Laserfiche WebLink
5/17/2018 <br />MS4 Annual Report for 2017 <br />I certify under penalty of law that this document and all attachments were prepared <br />under my direction or supervision in accordance with a system designed to assure that <br />qualified personnel properly gathered and evaluated the information submitted. Based <br />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 <br />best of my knowledge and belief, true, accurate, and complete (Minn. R. 7001.0070). 1 <br />am aware that there are significant penalties for submitting false information, including <br />the possibility of fine and imprisonment (Minn. R. 7001.0540). <br />O Yes <br />By typing my name in the following box, I certify the above statements to be true and <br />correct, to the best of my knowledge, and that information can be used for the purpose <br />of processing my MS4 Annual Report. <br />Name: <br />Title: <br />Date: <br />(mm/dd/yyyy) <br />When you are ready to submit, you must click the <br />'Submit' button at the bottom of this page. <br />Provide the email(s) of the individual(s) you would like to receive the MS4 Annual <br />Report for 2017 submittal confirmation email from the MPCA. After you click the Submit <br />button below, please allow up to three business days to receive this email. <br />Email <br />(1) <br />Email <br />(2) <br />Email <br />(3) <br />Print or save a copy of your completed MS4 Annual Report for 2017 for your <br />records. The MPCA will email a PDF of your MS4 Annual Report for 2017 <br />information in a confirmation email within three business days after you submit <br />this form to the email(s) you provided above. <br />You may print a copy of the MS4 Annual Report for 2017 for your records by pressing <br />the 'Print' button at the bottom of the page. <br />Additionally, it is possible to save a PDF copy of the MS4 Annual Report for 2017 if you <br />are working on a computer with OneNote (a program often included in Microsoft Office <br />packages). Detailed saving instructions are available at <br />stormwater.pca.state.mn.us/index.php/Guidance for saving MS4 annual reports. <br />https://survey.mn.gov/siam/suweylanding/printerviewer.asp?sid=746D70617A2D766568313532363538333335332E3336 17/18 <br />