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5/172017 MS4 Annual Repatfa 2016 <br />Reporting period: January 1, 2016 to December 31, 2016 <br />Due: June 30, 2017 <br />Instructions: Complete this annual report to provide a summary of your activities <br />under the 2013 MS4 Permit (Permit) between January 1, 2016 and December 31, <br />2016. MPCA staff may contact you for additional information. <br />Fillable document available at https://www.pca.state.mn.us/sites/defauIt/files/wq-strm4- <br />06a.doc (for personal use only, not for submittal). <br />Questions: Contact Cole Landgraf (cole.land graf@state.mn.us, 651-757-2880) or <br />Megan Handt (megan.handt@state.mn.us, 651-757-2843) <br />MS4 General Contact Information <br />Full name <br />Title <br />Mailing address <br />City <br />State <br />Zip code <br />Phone <br />Email <br />Ryan Johnson <br />Environmental Specialist <br />2660 Civic Center Drive <br />Roseville <br />MN <br />55113 <br />6517927049 <br />ryan.johnson@cityofroseville.com <br />Preparer Contact Information (if different from the MS4 General Contact) <br />Full name <br />Title <br />Organization <br />Mailing address <br />City <br />State <br />Zip code <br />Phone <br />Email <br />MCM 1: Public Education and Outreach <br />The following questions referto Part III.D.1. of the Permit. <br />Q2 Did you select a stormwater-related issue of high priority to be emphasized during this <br />Pcrmi44crm7 rPmr4 III rl 1 n /111 <br />https://survey.mn.gw/siam/surveylanding/printervie er.asp?sid=746D70736C72717632313439353035333931332E3038 2/15 <br />