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Determination of repairs, replacement, and Track system components maintained and the general condition maintenance of the system annually BMP categories to be implemented Measurable goals and timeframes 5. Does discharge from your MS4 affect a Source Water Protection Area (Permit Part III.D.6.c.)? ® Yes ❑ No a. If no, continue to 6. b. If yes, the Minnesota Department of Health (MDH) is in the process of mapping the following items. Maps are available at http://www.health.state.mn.us/divs/eh/water/svw/maps/index.htm. Is a map including the following items available for your MS4: 1) Wells and source waters for drinking water supply management areas identified as ® Yes ❑ No vulnerable under Minn. R. 4720.5205, 4720.5210, and 4720.5330? 2) Source water protection areas for surface intakes identified in the source water ® Yes ❑ No assessments conducted by or for the Minnesota Department of Health under the federal Safe Drinking Water Act, U.S.C. §§ 300j — 13? c. Have you developed and implemented BMPs to protect any of the above drinking water ® Yes ❑ No sources? 6. Have you developed procedures and a schedule for the purpose of determining the TSS and ❑ Yes ® No TP treatment effectiveness of all permittee owned/operated ponds constructed and used for the collection and treatment of stormwater, according to the Permit (Part III.D.6.d.)? 7. Do you have inspection procedures that meet the requirements of the Permit (Part III.D.6.e.(1)- ❑ Yes ® No (3)) for structural stormwater BMPs, ponds and outfalls, and stockpile, storage and material handling areas? 8. Have you developed and implemented a stormwater management training program commensurate with each employee's job duties that: a. Addresses the importance of protecting water quality? ❑ Yes ® No b. Covers the requirements of the permit relevant to the duties of the employee? ❑ Yes ® No c. Includes a schedule that establishes initial training for new and/or seasonal employees and ❑ Yes ® No recurring training intervals for existing employees to address changes in procedures, practices, techniques, or requirements? 9. Do you keep documentation of inspections, maintenance, and training as required by the Permit ❑ Yes ® No (Part III.D.6.h.(1)-(5))? If you answered no to any of the above permit requirements listed in Questions 5 — 9, then describe the tasks and corresponding schedules that will be taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met: F.6 The City will review and create written procedures and a schedule for the purpose of determining the TSS and TP treatment effectiveness of all permittee owned//operated ponds constructed and used for collection and treatment of stormwater, according to the Permit (Part IIl.D.6.d). This effort will be completed within 12 months of the date permit coverage is extended. F.7. The City will review current procedures and create updated written procedures for inspection that meet the requirements of the Permit (Part III.D.6.e.(1)-(3)) for structural stormwater BMPs, ponds, outfalls, stockpile, storage, and material handling areas. This effort will be completed within 12 months of the date permit coverage is extended F.8. The City will review the current staff training to ensure that it reviews stormwater management training commensurate with each employee's job duties as described above. This effort will be completed within 12 months of the date coverage is extended. F.9. The City will review and update current documentation procedures to ensure inspections, maintenance, and training documentation is kept according to the Permit (Part III.D.6.h. (1)-(5)). This effort will be completed within 12 months of the date permit coverage is extended. 10. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this MCM: MS4 Permit Coordinator www.pca.state.mn.us 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-strm4-49a • 5131113 Page 14 of 15