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Additional information for checked items (optional): <br />161. <br />'17. Permit item 16.7: Do you have an education and outreach plan? <br />® Yes <br />❑ No (skip to 019) <br />1& If yes in 017, which components does your education and outreach plan include? (Check all that apply) <br />1&A. N Target audience(s)(Note: All orsome of this item is a newpermit requirement Compliance with new <br />requirements is required within 12 months after receiving permit coverage.) If checked, specify your target <br />audiences: <br />1&AA1 Residents <br />1&A.2. Businesses <br />1&A.3. Commerdal facilities <br />1&AA. Institutions <br />1&A.5. Local organizations <br />1&A.6. Low Income residents <br />1&A.7. People of color <br />1&Ab& Non native English speaking residents <br />1&A.9. ❑ Other (describe below): <br />1&A.10. <br />1&B. [x Name or position title of responsible person(s) for overall plan implementation. <br />1 &BA1 If checked, specify the names) or position title(s): <br />Environmental Manager <br />1&C. ❑ Specific activities and schedules to reach each target audience. <br />1&CA1 If checked, provide any additional information (optional): <br />1&D. ❑ A description of any coordination with and/or use of stormwater education and outreach programs Implemented by <br />other entities, if applicable. <br />1&DA1 If checked, provide any additional information (optional): <br />*19. Permit item 16.6: Do you document information relating to MCM 1? <br />❑x Yes <br />❑ No (skip to 021) <br />20. If yes in 019, what do you document? (Check al I that apply) <br />20.A. [K A description of all specific stormwater related Issues you identified In Item 16.3 <br />20.B. All information required under your education and outreach plan in item 16.7 <br />20.C. Activities held, Including dates, to reach each target audience <br />20.D. Quantities and descriptions of educational materials distributed, Including dates distributed <br />20.E. 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 />hUps//www.pca.state.mn.us • <br />651-296-63M • Wm69-3860 • Use your preferred <br />relay service • <br />Available in alternative formats <br />wq-snna-49a • 9123120 <br />FfWE 4&6f <br />115 <br />