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Additional information for checked items (optional): <br />16. F. <br />*17. Permit item 16.7: Do you have an education and outreach plan? <br />® Yes <br />❑ No (skip to Q19) <br />18. If yes in Q17, which components does your education and outreach plan include? (Check all that apply) <br />18.A. 0 Target audience(s) (Note: All or some of this item is anew permit requirement. Compliance with new <br />requirements is required within 12 months after receiving permit coverage.) If checked, specify your target <br />audiences: <br />18.A.1. 0 Residents <br />18.A.2. <br />0 Businesses <br />18.A.3. <br />0 Commercial facilities <br />18. A.4. <br />0 Institutions <br />18.A.5. <br />0 Local organizations <br />18.A.6. <br />0 Low income residents <br />18.A.7. <br />0 People of color <br />18.A.8. <br />0 Non-native English speaking residents <br />18.A.9. <br />❑ Other (describe below): <br />18.A.10. <br />18.B. 0 Name or position title of responsible person(s) for overall plan implementation. <br />18.B.1. If checked, specify the name(s) or position title(s): <br />Environmental Manager <br />18.C. ❑ Specific activities and schedules to reach each target audience. <br />18.C.1. If checked, provide any additional information (optional): <br />18.D. ❑ A description of any coordination with and/or use of stormwater education and outreach programs implemented by <br />other entities, if applicable. <br />18.D.1. If checked, provide any additional information (optional): <br />*19. Permit item 16.8: Do you document information relating to MCM 1? <br />0 Yes <br />❑ No (skip to Q21) <br />20. If yes in Q19, what do you document? (Check all that apply) <br />20.A. 0 A description of all specific stormwater-related issues you identified in item 16.3 <br />20.B. ❑X All information required under your education and outreach plan in item 16.7 <br />20.C. 0 Activities held, including dates, to reach each target audience <br />20.D. 0 Quantities and descriptions of educational materials distributed, including dates distributed <br />20.E. ❑X Estimated audience (e.g., number of participants, viewers, readers, listeners, etc.) for each completed education <br />and outreach activity (Note: All or some of this item is a new permit requirement. Compliance with new <br />requirements is required within 12 months after receiving permit coverage.) <br />https://www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats <br />wq-strm4-490 • 9123120 Page of32 <br />