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I certify underpenalty of law that this document and all attachments were prepared under my direction or supervision <br />in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the <br />information submitted. Based on my inquiry of the person or persons who manage the system, or those persons <br />directly responsible for gathering the information, the information submitted is, to the best of my knowledge and <br />belief, true, accurate, and complete (Minn. R. 7001.0070). 1 am aware that there are significant penalties for <br />submitting false information, including the possibility ifftne and imprisonment (hfinn. R. 7001.0540). <br />Date <br />Signature <br />Magnuson Frederic city Clerk <br />Last Name First Name Title <br />Mailing Address <br />Gem Lake Ramse E Count Y Minnesota SSI M-5231 <br />City County State Zip Code + 4 <br />( 651 ) 426 6443 ( 6512 426 6444 Gent lakecitâ–ºl(a,conrcast.net <br />Telephone Facsimile Email Address <br />This report submitted on or before 10 June 2006 to: <br />MS4 Storm water Program <br />Municipal Division <br />Minnesota Pollution Control Agency <br />. 520 Lafayette Road North <br />Saint Paul, MN 55155-4194 <br />E-File: NPDES\2004AnnualReportA.wpd <br />i <br />4 <br />