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2009-05-27 CC Packet
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2009-05-27 CC Packet
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<br />Section 8: Additional SWPPP Issues <br />Did you make a change to any identified BMPs or measurable goals in your SWPPP since your last Dyes 0N~ <br />report? [PartV.H.] If yes, explain:_ <br />B. Briefly list the BMPs using their unique SWPPP identification numbers you have changed in your <br />SWPPP or any measurable goals that will be changed in your updated SWPPP, and why they have <br />changed: (Attach a separate sheet if necessary) _ <br />C. Did you rely on any other entities (MS4s, consultants or contractors) to implement any portion of 0YesDNo <br />your SWPPP? If yes, please identify them and list activities they assisted with: Rice Creek Watershed <br />Owner or Operator Certification <br />The person with overall administrative responsibility for SWPPP implementation must sign the annual report. This persor <br />must be duly authorized and should be the person who signed the MS4 permit application or a successor. <br />certify under penalty of law that this document and all attachments were prepared under my direction or supervision ir <br />~ccordance with a system designed to assure that qualified personnel properly gathered and evaluated the informatior <br />ubmitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible fo <br />gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete <br />Minn. R. 7001.0070). I am aware that there are significant penalties for submitting false information, including the <br />possibility of fine and imprisonment (Minn. R. 7001.0540). <br /> <br />X <br />Authorized Signature (This person must be duly authorized Date <br />to sign the annual report for the MS4. Electronic submissions must be <br />sent from this person's email address to qualify for Authorized <br />Signature status) <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 /> <br />Dallas <br />First Name <br /> <br />Administrator <br />Title <br /> <br />MN 55038 <br />State ZIP code <br />dlarson(Q)centervillemn.com <br />E-mail Address <br /> <br />wq-strm4-06 <br /> <br />Page 70f7 <br />7 <br /> <br />12108 <br />
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