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5/18/22, 1.54 PM MS4 Annual Report for 2021 Attachment A <br />MINNESOTA POLLUTION <br />CONTROL AGENCY <br />You are currently logged in as'. <br />Foseville City MS4 <br />If this is correct, click the 'Next' button. If this information is incorrect, contact Cole Landgraf (651-757-2880, <br />cole.lan dgraf@state.mn.us). <br />Before you begin... <br />A fillable Microsoft Word document with all of the questions is available at httosi/stormwater pca state mn us(ndex oho? <br />ttle=MS4 Annual Rill personal use only, not for submittal). <br />The MS4 Annual Report for 2021 will automatically save your answers when you hit the 'Next' button at the bottom of each <br />page. <br />If you wish to leave the MS4 Annual Report for 2021 and complete the document at another time, you may do so by clicking <br />'Next' at the bottom of your current page to save your progress before exiting the document. Return to the survey by following <br />the previously used web link, and again login using your email and assigned password credentials. Once you successfully log <br />in, your previous answers will appear. <br />The MPCA will email a formatted version of your MS4 Annual Report for 2021 to you in a confirmation email within three <br />business days after you submit this form. <br />You may print a copy of the MS4 Annual Report for 2021 for your records at any time by pressing the 'Print' button at the <br />bottom of the page. <br />Additionally, it is possible to save a PDF copy of the MS4 Annual Report for 2021 ifyou are working on a computer with <br />OneNote (a program often included in Microsoft Office packages). Detailed saving instructions are available at <br />stormwater pca state mn usfindex phl dance for say nq MS4 annual reports. <br />MS4 Annual Report for 2021 <br />Reporting period: January 1, 2021 to December 31, 2021 <br />Due: June 30, 2022 <br />Instructions: Complete this annual report to provide a summary ofyour activities under the 2013 MS4 Permit (Permit) <br />between January 1, 2021 and December 31, 2021. MPCA staff may contact you for additional information. <br />Note: The annual report questions remain unchanged from the previous annual report because MS4 permittees were covered <br />under the 2013 MS4 Permit for the majority of 2021. In the next annual report (due June 30, 2023), you will be required to <br />report on activities completed to meet requirements under the 2020 MS4 Permit. <br />Fillable document available at ? Annual Report (for personal use only, <br />not for submittal). <br />Questions: Contact Cole Landgraf (cole.landgraf@state.mn.us, 651-757-2880) or your assigned MPCA staff member listed at <br />https://stormwater.pca.state.mn.us/ndex.php?title=MS4 staff contact information and staff assignment. <br />hUps//survey urn gov/siam/surveylanding/pdnterviewerasp4sid=37f44a Wae6943gb9lfg?ga l l a23 W e5 1 /10 <br />