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5.d) Appointments to Wastewater Advisory Committee (Bergo and Salmela) - - - Meeting Date: 05/15/2012 Agenda Item: � � �.� � City Council Agenda Report City of Scandia 14727 209th St. North Scandia, MN 55073 (651) 433-2274 Action Requested: Appoint two members to the Wastewater Advisory Committee. Deadline/Timeline: N/A Background: • After the last Council meeting, but before the May 10 meeting of the Wastewater Advisory Committee, applications were received from two citizens interested in serving on the Committee (Brad Bergo, 19123 Layton and Doug Salmela, 19091 Layton). • Both were invited to the May 10 meeting and added to the roster as "pending" appointees. • Both are (year-round) residents of homes receiving sewer service from the Bliss Collector/"201" community sewage treatment system. Recommendation I recommend that the Council appoint Brad Bergo and Doug Salmela to the Wastewater Advisory Committee. Attachments/ • Application of Brad Bergo Materials provided: . Application of Doug Salmela • Wastewater Advisory Committee Roster Contact(s): Prepared by: Anne Hurlburt, Administrator (wastewater advisory committee appointments) Page 1 of 1 OS/07/12 � � �� a 2 � zo�� SC��D� CITY OF � _ SCANDIA Application for Appointment To Commission or Committee "' Committee/Area of Interest :td.�.�t��,��r��,�� C�� !°1��/%�%� ` � �� j _ � �� Name: ' Home Phone: �� Home Address: � �� +- � ��'� �� ZIP �� E-Mail Address: �'�� How long have you been a resident of Scandia? v �� Property owned in Scandia(other than residence): �v ��'" Emqlovment Present Erriployer � ��!� ` � Worked There Since(mo/yr) Work Phone Position Title Commission/Committee Exnerience � fvL . Commission/Committee � Dates Served Educational Back�round Highest Level Achieved (degree/major) ��lN � �C ��` � ��' r�w��c� Other Exnerieace List any governmental, service organizations, or professional activities which you have been or currently are involved in: � i�'} �1�-"'"� �-�'"� � '��` {>� �-� ��`�'�� In what volunteer activities have you participated? What was your role? In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of govemment data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staffwho must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,including information of a confidential or privileged nature. I hereby release the City and any organization, company or person furnishing information to the City,as expressly authorized above,from any liability for damage which may result from fur ' ing the information requested. ��°�'�l,l�'� ��`- r� Signature: Date: You may attach a resume if you desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209`h St.N. Scandia, MN 55073 � Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us '�4�4� ��" ��.�$��:.� ---I � � I � � /�^� A�'R 2 5 ��12 ! � .•'�-� '� � e� ClTY OF SCAlVDiA � SC�►NDIA _ ___ ___ _ Application for Appointment To Commission or Committee ��---' �.r—n �.� ,�- Committee/Area of Interest : ,/��..��1;!� ��f.�i�G��°` �.��'Pl�'�///�-.�� Name: �� `�"��f�� Home Phone: E��- ��,�� _/%�� Home Address: �� -� G�a ZIP �� E-Mail Address: G� $� S�t�l I?i� '��, .L � �''� {'1°� � C�Ytt�ff How long have you been a resident of Scandia? / �/°�� Property owned in Scandia(other than residence): ��lfl�� Emplovment Present Employer �� Worked There Since(mo/yr)��, Work Phone ��`-`�� Position Title �� — °`�� r��, -S°��'4i�$ Commission/Committee Experience Commission/Committee �� an�6�� - �J�� Dates Served ��-'" ��- 1��rz�" /L'P�,m h+� � �i�r�,�i��'� Educational Back�round Highest Level Achieved (degree/major) ,/� /�o�� Other Experience List any governmerital, service organizations, or professional activities which you have been or currently are involved in: �(`��-�.�'� /��i� /i'rrn��;c'.rvr��,��.-,��7�i,� �- , �a� � C��rc� 2z�l � In what volunteer activities have you participated? What was your role? --- ��.s'� �Cll�e_ �c�� u � ---- �C�.S `� ��l�1 In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of government data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the norrr►al course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my yualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,including information of a confidential or privileged nature. I hereby release the City and any organization, company or person furnishing info:-mation to the City,as expressly authorized above,from any liability for damage which may result from furnishing the information requested. Signature: Date: `y �� Z You may attach a resume if you desire. T'he selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year.Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209`�' St.N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us CITY OF SCANDIA Wastewater Advisory Committee COMMITTEE MEMBERS: Councilmember Jim Schneider Councilmember Chris Ness 21020 Ozark Ave. 18440 Norell Ave. Scandia, MN 55073 Marine on St. Croix, MN 55047 (651) 433-3692 j.schneider�n,ci.scandia.mn.us (651) 707-5689 c.ness�a�,ci.scandia.mn.us Councilmember Sally Swanson Planning Commissioner Steven Philippi 14937 197th St N 21813 Quarry Avenue N., PO Box 305 Marine on St. Croix MN 55047 Scandia, MN 55073 (651) 433-3010, s.swanson(a�ci.scandia.mn.us 433-4091, steven.philip�i(a�frontier.com Daniel Cartier James (Moose) Malmquist 2917 Hillsview Ave E. 14670 Scandia Trail N. Roseville, MN 55113 Scandia, MN 55073 (Owner 18279 Norell Ave. N.) (651) 433-3782, mooseeno8(a�midco.net (612) 810-4114, dreartierc�a�a�yahoo.com Wayne Schmitt Holly Kaufhold 20769 Keewahtin Ave. N. 30062 Gunflint Way Forest Lake, MN 55025 Shafer, MN 55074 (651) 433-3536, wschmitt(a�midco.net (651) 395-1402, cafehollv2(�a,frontier.com Micheal Peterson Doug Salmela (appointment pending) 11240 228�' St N, PO Box 69 19091 Layton Ave. N. Scandia, MN 55073 Marine on St. Croix, MN 55047 (651) 485-0031, (651) 433-4436, mnmikeandnancY�a,yahoo.com Desalmelal(a�mmm.com Brad Bergo (appointment pending) 19123 Layton Ave. N. Marine on St. Croix, MN 55047 (651) 433-2352 STAFF (EX-OFFICIO): Anne Hurlburt, City Administrator Tim Kieffer, Maintenance Superintendent (651) 433-2274, a.hurlburt(a�ci.scandia.mn.us (effective May 14, 2012) (651) 433-5223, t.kieffer@ci.scandia.mn.us Vacant, City Engineer Updated OS/25/12