3.5. SR 11-15-2010 - Laserfiche WebLink

Home Browse Search

Include your Federal and State Tax Identification numbers on the application. The MPCA is requesting this information to assist us in reducing duplicate records and to facilitate the fee process. C. General Contact • General contact is the person you want the MPCA to communicate with regarding Permit compliance issues. This person may be the same as the person with overall SWPPP implementation responsibility or someone else assigned to this role. Generally, the contact person should be the owner's representative in charge of stormwater Permit compliance for the MS4 (for example, Sandy Smith, Director of Public Works; Joe Johnson, Project Manager; etc.). • Provide the street address, city, state, ZIP code, and telephone number, including area code, of the person with official status representing the owner of the MS4, or other entity, which has operational control of the MS4. For example, the owner is the city; the representative is the party the MPCA will contact regarding the SWPPP. Preferably, this person has overall coordination of the SWPPP's operations. Include an e-mail address if available. II. Application Fee The application requires a $400 permit application fee. Rule changes in 2010 require an application fee of $400 for coverage under an MS4 permit (see Minn. R. 7002.0254). There is no fee for the second part of the application -submittal of the additional information (referenced above) required by the reissued MS4 General Permit. Indicate that the application fee has been enclosed by answering "Yes." Please make checks payable to: Minnesota Pollution Control Agency and submit the check with the completed application. Applications received without the required fee will be returned to the sender. III. Owner or Operator Certification After completing this application, the person with overall authority for the Owner or Operator must sign this application to certify the information submitted in this application. The signature can be from either a principal executive officer or ranking elected official (for example, mayor,. designated public works director, president of the university, city or county engineer, administrator or manager). For additional information on "signatures" and who is required to sign a permit application form, please see Minn. R. 7001.0060. Print or type the name of the individual signing the application. Include their title, and date of signature in the appropriate spaces. Include an e-mail address if available. If you have questions about the application, please contact the MPCA Stormwater Hotline at (651) 757-2119 or toll-free at (800) 657-3804 and ask for the MPCA staff person assigned to your MS4. wq-strm4-52 MPCA MS4 General Permit Application 2 of 4 11/1/] 0