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Owner or Operator!CertificM on' <br />he person with overall administrative responsibility for SWPPP implementation must sign the annual <br />report. This person must be duly authorized and should be the person who signed the MS4 permit <br />pplication or a successor. <br />certify under penalty of law that this document and all attachments were prepared under my direction or <br />upervision in accordance with a system designed to assure that qualified personnel properly gathered and <br />valuated the information submitted. Based on my inquiry of the person or persons who manage the <br />ystem, or those persons directly responsible for gathering the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete (Minn. R. 7001.0070). I am aware <br />hat there are significant penalties for submitting false information, including the possibility of fine and <br />imprisonment (Minn. R. 7001.0540). <br />X <br />Authorized Signature (This person must be duly authorized Date <br />to sign the annual report for the MS4) <br />Last Name Dircks <br />First Name Bill Title Public Works Superintendent <br />Mailing Address 515 Little Canada Road <br />City Little Canada <br />State MN LIP code 55117 <br />Telephone 651 -766 -4049 E -mail Address bill.dircks @ci.little- canada.mn.us <br />10 <br />