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VXtUOi^UOH X'nJt^Ld.3 II <br />S'SS£S3S^5fH^„.„, <br />recnoniible for ^>*t**^f the Infbnmtioa, the ixvfonnedoii suteiitted is to Ac best of my kaowlcdgc end bchrf ttoe, lawTSte Bid <br />coBvIete. 1 im ww there ire ligBificttJt peneltiee for eubnittmg &lie infonnation, including die poMibilhy of fine and <br />huprisonmeni for knowing violations. <br />■u N mm / <br />lx <br />Sr€6C- <br />D ud <br />PlntNuM iruk <br />Skip to part H. <br />Cf itilic.ilmn r,i the Moiin W.it< i Polliitinn Pt«‘v<-ntion Plan (SWPPP) <br />A Storm Wtim PoOutloo Prevootlon Plan omit be developed to meet foe requirements offoeponiut and to <br />at foe site or ftcUity. The applicants’ Ikilure to conq>leia foe SWPPP prior to submitting foe wlUrsault in foe spplfcation being leoiraed and the storm water discharges associated with foe industrial activity wul not ^ <br />)iy tiie pemiit MmldpalMts eppfytng/arptrmit eomvgt/or mutt^ liras must drva/op a SWPPP for toot tUe. <br />1. Hava you developed a Storm Water PoUuSon Prevention Plan for your faelllty or alta <br />2. Who |a raopofuttila for ImptomanSng th# 8WPPP7 <br />qYes QNo <br />rtittMiiM This <br />MN <br />MUlhif AddNM Sou ZisCate <br />3. Whore ahouW the annual permN foe Invelee be maSad? <br />03 The dts or fociUty contact person and contact mailng aldrcsa indicated in ^etdon A.2. <br />n The owner and ownar mailing addraii indicated in question AJ. <br />ContiauetopmtH. <br />■Uwi‘L-f (jc Opor.ttor Ci.ititii.,ition <br />r Minify imMar |>fi«hy af law tSu thti dacMHunt ind ill sttschments were prepated under mv direction or superviaion in <br />■fyjwtanw »«y«em<le«ign»<lmM«uv diet q;ualifiedpefioonel properly eafocitd and evaluated the information <br />ntHmtitted. Baaed on my inqiiiiy of foe pecaon, or persons, who manage foe system, or fooae penons directly respooable forgsthering foe mfonmiion, foe infontnatioo aobmltted is, to the best of my knowledge and belief; trae, Mceuta^ and complete. 1 <br />am aware that foere ere significant penalties for submitting folse mfonnition, isehiding the possfinliQr of civil end criminsl <br />penalties. <br />ifUid SlpiMi ^ . <br />/a - P3_ <br />AmhofUid SlpiMi <br />^rgJg. <br />iMiNsmfo <br />a )iH <br />pusim <br />PAL£S, <br />' TWd <br />MaO your applicetloo to Mtnnesota Pollution Control Agency, RKM Divtelen, Industrial Storm Wntir Permit Prognm, <br />S20 Lniayelto Reed North, St Paul, MN 5515S-4194. Lo not cdc Iom any appUeatfon fee payment You will racalvi an <br />iivekc from the MPCA, if appUeable. <br />wfmmi>52 tdPCA !hS»nrt0lUum Hrmn 0oJ4 <br />1