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#24-004592-0001
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1

Do you have two years of experience inspecting existing dams, ponds, levees, and similar structures? Y/N If yes, please explain your experience.  If you do not have this experience, please indicate N/A. This experience must also be in the “ Work Experience” section of your application.

2

Do you have two years of experience inspecting the construction of dams, ponds, and levees? If yes, please explain your experience.  If you do not have this experience, please indicate N/A.

This experience must also be in the “ Work Experience” section of your application.

 

3

Do you have two years of experience designing or reviewing earthen dams for water supply, flood control, stormwater management, and tailings retention? If Yes, please explain your experience.  If you do not have this experience, please indicate N/A. This experience must also be in the “ Work Experience” section of your application.

4

Please explain your knowledge of dam construction standards such as ASTM, AASHTO, ACI, NRCS, and USACE. If you do not have this knowledge, please indicate N/A. This knowledge must also be in the “ Work Experience” section of your application.

5

Do you have Technical writing skills when preparing inspection reports? 

Yes No
6

Please explain your knowledge of Maryland’s laws and regulations regarding dam design and construction. If you do not have this knowledge, please indicate N/A. This knowledge must also be in the “ Work Experience” section of your application.

7

Do you have a bachelor’s degree in civil, geotechnical, or environmental engineering? If yes, please list the degree below. If you do not, please indicate No.


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