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<br />Draft - Draft-Draft - Draft- Draft- Draft Draft-Draft -Draft Draft-Draft -Draft Draft-Draft -Draft <br /> <br /> <br />. Do you have a process in place to identify and update your SWPPP based on the list of <br />impaired waters which receive discharges from your MS4 as new waters are added to the <br />303(d) list? <br /> <br />~Yes ON <br /> <br />. Have you determined that any stormwater discharges from your MS4 are negatively impacting <br />any impaired water(s); for which you have or plan to revise to your SWPPP to address the <br />loading? <br /> <br />DYes I2JN <br /> <br /> <br />. Provide the following information of the individual responsible for conducting the review of <br />discharges to impaired waters and any associated BMP modifications: <br /> <br />Name: Paul Palzer <br /> <br />Title: Public Works Director <br /> <br />Phone: 651-429-4750 <br /> <br /> <br />. Did you make a change to any identified BMPs or measurable goals that were submitted with your <br />permit application? [Part V.H.] If yes, explain: <br /> <br />. Briefly list the BMPs using their unique SWPPP identification numbers you used in your SWPPP or <br />any measurable goals that will be changed in your updated SWPPP, and why they have changed: <br />(Attach a separate sheet ifnecessary) <br /> <br />. Did you rely on any other entities (MS4s, consultants or contractors) to satisfy any portion of your <br />SWPPP? If yes, please identify below the entity and for what activities: Rice Creek Watershed <br />District coordinated construction permits <br /> <br />he person with overall administrative responsibility for SWPPP implementation must sign the annual report. This <br />erson must be duly authorized and should be the person who signed the MS4 permit application or a successor. <br /> <br />certify under penalty of law that this document and all attachments were prepared under my direction or supervision in <br />ccordance with a system designed to assure that qualified personnel properly gathered and evaluated the information <br />submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible <br />or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and <br />omplete (Minn. R. 7001.0070). I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment (Minn. R. 7001.0540). <br /> <br />X <br />Authorized Signature (This person must be duly authorized to sign the Date <br />annual report for the MS4) <br /> <br />Larson <br />Last Name <br />1880 Main Street <br />Mailing Address <br />Centerville <br />City <br />651-429-3232 <br />Telephone (include area code) <br />O:\STORMW-I\2007MS-l\2007-02 SWPPP annual report - Randy.doc <br /> <br />Dallas <br />First Name <br /> <br />Administrator <br />Title <br /> <br />MN 55038 <br />State ZIP code <br />dlarson@centervillemn.com <br />E-mail Address <br /> <br />-P <br />