

/s/ l David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety ,

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Enclosures:

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1. NRC Form 241 w/LRN I

2. Blank Form 241 (carbon set & fax)

3. 10 CFR Parts 19, 20, 21, 30, 71. 150. 170 l

4. Form NRC-3

5. NUREG 1600 General Statement of Policy and Procedures for NRC Enforcement Actions

6. Exclusive Federal Jurisdiction Identification Procedure

7. Agreement State Listing Distribution (Without Enclosures 2-7) a PUBLIC

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SFND TO PURt.lC 00ClMENT Dnnen V F e, NO OFFICE RikOtAS, Ri! .ams ,

NE 5 e DATE 01 / cl I / 97 01 / M / 97 01 / / 97 01 / / 97 01 / / 97 01 / / 97 COPY? ' NO NO YES N0 YES NO YES NO YES N3 s1 0FFICIAL RECORD COPY DOCUMENT NAME: G:\DNMS\MLIB2\RECIPR97\HDR.LTR and includes transmittal letters for states of Virginia and Florida l

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'NRC FCRM 241 U. S. NUCLEAR REGULATORY COMMISSION APPROYED BY OMS: NO. 3. J13 EAPIAES; 6r3or9,

. , Estimated burden por response to comply with this mandato<y information collection

( 4 sequat se minuin The notir.cata e eequ red so that NRC may schedule mspection of to CFR 150 # the actnnte to ensure that they are conducted in accordance with regerements for

l. REPORT OF PROPOSED ACTIVITIES a=ct= ='

• e=== == F-a amm+nt= r s>rd-e ==ra a e'i maie to the Informat>cn and Records Management Branch (T-6 F33), U S Nuclear Regulatory camm>== waa*aa oc "5"*' "'a;

l IN NON-AGREEMENT STATES '"d 'a '"* Paa**'= "'* c'-

(3150 0013). Othce of Management and Budgel Washetsston DC 20503 NRC may not

! (Plea $e read the instruc00ns on the cover sheet before cornplebng this form.) conduct or sponsor. and a remon es not renussed to respond to. a collect on or entormat.on s' Unless It displa/s a currently valed OM9 control number 1 NAME OF UCENSEE (Person or erm proposmg 40 conduct the ecDvrfe ducr#Ded Deew) 2. TYPE OF REPORT 3. CON 1 ROL fduMBER (Leave Blank - Number lo be MBR CONSTRUCTION CONTROL CORPORATION I INITIAL assigned by NRC)

REVISION s

• 4 ADDRESS OF LICENSEE (Me,hng addres. *Jr other Jocahon waere scensee may be located) CLARIFICATION 's.

HDR-CCC 5 UCENSEE CONTACT ATTN: MICHEL BYRAM 5100 WEST KENNEDY BOULEVARD HICHEL BYRAM-RADIATION SAFETY OFFICER e itaPHONe NuMeER t F ACSiMitE NUMe,ER TAMPA, FLORIDA 33609 *'

(8D*Y$N414 (01Y)*^I82"-2430 8 ACTIVITIES TO BE CONDUCTED IN NON-AGREEMENT STATES UNDER THE GENERAL LICENSE GIVEN IN 10 CFR 150.20 WELL LOGGING LEAK TESTING AND/OR CALIBRATIONS TELETHERAPY /lRRADIATOR SERVICE OTHER (specsty) y PORTABLE GAUGES TRANSPORTATION QA PROGRAM APPROVAL NO & REV NO REGISTERED AS USER OF PACKAGINGS (CERTIFICATES OF COMPLIANCE NOS) 9 CUENT NAME. ADDRESS. CITYfCOUNTY, STATE. ZIP CODE 10. WORK LOCATION ADORESS (Saeef andNumberorother kretson G4e as

"~#**"*"*""~~*"#"

• VIRGINIA DEPARTMENT OF TRANSPORTATION SEORGE O, BRYAN, PROEECT ENGINEER ATTN: W. L. BRANNHAM 1640 A STREET P.O. 60 l WISE, VIRGINIA 24293 ST. PAUL' VA 24983 1 11 CLIENT TELEPHONE NUMBER 12 WORK LOCATION TECHNICIAN AUTHORIZED TO PERFORM WORK 13. WORK LOCATION TELEPHONE NUM8ER (include Area Code) 1

($nelude Area Code)40) 328-9331 SEAWRIGHT ANDERSON, TERRY SHORT (540) 762-3962 l H. DATES SCHEDULED 16. LOCATION REFERENCE NUMBER FROM TO LEAVE BLANK FOR INITIAL NRC FORM 241 REOUESTS NUMBER TO BE AS$1GNED BY NRC January 1, 1997 December 31, 1997 180 0+o35 LIST ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUDE ALL INFORMATION CONTAINED IN ITEMS 916 ABOVE.

11. LISI RAO60AGIlwE MAIEMtAL. WHat.H WILL bi HudSLbdED, UbED,INbl ALLEO SERvlCEO, OR IiSIEQ IN iguN-AGREiMLivi Sl AIEa se used) \

'paude de.cnet on or rype and euensry orred oective mar.r, r. seesed sources. er devees to

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CS-137 10 mci & Am-241/Be 50 mci \ -

16 AGREEMENT Si ATE SPECIFIC LICENSE WHCH AUTHORIZES lHE UNDERSIGNED IO CONQUCI ACIIVMES WHICH ARE THE SAME. EACEPi FOR LOCA flON OF USE. AS -

SPECIFIED IN ITEM 8 ABOVE. (Four copies of the speceric bcense must accompany the initial NRC Form 241 )

UCENSE NUMBER STATE ' GPiRATON DATE TOT AL USAGE DAYS 10 DAIE 2253-1 FLORIDA JATUARY 31, 1997 8 s 19. CERTIFICATION ' (MOS T BE CL%fPLETED BY APPLICANT)

1. THE UNDER$1GNED, HEREBY CERTIFY THAT:

a. All information in this report is true and complete.

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b. I have read and understand the provision of the general license 10 CFR 150.20 repnnted on the cover sheet of this form set, and I understand that I am required to comply with these provisions as to all byproduct, source, or special nuclear material which I possess and use in non Agreement States or offshore waters under the general license for which this report is filed with the U.S. Nuclear Regulatory Commission.

c. I understand that activities, including storage, conducted in non-Agreements States under general license 10 CFR 150 20 are limited to a total of 180 days in calendar year.

d. I understand that i may be inspected by NRC at the above listed work site locations and at the Licensee home office address for activities performed in non-Agreement States or offshore waters. I am also aware that I will be responsible for any fees associated with such inspections.

e. I understand that conduct of any activities not described above, including conduct of activities on dates or locations different from those described above or without NRC authorization, may subject me to enforcement action, including civil or criminal penalties.

CERIe UNG OF HCER . RSO or Management Repsesentatwo (TypedAnred hame and T#pe) S DATE MICHEL R. BYRAM, RADIATION SAFETY OFFICER 9QUNE ..kMML() JAN.8,1997 WARNING: FALSE STATEM'ENTS IN, THIS CERTIFICATE MAY BE SUBJECT TO CIVIL AND/OR CRIMINALhENALTIES. NRC REGULATIONS REQUIRE TH r SUSMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS. 18 U.S C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO

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MAKE A WILLFULLY FALSE STATEqENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN jl ITS JURISDICTION \ , f , , ,

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)Yf NRC FORM 241 (6-96)