HomeMy WebLinkAbout3.b. Public Meeting to Receive Comment on Rosemount Stormwater Pollution Prevention Plan (SWPPP)
EXECUTIVE SUMMARY
City Council Meeting: July 2, 2019
AGENDA ITEM: Public Meeting to Receive Comment on
Rosemount Stormwater Pollution Prevention
Plan (SWPPP)
AGENDA SECTION:
Presentations
PREPARED BY: Stephanie Smith, P.E., Assistant City Engineer AGENDA NO. 3.b.
ATTACHMENTS: SWPPP Permit Application, Municipal
Separate Storm Sewer System (MS4) 2018
Report
APPROVED BY: LJM
RECOMMENDED ACTION: Hold Public Meeting to receive comments on the City of
Rosemount’s Stormwater Pollution Prevention Plan (SWPPP)
BACKGROUND
A requirement of the NPDES MS4 Permit issued to the City of Rosemount by the Minnesota Pollution
Control Agency (MPCA) is annually provide an opportunity for the public to give input on the City’s
Stormwater Pollution Prevention Plan (SWPPP). Due to its size, the SWPPP is available on the City’s
website, the Engineering Department and at the July 2, 2019 Council meeting for viewing. A summary of
the Plan is included in the attached SWPPP Permit Application.
For additional information, attached is the Municipal Separate Storm Sewer System (MS4) Annual Report
for 2018. This report was submitted in June and is required by the MPCA each year as part of the City’s
NPDES Permit. This report outlines the requirements for the maintenance and operation of the storm
sewer system, as well as the city’s actions towards meeting those requirements in 2018.
RECOMMENDATION
Staff recommends that City Council hold a Public Meeting to receive comments on Rosemount’s
Stormwater Pollution Prevention Plan (SWPPP).
I:\City Clerk\Agenda Items\Approved Items\3.b. Public Meeting to Receive Comment on Rosemount Stormwater Pollution Prevention Plan (SWPPP).docx
wq-strm4-59p · 1/16/14 · Doc Type: Permit Approval
March 17, 2014
Andrew Brotzler
City of Rosemount MS4
2875 145th Street W
Rosemount, MN 55068
RE: Issuance of Coverage under the National Pollutant Discharge Elimination System/State
Disposal System (NPDES/SDS) General Permit MNR040000 for Municipal Separate Storm
Sewer Systems for City of Rosemount MS4 MS4
Dear Mr. Brotzler:
In accordance with Minn. R. 7001.0140, the Commissioner of the Minnesota Pollution Control
Agency (MPCA) has made a final determination to issue coverage under the National Pollutant
Discharge Elimination System/State Disposal System (NPDES/SDS) General Permit MNR040000
for Municipal Separate Storm Sewer Systems (MS4 General Permit) to the City of Rosemount
MS4, effective March 17, 2014. Please find enclosed a copy of the above referenced MS4
General Permit.
The MPCA’s final decision to issue permit coverage is based on the following:
MPCA staff has reviewed your MS4 General Permit application and Stormwater
Pollution Prevention Program (SWPPP) Document.
Public notice and opportunity for comment on your MS4 General Permit application and
SWPPP Document has been provided, and no comments were received.
As you know, it is the responsibility of the MS4 owner and/or operator to comply with the
requirements of the MS4 General Permit and your SWPPP Document . This issuance of coverage
does not preclude the MPCA from following up with an inspection or audit to verify compli ance
with the MS4 General Permit and SWPPP Document. Also, be aware that as a condition of
recordkeeping, Part IV.C.3. of the MS4 General Permit requires that the permittee retain their
SWPPP Document and all records pertinent to it for at least three (3) years beyond the term of
the MS4 General Permit.
In addition, for an MS4 that was covered under the previous MS4 General Permit (issuance date
June 1, 2006), coverage under that permit is terminated on the coverage date as specified
above. An MS4 covered under the new MS4 General Permit is required to report on activities
that were required or committed to under the previous permit.
wq-strm4-59p · 1/16/14 · Doc Type: Permit Approval
City of Rosemount MS4
Page 2
March 17, 2014
Finally, the MPCA thanks you for your cooperation in the permitting process . Please retain this
letter as documentation of your MS4 General Permit coverage under the NPDES/SDS Permit
MNR040000.
Please contact MS4 team member Rachel Stangl at 651-757-2879 with any questions.
Sincerely,
Duane Duncanson
This document has been electronically signed.
Duane Duncanson
Supervisor, Municipal Compliance Unit I
St. Paul Office
Municipal Division
cc: MS400117
City of Rosemount MS4 file
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 •TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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MS4 SWPPP Application
for Reauthorization
for the NPDES/SDS General Small Municipal Separate
Storm Sewer System (MS4) Permit MNR040000
reissued with an effective date of August 1, 2013
Stormwater Pollution Prevention Program (SWPPP) Document
Doc Type: Permit Application
Instructions: This application is for authorization to discharge stormwater associated with Municipal Separate Storm Sewer Systems
(MS4s) under the National Pollutant Discharge Elimination System/State Disposal System (NPDES/SDS) Permit Program. No fee is
required with the submittal of this application. Please refer to “Example” for detailed instructions found on the Minnesota Pollution
Control Agency (MPCA) MS4 website at http://www.pca.state.mn.us/ms4.
Submittal: This MS4 SWPPP Application for Reauthorization form must be submitted electronically via e-mail to the MPCA at
ms4permitprogram.pca@state.mn.us from the person that is duly authorized to certify this form. All questions with an asterisk (*) are
required fields. All applications will be returned if required fields are not completed.
Questions: Contact Claudia Hochstein at 651-757-2881 or claudia.hochstein@state.mn.us, Dan Miller at 651-757-2246 or
daniel.miller@state.mn.us, or call toll-free at 800-657-3864.
General Contact Information (*Required fields)
MS4 Owner (with ownership or operational responsibility, or control of the MS4)
*MS4 permittee name: City of Rosemount *County: Dakota
(city, county, municipality, government agency or other entity)
*Mailing address: 2875 - 145th St. W
*City: Rosemount *State: MN *Zip code: 55068-4997
*Phone (including area code): 651-322-2022 *E-mail: andy.brotzler@ci.rosemount.mn.us
MS4 General contact (with Stormwater Pollution Prevention Program [SWPPP] implementation responsibility)
*Last name: Brotzler *First name: Andrew
(department head, MS4 coordinator, consultant, etc.)
*Title: City Engineer
*Mailing address: 2875 - 145th St. W
*City: Rosemount *State: MN *Zip code: 55068-4997
*Phone (including area code): 651-322-2022 *E-mail: andy.brotzler@ci.rosemount.mn.us
Preparer information (complete if SWPPP application is prepared by a party other than MS4 General contact)
Last name: Alms First name: Bill
(department head, MS4 coordinator, consultant, etc.)
Title: WSB & Associates
Mailing address: 701 Xenia Ave South Suite 300
City: Minneapolis State: MN Zip code: 55416
Phone (including area code): (763) 231-4845 E-mail: walms@wsbeng.com
Verification
1.I seek to continue discharging stormwater associated with a small MS4 after the effective date of this Permit, and shall
submit this MS4 SWPPP Application for Reauthorization form, in accordance with the schedule in Appendix A, Table 1, with
the SWPPP document completed in accordance with the Permit (Part II.D.). Yes
2.I have read and understand the NPDES/SDS MS4 General Permit and certify that we intend to comply with all requirements
of the Permit. Yes
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Certification (All fields are required)
Yes - I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information
submitted.
I certify that based on my inquiry of the person, or persons, who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete.
I am aware that there are significant penalties for submitting false information, including the possibility of civil and criminal
penalties.
This certification is required by Minn. Stat. §§ 7001.0070 and 7001.0540. The authorized person with overall, MS4 legal
responsibility must certify the application (principal executive officer or a ranking elected official).
By typing my name in the following box, I certify the above statements to be true and correct, to the best of my knowledge,
and that this information can be used for the purpose of processing my application.
Name:
(This document has been electronically signed)
Title: Date (mm/dd/yyyy):
Mailing address:
City: State: Zip code:
Phone (including area code): E-mail:
Note: The application will not be
processed without certification.
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Stormwater Pollution Prevention Program Document
I. Partnerships: (Part II.D.1)
A. List the regulated small MS4(s) with which you have established a partnership in order to satisfy one or more
requirements of this Permit. Indicate which Minimum Control Measure (MCM) requirements or other program
components that each partnership helps to accomplish (List all that apply). Check the box below if you currently have no
established partnerships with other regulated MS4s. If you have more than five partnerships, hit the tab key after the last
line to generate a new row.
No partnerships with regulated small MS4s
Name and description of partnership MCM/Other permit requirements involved
Dakota County;
Partner with Dakota County (SWCD) for providing
educational opportunities/materials. MCM 1
B. If you have additional information that you would like to communicate about your partnerships with other regulated small
MS4(s), provide it in the space below, or include an attachment to the SWPPP Document, with the following file naming
convention: MS4NameHere_Partnerships.
II. Description of Regulatory Mechanisms: (Part II.D.2)
Illicit discharges
A. Do you have a regulatory mechanism(s) that effectively prohibits non-stormwater discharges into your small MS4,
except those non-stormwater discharges authorized under the Permit (Part III.D.3.b.)? Yes No
1. If yes:
a. Check which type of regulatory mechanism(s) your organization has (check all that apply):
Ordinance Contract language
Policy/Standards Permits
Rules
Other, explain:
b. Provide either a direct link to the mechanism selected above or attach it as an electronic document to this
form; or if your regulatory mechanism is either an Ordinance or a Rule, you may provide a citation:
Citation:
City Code: Title 10 -> Chapter 2 -> Sec. 10-2-6.Discharge Prohibitions
Direct link:
http://sterlingcodifiers.com/codebook/index.php?book_id=452§ion_id=534716
Check here if attaching an electronic copy of your regulatory mechanism, with the following file naming
convention: MS4NameHere_IDDEreg.
2. If no:
Describe the tasks and corresponding schedules that will be taken to assure that, within 12 months of the date
permit coverage is extended, this permit requirement is met:
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Construction site stormwater runoff control
A. Do you have a regulatory mechanism(s) that establishes requirements for erosion and sediment controls and waste
controls? Yes No
1.If yes:
a.Check which type of regulatory mechanism(s) your organization has (check all that apply):
Ordinance Contract language
Policy/Standards Permits
Rules
Other, explain:
b.Provide either a direct link to the mechanism selected above or attach it as an electronic document to this
form; or if your regulatory mechanism is either an Ordinance or a Rule, you may provide a citation:
Citation:
City Code: Title 10 -> Chapter 1 -> Sec. 10-1-12. Erosion and Sediment Control
City Code: Title 10 -> Chapter 2 -> Sec. 10-2-8. Industrial or Construction Activity Discharges
City of Rosemount Engineering Guidelines
City of Rostmount General Specifications GR-15, GR-16 & SP-23
Direct link:
http://sterlingcodifiers.com/codebook/index.php?book_id=452§ion_id=168860
http://sterlingcodifiers.com/codebook/index.php?book_id=452§ion_id=534718
http://www.ci.rosemount.mn.us/DocumentCenter/Home/View/72
http://www.ci.rosemount.mn.us/DocumentCenter/View/636
Check here if attaching an electronic copy of your regulatory mechanism, with the following file naming
convention: MS4NameHere_CSWreg.
B. Is your regulatory mechanism at least as stringent as the MPCA general permit to Discharge Stormwater Associated
with Construction Activity (as of the effective date of the MS4 Permit)? Yes No
If you answered yes to the above question, proceed to C.
If you answered no to either of the above permit requirements listed in A. or B., describe the tasks and corresponding
schedules that will be taken to assure that, within 12 months of the date permit coverage is extended, these permit
requirements are met:
The City's construction site stormwater runoff control requlatory mechnaism will be updated to be at least as strigent as
the MPCA CSW permit. This effort will completed within 12 months of the date permit coverage is extended.
C. Answer yes or no to indicate whether your regulatory mechanism(s) requires owners and operators of construction
activity to develop site plans that incorporate the following erosion and sediment controls and waste controls as
described in the Permit (Part III.D.4.a.(1)-(8)), and as listed below:
1.Best Management Practices (BMPs) to minimize erosion. Yes No
2.BMPs to minimize the discharge of sediment and other pollutants. Yes No
3.BMPs for dewatering activities. Yes No
4.Site inspections and records of rainfall events Yes No
5.BMP maintenance Yes No
6.Management of solid and hazardous wastes on each project site. Yes No
7.Final stabilization upon the completion of construction activity, including the use of perennial
vegetative cover on all exposed soils or other equivalent means.
Yes No
8.Criteria for the use of temporary sediment basins. Yes No
If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will
be taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met:
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Post-construction stormwater management
A. Do you have a regulatory mechanism(s) to address post-construction stormwater management activities?
Yes No
1. If yes:
a. Check which type of regulatory mechanism(s) your organization has (check all that apply):
Ordinance Contract language
Policy/Standards Permits
Rules
Other, explain:
b. Provide either a direct link to the mechanism selected above or attach it as an electronic document to this
form; or if your regulatory mechanism is either an Ordinance or a Rule, you may provide a citation:
Citation:
City Code: Title 10 -> Chapter 1 -> 10-1: Surface Water Management
City of Rosemount Engineering Guidelines
Direct link:
http://sterlingcodifiers.com/codebook/index.php?book_id=452&chapter_id=19762
http://www.ci.rosemount.mn.us/DocumentCenter/Home/View/72
Check here if attaching an electronic copy of your regulatory mechanism, with the following file naming
convention: MS4NameHere_PostCSWreg.
B. Answer yes or no below to indicate whether you have a regulatory mechanism(s) in place that meets the following
requirements as described in the Permit (Part III.D.5.a.):
1. Site plan review: Requirements those owners and/or operators of construction activity submit
site plans with post-construction stormwater management BMPs to the permittee for review and
approval, prior to start of construction activity.
Yes No
2. Conditions for post construction stormwater management: Requires the use of any
combination of BMPs, with highest preference given to Green Infrastructure techniques and
practices (e.g., infiltration, evapotranspiration, reuse/harvesting, conservation design, urban
forestry, green roofs, etc.), necessary to meet the following conditions on the site of a
construction activity to the Maximum Extent Practicable (MEP):
a. For new development projects – no net increase from pre-project conditions (on an annual
average basis) of:
1) Stormwater discharge volume, unless precluded by the stormwater management
limitations in the Permit (Part III.D.5.a(3)(a)).
2) Stormwater discharges of Total Suspended Solids (TSS).
3) Stormwater discharges of Total Phosphorus (TP).
Yes No
b. For redevelopment projects – a net reduction from pre-project conditions (on an annual
average basis) of:
1) Stormwater discharge volume, unless precluded by the stormwater management
limitations in the Permit (Part III.D.5.a(3)(a)).
2) Stormwater discharges of TSS.
3) Stormwater discharges of TP.
Yes No
3. Stormwater management limitations and exceptions:
a. Limitations
1) Prohibit the use of infiltration techniques to achieve the conditions for post-construction
stormwater management in the Permit (Part III.D.5.a(2)) when the infiltration structural
stormwater BMP will receive discharges from, or be constructed in areas:
a) Where industrial facilities are not authorized to infiltrate industrial stormwater under
an NPDES/SDS Industrial Stormwater Permit issued by the MPCA.
b) Where vehicle fueling and maintenance occur.
c) With less than three (3) feet of separation distance from the bottom of the
infiltration system to the elevation of the seasonally saturated soils or the top of
bedrock.
d) Where high levels of contaminants in soil or groundwater will be mobilized by the
infiltrating stormwater.
Yes No
2) Restrict the use of infiltration techniques to achieve the conditions for post-construction Yes No
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stormwater management in the Permit (Part III.D.5.a(2)), without higher engineering
review, sufficient to provide a functioning treatment system and prevent adverse
impacts to groundwater, when the infiltration device will be constructed in areas:
a) With predominately Hydrologic Soil Group D (clay) soils.
b) Within 1,000 feet up-gradient, or 100 feet down-gradient of active karst features.
c) Within a Drinking Water Supply Management Area (DWSMA) as defined in Minn.
R. 4720.5100, subp. 13.
d) Where soil infiltration rates are more than 8.3 inches per hour.
3) For linear projects where the lack of right-of-way precludes the installation of volume
control practices that meet the conditions for post-construction stormwater management
in the Permit (Part III.D.5.a(2)), the permittee’s regulatory mechanism(s) may allow
exceptions as described in the Permit (Part III.D.5.a(3)(b)). The permittee’s regulatory
mechanism(s) shall ensure that a reasonable attempt be made to obtain right-of-way
during the project planning process.
Yes No
4. Mitigation provisions: The permittee’s regulatory mechanism(s) shall ensure that any
stormwater discharges of TSS and/or TP not addressed on the site of the original construction
activity are addressed through mitigation and, at a minimum, shall ensure the following
requirements are met:
a. Mitigation project areas are selected in the following order of preference:
1) Locations that yield benefits to the same receiving water that receives runoff from the
original construction activity.
2) Locations within the same Minnesota Department of Natural Resource (DNR)
catchment area as the original construction activity.
3) Locations in the next adjacent DNR catchment area up‐stream
4) Locations anywhere within the permittee’s jurisdiction.
Yes No
b. Mitigation projects must involve the creation of new structural stormwater BMPs or the
retrofit of existing structural stormwater BMPs, or the use of a properly designed regional
structural stormwater BMP.
Yes No
c. Routine maintenance of structural stormwater BMPs already required by this permit cannot
be used to meet mitigation requirements of this part. Yes No
d. Mitigation projects shall be completed within 24 months after the start of the original
construction activity.
e. The permittee shall determine, and document, who will be responsible for long-term
maintenance on all mitigation projects of this part.
f. If the permittee receives payment from the owner and/or operator of a construction activity
for mitigation purposes in lieu of the owner or operator of that construction activity meeting
the conditions for post-construction stormwater management in Part III.D.5.a(2), the
permittee shall apply any such payment received to a public stormwater project, and all
projects must be in compliance with Part III.D.5.a(4)(a)-(e).
Yes No
Yes No
Yes No
5. Long-term maintenance of structural stormwater BMPs: The permittee’s regulatory
mechanism(s) shall provide for the establishment of legal mechanisms between the permittee
and owners or operators responsible for the long-term maintenance of structural stormwater
BMPs not owned or operated by the permittee, that have been implemented to meet the
conditions for post-construction stormwater management in the Permit (Part III.D.5.a(2)). This
only includes structural stormwater BMPs constructed after the effective date of this permit and
that are directly connected to the permittee’s MS4, and that are in the permittee’s jurisdiction.
The legal mechanism shall include provisions that, at a minimum:
a. Allow the permittee to conduct inspections of structural stormwater BMPs not owned or
operated by the permittee, perform necessary maintenance, and assess costs for those
structural stormwater BMPs when the permittee determines that the owner and/or operator
of that structural stormwater BMP has not conducted maintenance.
Yes No
b. Include conditions that are designed to preserve the permittee’s right to ensure maintenance
responsibility, for structural stormwater BMPs not owned or operated by the permittee, when
those responsibilities are legally transferred to another party.
Yes No
c. Include conditions that are designed to protect/preserve structural stormwater BMPs and
site features that are implemented to comply with the Permit (Part III.D.5.a(2)). If site
configurations or structural stormwater BMPs change, causing decreased structural
stormwater BMP effectiveness, new or improved structural stormwater BMPs must be
implemented to ensure the conditions for post-construction stormwater management in the
Permit (Part III.D.5.a(2)) continue to be met.
Yes No
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If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will
be taken to assure that, within twelve (12) months of the date permit coverage is extended, these permit requirements
are met:
B.3.a.1: The City will amend the ordinance and/or City Design Standards to include prohibiting the use of infiltration
techniques for post-construction stormwater management as described in the Permit (Part III.D.5.a(3)(a).1). The
ordinance will be amended on the same schedule as the items in B.2.a and B.2.b.
B.3.a.2: The City will amend the ordinance and/or City Design Standards to include restricting the use of infiltration
techniques for post-construction stormwater management as described in the Permit (Part III.D.5.a(3)(a).2). This will
occur on the same schedule as the items above.
B.3.a.3: The City will amend the ordinance and/or City Design Standards to include the exceptions for linear projects as
described in the Permit (Part III.D.5.a(3)(b)). This will occur on the same schedule as the items above.
B.4.a.: The City will amend the ordinance and/or City Design Standards to include order of preference for selecting
mitigation project areas as described in the Permit (Part III.D.5.a(4)(a)). This will occur on the same schedule as the
items above.
B.4.b.: The City will amend the ordinance and/or City Design Standards to include requirements for the creation of
mitigation projects as described in the Permit (Part III.D.5.a(4)(b)). This will occur on the same schedule as the items
above.
B.4.c.: The City will amend the ordinance and/or City Design Standards to include the restriction from using routine
maintenance of structural BMPs to meet the requirements for mitigation projects as described in the Permit (Part
III.D.5.a(4)(c)). This will occur on the same schedule as the items above.
B.4.d.: The City will amend the ordinance and/or City Design Standards to include the requirement to complete
mitigation projects within 24 months after the start of the original construction activity as described in the Permit (Part
III.D.5.a(4)(d)). This will occur on the same schedule as the items above.
B.4.e.: The City will amend the ordinance and/or City Design Standards to include the requirement to determine, and
document, who will be responsible for long-term maintenance on all mitigation projects as described in the Permit (Part
III.D.5.a(4)(e)). This will occur on the same schedule as the items above.
B.4.f.: The City will amend the ordinance and/or City Design Standards to mandate that money received from an
owner/operator of construction activity, in lieu of meeting the conditions for post-construction stormwater management,
shall be used for a public stormwater project as described in the Permit (Part III.D.5.a(4)(f)). This will occur on the same
schedule as the items above.
B.5.a.: The City will amend the ordinance and/or City Design Standards to include the requirement to allow the
permittee to conduct inspections, perform maintenance, and assess maintenance cost of structural stormwater BMPs
not owned or operated by the permittee as described in the Permit (Part III.D.5.a(5)(a)). This will occur on the same
schedule as the items above.
B.5.b.: The City will amend the ordinance and/or City Design Standards to include conditions that require maintenance
responsibility for structural stormwater BMPs through transfer of ownership as described in the Permit (Part
III.D.5.a(5)(b)). This will occur on the same schedule as the items above.
B.5.c.: The City will amend the ordinance and/or City Design Standards to include conditions to address BMP
modification in the future as described in the Permit (Part III.D.5.a(5)(c)). This will occur on the same schedule as the
items above.
III. Enforcement Response Procedures (ERPs): (Part II.D.3)
A. Do you have existing ERPs that satisfy the requirements of the Permit (Part III.B.)? Yes No
1. If yes, attach them to this form as an electronic document, with the following file naming
convention: MS4NameHere_ERPs.
2. If no, describe the tasks and corresponding schedules that will be taken to assure that, with
twelve (12) months of the date permit coverage is extended, these permit requirements are met:
B. Describe your ERPs:
http://sterlingcodifiers.com/codebook/index.php?book_id=§ion_id=534723
The current ERPs are included in the following City Codes: Title 10 -> Chapter 2 -> Section 10-2-13 thru 10-2-20
Enforcement, Appeal of Notice of Violation, Enforcement Measure After Appeal, Cost of Abatement of the Violation,
Legal Action, Compensatory Action, Nuisance, and Criminal Prosecution for Stormwater System Chapter violations.
Section 10-1-14; Penalty for Surface Water Management Chapter violations.
The City Code includes the following enforcement mechanisms:
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- Notice of Violation
- Public Nuisance
- Misdemeanors
- Stop work orders
IV. Storm Sewer System Map and Inventory: (Part II.D.4.)
A. Describe how you manage your storm sewer system map and inventory:
New developments are required to provide electronic as-build data in accordance with the GIS Information
Requirements located in the City Design Standard. The City GIS specialist updates and maintains all of the City's GIS
Information.
B. Answer yes or no to indicate whether your storm sewer system map addresses the following requirements from the
Permit (Part III.C.1.a-d), as listed below:
1. The permittee’s entire small MS4 as a goal, but at a minimum, all pipes 12 inches or greater in
diameter, including stormwater flow direction in those pipes.
Yes No
2. Outfalls, including a unique identification (ID) number assigned by the permittee, and an
associated geographic coordinate.
Yes No
3. Structural stormwater BMPs that are part of the permittee’s small MS4. Yes No
4. All receiving waters. Yes No
If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will
be taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met:
C. Answer yes or no to indicate whether you have completed the requirements of 2009 Minnesota Session Law, Ch. 172.
Sec. 28: with the following inventories, according to the specifications of the Permit (Part III.C.2.a.-b.), including:
1. All ponds within the permittee’s jurisdiction that are constructed and operated for purposes of
water quality treatment, stormwater detention, and flood control, and that are used for the
collection of stormwater via constructed conveyances.
Yes No
2. All wetlands and lakes, within the permittee’s jurisdiction, that collect stormwater via constructed
conveyances. Yes No
D. Answer yes or no to indicate whether you have completed the following information for each feature inventoried.
1. A unique identification (ID) number assigned by the permittee.
2. A geographic coordinate.
3. Type of feature (e.g., pond, wetland, or lake). This may be determined by using best professional
judgment.
Yes No
Yes No
Yes No
If you have answered yes to all above requirements, and you have already submitted the Pond Inventory Form to the
MPCA, then you do not need to resubmit the inventory form below.
If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will
be taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met:
E. Answer yes or no to indicate if you are attaching your pond, wetland and lake inventory to the MPCA
on the form provided on the MPCA website at: http://www.pca.state.mn.us/ms4 , according to the
specifications of Permit (Part III.C.2.b.(1)-(3)). Attach with the following file naming convention:
MS4NameHere_inventory.
Yes No
If you answered no, the inventory form must be submitted to the MPCA MS4 Permit Program within
12 months of the date permit coverage is extended.
V. Minimum Control Measures (MCMs) (Part II.D.5)
A. MCM1: Public education and outreach
1. The Permit requires that, within 12 months of the date permit coverage is extended, existing permittees revise their
education and outreach program that focuses on illicit discharge recognition and reporting, as well as other specifically
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selected stormwater-related issue(s) of high priority to the permittee during this permit term. Describe your current
educational program, including any high-priority topics included:
The public education program has been developed to distribute educational materials to the community or conduct
equivalent outreach activities. The BMPs identified will focus on the impact of storm water discharges on streams, rivers,
and wetlands, and the steps that the public can take to reduce pollutants in storm water runoff.
2. List the categories of BMPs that address your public education and outreach program, including the distribution of
educational materials and a program implementation plan. Use the first table for categories of BMPs that you have
established and the second table for categories of BMPs that you plan to implement over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and completed. In
addition, provide interim milestones and the frequency of action in which the permittee will implement and/or maintain the
BMPs. Refer to the U.S. Environmental Protection Agency’s (EPA) Measurable Goals Guidance for Phase II Small MS4s
(http://www.epa.gov/npdes/pubs/measurablegoals.pdf).
If you have more than five categories, hit the tab key after the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
Education Activity Implementation Plan
The City will provide stormwater education and outreach
programs for residents within the City. The City will complete
and outline of the education program and implementation
schedule for the upcoming permit year by June 30th.
City Web Page
The City updates their web page by providing information on
high priority storm water pollution prevention topics and effects
of illicit discharge to City residents and business owners. The
goal will be to add new material as it becomes available and
record the number of website hits annually.
City Newsletter
City staff will develop then distribute stormwater related articles
in the City newsletter. This goal will be met by distributing a
minimum of two storm water related articles in the City
newsletter each year.
Wetland Health Evaluation Program (WHEP):
The City will continue to implement the WHEP contingent upon
available City funding.
Coordination of Education Program
The City will collaborate and coordinate the development and
implementation of the City’s educational activities schedule with
the Dakota SWCD and VRWMO
BMP categories to be implemented Measurable goals and timeframes
3. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
City Engineer / Public Works Coordinator
B. MCM2: Public participation and involvement
1. The Permit (Part III.D.2.a.) requires that, within 12 months of the date permit coverage is extended, existing permittees
shall revise their current program, as necessary, and continue to implement a public participation/involvement program to
solicit public input on the SWPPP. Describe your current program:
Under this minimum control measure, the City provides measures to receive public input and opinion on the adequacy of
the SWPPP. This input can be received from public meetings, oral testimony, and written correspondence.
2. List the categories of BMPs that address your public participation/involvement program, including solicitation and documentation
of public input on the SWPPP. Use the first table for categories of BMPs that you have established and the second table for
categories of BMPs that you plan to implement over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and completed. In
addition, provide interim milestones and the frequency of action in which the permittee will implement and/or maintain the BMPs.
Refer to the EPA’s Measurable Goals Guidance for Phase II Small MS4s (http://www.epa.gov/npdes/pubs/measurablegoals.pdf).
If you have more than five categories, hit the tab key after the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
Comply with Public Notice Requirements
Provide public notice of meeting to provide input on the SWPPP
in accordance with City public hearing notification requirements.
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Annual Meeting
Hold annual public meeting combined with City Council Meeting
or other public participation/involvement event to solicit public
input on the SWPPP.
Consider Public Input
The City will conduct a public meeting and host a web page on
the City’s Storm Water Pollution Prevention Program. City staff
will respond to all public comments and statements received
from the public meeting, and document any proposed changes
to the SWPPP for final approval by City Engineer (if applicable).
The goal of this BMP will be met by documenting all written and
oral input into the record of decision and submitted in
conjunction with the annual report to the MPCA.
BMP categories to be implemented Measurable goals and timeframes
Online Availability of Stormwater Pollution Prevention
Program Document
Provide an electronic document of Stormwater Pollution
Prevention Program document online, to allow anytime, easier
access to these documents.
3. Do you have a process for receiving and documenting citizen input? Yes No
If you answered no to the above permit requirement, describe the tasks and corresponding schedules that will be taken to
assure that, within 12 months of the date permit coverage is extended, this permit requirement is met:
4. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
City Engineer / Public Works Coordinator
C. MCM 3: Illicit discharge detection and elimination
1. The Permit (Part III.D.3.) requires that, within 12 months of the date permit coverage is extended, existing permittees revise
their current program as necessary, and continue to implement and enforce a program to detect and eliminate illicit
discharges into the small MS4. Describe your current program:
The City has an ordinance that prohibits illicit discharges and connections. City Staff and public works employees are
trained to look for any signs of an illicit discharge while on the job. ERPs (linked) guide what actions the City can take after
an illicit discharge has been identified.
2. Does your Illicit Discharge Detection and Elimination Program meet the following requirements, as found in the Permit
(Part III.D.3.c.-g.)?
a. Incorporation of illicit discharge detection into all inspection and maintenance activities conducted
under the Permit (Part III.D.6.e.-f.)Where feasible, illicit discharge inspections shall be conducted
during dry-weather conditions (e.g., periods of 72 or more hours of no precipitation).
Yes No
b. Detecting and tracking the source of illicit discharges using visual inspections. The permittee may
also include use of mobile cameras, collecting and analyzing water samples, and/or other detailed
procedures that may be effective investigative tools.
Yes No
c. Training of all field staff, in accordance with the requirements of the Permit (Part III.D.6.g.(2)), in
illicit discharge recognition (including conditions which could cause illicit discharges), and
reporting illicit discharges for further investigation.
Yes No
d. Identification of priority areas likely to have illicit discharges, including at a minimum, evaluating
land use associated with business/industrial activities, areas where illicit discharges have been
identified in the past, and areas with storage of large quantities of significant materials that could
result in an illicit discharge.
Yes No
e. Procedures for the timely response to known, suspected, and reported illicit discharges. Yes No
f. Procedures for investigating, locating, and eliminating the source of illicit discharges. Yes No
g. Procedures for responding to spills, including emergency response procedures to prevent spills from
entering the small MS4. The procedures shall also include the immediate notification of the
Minnesota Department of Public Safety Duty Officer, if the source of the illicit discharge is a spill or
leak as defined in Minn. Stat. § 115.061.
Yes No
h. When the source of the illicit discharge is found, the permittee shall use the ERPs required by the
Permit (Part III.B.) to eliminate the illicit discharge and require any needed corrective action(s).
Yes No
If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will be
taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met:
C.2.b.The City will incorporate procedures into the IDDE program for detecting and tracking the source of illicit discharges
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using visual inspections as described in the permit (Part III.D.3.d). Procedures will be in place within 12 months following
the date permit coverage is extended..
C.2.d.The City will incorporate procedures into the IDDE program for prioritization of areas likely to have illicit discharges
as described in the permit (Part III.D.3.f). Procedures will be in place within 12 months following the date permit coverage
is extended.
3. List the categories of BMPs that address your illicit discharge, detection and elimination program. Use the first table for
categories of BMPs that you have established and the second table for categories of BMPs that you plan to implement
over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and completed. In
addition, provide interim milestones and the frequency of action in which the permittee will implement and/or maintain the
BMPs. Refer to the EPA’s Measurable Goals Guidance for Phase II Small MS4s
(http://www.epa.gov/npdes/pubs/measurablegoals.pdf).
If you have more than five categories, hit the tab key after the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
Storm Sewer System Mapping
The goal of this BMP will be met by annually updating changes
to the City’s storm sewer system map.
Illicit Discharge Detection and Elimination (IDDE) and
Enforcement Ordinance
The City will review and update (as necessary) the City’s
ordinance to prohibit illicit and non-stormwater discharges into
the City’s storm sewer and surface/ground waters. The goal of
this BMP will be met by reviewing existing city ordinances and
implementing updates related to illicit/non-stormwater
discharges (if necessary).
Illicit Discharge Detection and Elimination (IDDE)
Program
The City will develop and implement a program to detect and
reduce non-stormwater discharges, including illegal dumping.
Procedures for detection may consist of visual inspections for
non-stormwater discharges on City owned land and private
property (as requested). Inspection frequency may be
conducted concurrent with the outfall inspections and
implementation schedule of the public works activities.
The City will notify the MPCA state duty officer of any
hazardous material spills or discharges (within 24 hours of
receipt, if applicable, per NPDES Phase II requirements).
BMP categories to be implemented Measurable goals and timeframes
IDDE Program Updates
Develop written procedures for illicit discharge inspections,
investigations, and response actions. Develop a process to
document information as described in the Permit (Part III.3.h)
within 12 months following the date permit coverage is
extended.
Illicit Discharge Inspections
In Year 1, the City will map out areas that are identified as
high-priority outfalls and around high-risk establishments (fast
food restaurants, dumpster, car washes, mechanics, and oil
changes.) in years 2-5, the City will those integrate those sites
into its annual inspection MS4 activities.
Illicit Discharge Investigation
As needed, City staff or a consultant will be used to televise a
section of the sewer system, collect grab samples or perform
other effective testing procedures to find illicit connection
identified in the system.
4. Do you have procedures for record-keeping within your Illicit Discharge Detection and Elimination (IDDE) program as
specified within the Permit (Part III.D.3.h.)? Yes No
If you answered no, indicate how you will develop procedures for record-keeping of your Illicit Discharge, Detection and
Elimination Program, within 12 months of the date permit coverage is extended:
5. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
Public Works Supervisor
D. MCM 4: Construction site stormwater runoff control
1. The Permit (Part III.D.4) requires that, within 12 months of the date permit coverage is extended, existing permittees shall
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revise their current program, as necessary, and continue to implement and enforce a construction site stormwater runoff
control program. Describe your current program:
The City requires review of construction site erosion and sediment control (ESC) plans before projects begin, and work
with contractors to ensure appropriate and correct use of erosion and sediment control BMPs on sites. The enginering
and building inspectionis department are primarly responsible for checking compliance with construction site ESC plans.
2. Does your program address the following BMPs for construction stormwater erosion and sediment control as required in
the Permit (Part III.D.4.b.):
a. Have you established written procedures for site plan reviews that you conduct prior to the start of
construction activity?
Yes No
b. Does the site plan review procedure include notification to owners and operators proposing
construction activity that they need to apply for and obtain coverage under the MPCA’s general
permit to Discharge Stormwater Associated with Construction Activity No. MN R100001?
Yes No
c. Does your program include written procedures for receipt and consideration of reports of
noncompliance or other stormwater related information on construction activity submitted by the
public to the permittee?
Yes No
d. Have you included written procedures for the following aspects of site inspections to determine
compliance with your regulatory mechanism(s):
1) Does your program include procedures for identifying priority sites for inspection? Yes No
2) Does your program identify a frequency at which you will conduct construction site
inspections?
Yes No
3) Does your program identify the names of individual(s) or position titles of those responsible for
conducting construction site inspections?
Yes No
4) Does your program include a checklist or other written means to document construction site
inspections when determining compliance?
Yes No
e. Does your program document and retain construction project name, location, total acreage to be
disturbed, and owner/operator information?
Yes No
f. Does your program document stormwater-related comments and/or supporting information used to
determine project approval or denial?
Yes No
g. Does your program retain construction site inspection checklists or other written materials used to
document site inspections?
Yes No
If you answered no to any of the above permit requirements, describe the tasks and corresponding schedules that will be
taken to assure that, within 12 months of the date permit coverage is extended, these permit requirements are met.
D.2.d., City will develop written procedures for conducting site ESC inspections as described in the Permit (Part III.D.4.d).
Procedures will be in place within 12 months following the date permit coverage is extended.
3. List the categories of BMPs that address your construction site stormwater runoff control program. Use the first
table for categories of BMPs that you have established and the second table for categories of BMPs that you plan
to implement over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and
completed. In addition, provide interim milestones and the frequency of action in which the permittee will implement
and/or maintain the BMPs. Refer to the EPA’s Measurable Goals Guidance for Phase II Small MS4s
(http://www.epa.gov/npdes/pubs/measurablegoals.pdf). If you have more than five categories, hit the tab key
after the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
Construction Site Stormwater Runoff Ordinance
The City will annually review and update (as necessary) the
City’s erosion control ordinance.
The Erosion and Sediment Control Ordinance was approved in
November 2007.
Construction Site Erosion and Sediment Control
Inspections
City staff will continue to implement and enforce the construction
site inspection program for erosion control on construction sites
one acre or larger.
The goal of this BMP is to document the number of site
inspections conducted annually.
Waste Controls for Construction Site Operators
The goal will be met by enforcing the NPDES Phase II permit
requirements through the City’s construction site inspection
program.
Construction Site Plan Review
The City will require every applicant for a building permit,
subdivision approval, or grading permit that disturbs one acre or
more to submit a project specific stormwater management plan
(if applicable). This goal will be met by only issuing City permits
to applicants that have submitted project specific stormwater
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management plans (if applicable).
Establishment of Procedures for the Receipt and
Consideration of Reports of Stormwater
Noncompliance
The City will establish a phone line and web page links for the
public to report potential construction site erosion control and
waste disposal infractions. The goal of this BMP will achieved by
completing the timeline/implementation.
Establishment of Procedures for Site Inspections and
Enforcement
The City will inspect construction sites for conformance to
NPDES construction permit standards and applicable City
standards. This goal will be met by enforcing the City’s erosion
control and waste disposal standards.
BMP categories to be implemented Measurable goals and timeframes
Permit Update
Update the City Grading, Building, and ROW permits and
Construction Site Stormwater Runoff ordinance to meet the new
permit requirements within 12 months following the date permit
coverage is extended
Prioritize Inspections
The City will develop a process to determine the frequency for
inspecting high priority inspection sites (e.g., near sensitive
receiving waters, projects larger than 5 acres)
Permit Application System
Develop written procedures to improve tracking and archiving all
plan review and inspection documents within 12 months
following the date permit coverage is extended.
4. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
City Engineer
E. MCM 5: Post-construction stormwater management
1. The Permit (Part III.D.5.) requires that, within 12 months of the date permit coverage is extended, existing permittees
shall revise their current program, as necessary, and continue to implement and enforce a post-construction stormwater
management program. Describe your current program:
The City has a surface water management ordinace to address storm water runoff from new development and
redevelopment projects that disturb equal to or greater than one acre. This program insures that controls are in place
that would prevent or minimize water quality impacts from development activities.
2. Have you established written procedures for site plan reviews that you will conduct prior to the start of
construction activity?
Yes No
3. Answer yes or no to indicate whether you have the following listed procedures for documentation of
post-construction stormwater management according to the specifications of Permit (Part III.D.5.c.):
a. Any supporting documentation that you use to determine compliance with the Permit (Part
III.D.5.a), including the project name, location, owner and operator of the construction activity, any
checklists used for conducting site plan reviews, and any calculations used to determine
compliance?
Yes No
b. All supporting documentation associated with mitigation projects that you authorize? Yes No
c. Payments received and used in accordance with Permit (Part III.D.5.a.(4)(f))? Yes No
d. All legal mechanisms drafted in accordance with the Permit (Part III.D.5.a.(5)), including date(s) of
the agreement(s) and names of all responsible parties involved?
Yes No
If you answered no to any of the above permit requirements, describe the steps that will be taken to assure that, within
12 months of the date permit coverage is extended, these permit requirements are met.
E.3., The City will develop written procedures for documention of post-construciton stomwater management mitigation
as described in the Permit (Part III.D.5.c.). Procedures will be in place within 12 months following the date permit
coverage is extended.
4. List the categories of BMPs that address your post-construction stormwater management program. Use the first table
for categories of BMPs that you have established and the second table for categories of BMPs that you plan to
implement over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and
completed. In addition, provide interim milestones and the frequency of action in which the permittee will implement
and/or maintain the BMPs. Refer to the EPA’s Measurable Goals Guidance for Phase II Small MS4s
(http://www.epa.gov/npdes/pubs/measurablegoals.pdf). If you have more than five categories, hit the tab key after
the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
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Site Plan Review Program
The City will review and revise (if necessary, during the plan
review process) permanent BMP designs and criteria for post-
construction stormwater management associated with new
development and redevelopment projects of one acre or more.
The City will also actively look for non-structural opportunities
where prudent and feasible. The goal of this BMP will be met if
the City conducts plan reviews on new development and
redevelopment projects of one acre or more.
Surface Water Management Ordinance
Completed ordinance defining standards, review procedures
and enforcement response procedures for erosion and
sediment control at construction sites, and post construction
runoff from new development and redevelopment in 2007.
Stormwater Management Plan
Completed SWMP in 2007 and ensured goals and policies
were consistent with the NPDES General and Construction
Permits.
BMP categories to be implemented Measurable goals and timeframes
Update ordinance to meet new permit requirements
Complete Ordinance updates for post construction runoff from
new development and redevelopment Within 12 months of
extension of permit coverage.
Document Pertinent Project Information
Maintain all related documents pertaining to each new or
redevelopment project in more user-friendly filing system for
better records management. Implement within 12 months.
5. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
City Engineer
F. MCM 6: Pollution prevention/good housekeeping for municipal operations
1. The Permit (Part III.D.6.) requires that, within 12 months of the date permit coverage is extended, existing permittees shall
revise their current program, as necessary, and continue to implement an operations and maintenance program that
prevents or reduces the discharge of pollutants from the permittee owned/operated facilities and operations to the small
MS4. Describe your current program:
The City currently inspects its structural pollution control devices on an annual basis and inspects all of its outfalls,
sediment basins and ponds every 5 years. The City inspects stockpiles, storage and material handling areas at the
maintenance yard for potential discharges and maintenance of BMPs. The City is evaluating the use of road salt for winter
road maintenance activities to reduce chlorides entering surface waters. The City sweeps streets once in the fall after leaf
drop. Maintenance staff is trained annually on various topics related to pollution prevention during maintenance activities.
2. Do you have a facilities inventory as outlined in the Permit (Part III.D.6.a.)? Yes No
3. If you answered no to the above permit requirement in question 2, describe the tasks and corresponding schedules that
will be taken to assure that, within 12 months of the date permit coverage is extended, this permit requirement is met:
F.3., The City will complete a facilities inventory as described in the Permit (Part III.D.6.a.). Inventory will be completed
within 12 months following the date permit coverage is extended.
4. List the categories of BMPs that address your pollution prevention/good housekeeping for municipal operations program.
Use the first table for categories of BMPs that you have established and the second table for categories of BMPs that you
plan to implement over the course of the permit term.
Include the measurable goals with appropriate timeframes that each BMP category will be implemented and completed. In
addition, provide interim milestones and the frequency of action in which the permittee will implement and/or maintain the
BMPs. For an explanation of measurable goals, refer to the EPA’s Measurable Goals Guidance for Phase II Small MS4s
(http://www.epa.gov/npdes/pubs/measurablegoals.pdf).
If you have more than five categories, hit the tab key after the last line to generate a new row.
Established BMP categories Measurable goals and timeframes
Street Sweeping
The City will continue recording the frequency and miles of
streets that are swept, per sweeping occurrence.
The goal of this BMP will be met if the City conducts two street
sweeping occurrences per year.
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Strom Sewer Inspection Program
Conduct one inspection of all City-owned ponds and outfalls
prior to expiration date of this permit
Annual inspection of 100% of structural pollution control devices
(Sumps, Water Quality Manholes, etc.)
Inspection of All Exposed Stockpile, Storage and
Material Handling Areas
City staff will quarterly locate and inspect all exposed stockpiles
and storage/material handling areas on City owned properties.
All existing onsite BMP’s will be inspected for conformance to
NPDES Phase II permit requirements. Any identified erosion
control issues will be corrected and documented per NPDES
Phase II standards.
Structural Stormwater BMP Maintenance Program
Based on storm sewer inspection findings determine if repair,
replacement, or maintenance measures are necessary to
ensure structures proper function and treatment effectiveness.
Document annually number or structures repaired or scheduled
for maintenance.
Recording, Reporting, and Retention of All Inspections
and Responses to the Inspections
The City will retain all records of inspection, maintenance, and
corrective actions of the City’s stormwater system. The goal of
this BMP will be met if the City retains these records for a period
of three years past the expiration of this permit.
Evaluation of Inspection Frequency
Evaluate inspection records and determine if inspection
frequency needs to increase or decrease.
Landscaping and Lawn Care Practices Review
The City will continue to annually review and adjust (if
necessary) its current methods (as previously specified) of
landscaping and lawn care maintenance. The City will annually
document the results of the review. Success will be defined as
annually reviewing and adjusting current practices if necessary
(if necessary).
Road Salt Application Review
The City will record the annual activities of the salt distribution
program. Success will be defined as adjusting current practices
as necessary.
Evaluation of Proposed Storm Water Infiltration
Projects for Impacts within Source Water Protection
Areas
1. The City will use the Minnesota Department of Health’s
document “Evaluating Proposed Storm Water Infiltration
Projects in Vulnerable Wellhead Protection Areas” (Draft-July
19, 2006) and other pertinent information as guidance in
evaluating all infiltration projects within or adjacent to vulnerable
DWSMA’s.
2. The City will prohibit the construction of the infiltration area or
incorporate specific BMPs to reduce pollutants from infiltrating
within vulnerable DWSMA’s.
3. The City will annually record the evaluation, denial, and
implemented BMP’s, of all proposed infiltration projects within
and/or adjacent to vulnerable DWSMA’s.
BMP categories to be implemented Measurable goals and timeframes
Park and Open Space Training Program
Training focused on fertilizer application, pesticide/herbicide
application, and mowing discharge.
Fleet and Building Maintenance Training Program
Training focused on automotive maintenance program
(automotive inspections and washing), spill cleanup training,
hazardous materials training, building leak prevention and
inspection training.
Stormwater Systems Maintenance Training Program
Training focused on parking lot and street cleaning, storm drain
systems cleaning, road salt materials management
Spill Prevention & Control Plans for Municipal Facilities
Ensure that plans describing spill prevention and control
procedures are consistent among all departments. Conduct
annual spill prevention and response training sessions to all
municipal employees. Distribute education materials to each
municipal facility by the end of year 2.
Facility Inventory
Develop facilities inventory to include potential pollutants as
each site. Create a map of all identified facilities.
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Pond Assessment Procedures & Schedule
In year 1, develop procedures for determining TSS and TP
treatment effectiveness of city owned ponds use for treatment of
stormwater. Implement schedule in year 2-5
5. Does discharge from your MS4 affect a Source Water Protection Area (Permit Part III.D.6.c.)?
a. If no, continue to 6.
Yes No
b. If yes, the Minnesota Department of Health (MDH) is in the process of mapping the
following items. Maps are available at
http://www.health.state.mn.us/divs/eh/water/swp/maps/index.htm. Is a map including the
following items available for your MS4:
1) Wells and source waters for drinking water supply management areas identified as
vulnerable under Minn. R. 4720.5205, 4720.5210, and 4720.5330?
Yes No
2) Source water protection areas for surface intakes identified in the source water
assessments conducted by or for the Minnesota Department of Health under the federal
Safe Drinking Water Act, U.S.C. §§ 300j – 13?
Yes No
c. Have you developed and implemented BMPs to protect any of the above drinking water
sources?
Yes No
6. Have you developed procedures and a schedule for the purpose of determining the TSS and
TP treatment effectiveness of all permittee owned/operated ponds constructed and used for the
collection and treatment of stormwater, according to the Permit (Part III.D.6.d.)?
Yes No
7. Do you have inspection procedures that meet the requirements of the Permit (Part III.D.6.e.(1)-
(3)) for structural stormwater BMPs, ponds and outfalls, and stockpile, storage and material
handling areas?
Yes No
8. Have you developed and implemented a stormwater management training program commensurate with each
employee’s job duties that:
a. Addresses the importance of protecting water quality? Yes No
b. Covers the requirements of the permit relevant to the duties of the employee? Yes No
c. Includes a schedule that establishes initial training for new and/or seasonal employees and
recurring training intervals for existing employees to address changes in procedures,
practices, techniques, or requirements?
Yes No
9. Do you keep documentation of inspections, maintenance, and training as required by the Permit
(Part III.D.6.h.(1)-(5))?
Yes No
If you answered no to any of the above permit requirements listed in Questions 5 – 9, then describe the tasks and
corresponding schedules that will be taken to assure that, within 12 months of the date permit coverage is extended,
these permit requirements are met:
F.6. The City will develop a procedure for assessing ponds to determine TSS and TP effectiveness as described in the
Permit (Part III.D.6.d) This study will develop procedures for determining TSS and TP treatment effectiveness of city-
owned ponds used for treatment of stormwater. A schedule will be implemented in years 2 thru 5.
F.7., The City will develop written procedures for inspection of structural stormwater BMPs, ponds and outfalls, and
stockpile, storage and material handling areas as described in the Permit (Part III.D.6.f.). Procedures will be in place
within 12 months following the date permit coverage is extended.
F.8., The City will develop and implement a stormwater management training program commensurate with each
employees job duties as described in the Permit (Part III.D.6.g.). Procedures will be in place within 12 months following
the date permit coverage is extended.
F.9., The City will developwitten procedures to document inspections, mainenance, and training as described in the
Permit (Part III.D.6.h.). Procedures will be in place within 12 months following the date permit coverage is extended.
10. Provide the name or the position title of the individual(s) who is responsible for implementing and/or coordinating this
MCM:
City Engineer / Public Works Supervisor
VI. Compliance Schedule for an Approved Total Maximum Daily Load (TMDL) with an
Applicable Waste Load Allocation (WLA) (Part II.D.6.)
A. Do you have an approved TMDL with a Waste Load Allocation (WLA) prior to the effective date
of the Permit?
Yes No
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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1. If no, continue to section VII.
2. If yes, fill out and attach the MS4 Permit TMDL Attachment Spreadsheet with the following
naming convention: MS4NameHere_TMDL.
This form is found on the MPCA MS4 website: http://www.pca.state.mn.us/ms4.
VII. Alum or Ferric Chloride Phosphorus Treatment Systems (Part II.D.7.)
A. Do you own and/or operate any Alum or Ferric Chloride Phosphorus Treatment Systems which
are regulated by this Permit (Part III.F.)?
Yes No
1. If no, this section requires no further information.
2. If yes , you own and/or operate an Alum or Ferric Chloride Phosphorus Treatment System
within your small MS4, then you must submit the Alum or Ferric Chloride Phosphorus
Treatment Systems Form supplement to this document, with the following naming
convention: MS4NameHere_TreatmentSystem.
This form is found on the MPCA MS4 website: http://www.pca.state.mn.us/ms4.
VIII. Add any Additional Comments to Describe Your Program
Permittee name Preferred ID TMDL project name Waterbody ID Type of WLA
Numeric
WLA Unit
Percent
reduction
Flow
condition Waterbody name Pollutant of concern
Date
approved
Rosemount City MS400117 Long and Farquar Lakes Nutrient TMDL 19-0023-00 Individual 0.005 lbs/day N/A Farquar Lake Phosphorus 4/8/2009
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-507 Categorical 5.99 10^12 organisms/month High
Vermillion River; Below
trout stream portion to
South Br. Vermillion River Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-507 Categorical 1.57 10^12 organisms/month Moist
Vermillion River; Below
trout stream portion to
South Br. Vermillion River Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-507 Categorical 0.36 10^12 organisms/month Mid-Range
Vermillion River; Below
trout stream portion to
South Br. Vermillion River Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-507 Categorical **10^12 organisms/month Dry
Vermillion River; Below
trout stream portion to
South Br. Vermillion River Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-507 Categorical **10^12 organisms/month Low
Vermillion River; Below
trout stream portion to
South Br. Vermillion River Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-506 Categorical 8.62 10^12 organisms/month High
Vermillion River; South
Br. Vermillion River to the
Hastings Dam Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-506 Categorical 3.09 10^12 organisms/month Moist
Vermillion River; South
Br. Vermillion River to the
Hastings Dam Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-506 Categorical 1.57 10^12 organisms/month Mid-Range
Vermillion River; South
Br. Vermillion River to the
Hastings Dam Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-506 Categorical 0.30 10^12 organisms/month Dry
Vermillion River; South
Br. Vermillion River to the
Hastings Dam Fecal Coliform 4/5/2006
Rosemount City MS400117
Lower Mississippi River Basin Fecal Coliform Bacteria
TMDL 07040001-506 Categorical **10^12 organisms/month Low
Vermillion River; South
Br. Vermillion River to the
Hastings Dam Fecal Coliform 4/5/2006
Rosemount City MS400117 Lower Vermillion River Watershed Turbidity TMDL 07040001-504 Individual 26 kg/day
Vermillion
River/Vermillion Slough,
Hasting dam to
Mississippi River TSS 9/29/2009
Instructions: Use the Sort & Filter feature in Excel (Under the Home tab, in the Editing section for Excel 2010, click Sort & Filter and Sort A to Z) with the TMDL project
name column highlighted to arrange by TMDL Project.
Master List MS4 Permit TMDLs Spreadsheet
Municipal Separate Storm Sewer Systems (MS4) Program
Total Maximum Daily Load (TMDL)
Doc Type: Agency Generated
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6/27/2019 MS4 Annual Report for 2018
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You are currently logged in as:
Rosemount City MS4
If this is correct, click the 'Next' button. If this information is incorrect, contact Cole
Landgraf (651-757-2880, cole.landgraf@state.mn.us).
Before you begin...
A fillable Microsoft Word document with all of the questions is available at
https://stormwater.pca.state.mn.us/index.php?title=MS4_Annual_Report (for personal
use only, not for submittal).
The MS4 Annual Report for 2018 will automatically save your answers when you hit the
‘Next’ button at the bottom of each page.
If you wish to leave the MS4 Annual Report for 2018 and complete the document at
another time, you may do so by clicking ‘Next’ at the bottom of your current page to
save your progress before exiting the document. Return to the survey by following the
previously used web link, and again login using your email and assigned password
credentials. Once you successfully log in, your previous answers will appear.
The MPCA will email a PDF of your MS4 Annual Report for 2018 information to you in a
confirmation email within three business days after you submit this form.
You may print a copy of the MS4 Annual Report for 2018 for your records at any time
by pressing the ‘Print’ button at the bottom of the page.
Additionally, it is possible to save a PDF copy of the MS4 Annual Report for 2018 if you
are working on a computer with OneNote (a program often included in Microsoft Office
packages). Detailed saving instructions are available at
stormwater.pca.state.mn.us/index.php/Guidance_for_saving_MS4_annual_reports.
MS4 Annual Report for 2018
Reporting period: January 1, 2018 to December 31, 2018
Due: June 30, 2019
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Instructions: Complete this annual report to provide a summary of your activities under
the 2013 MS4 Permit (Permit) between January 1, 2018 and December 31, 2018.
MPCA staff may contact you for additional information.
Fillable document available at https://stormwater.pca.state.mn.us/index.php?
title=MS4_Annual_Report (for personal use only, not for submittal).
Questions: Contact Cole Landgraf (cole.landgraf@state.mn.us, 651-757-2880)
MS4 General Contact Information
Full name Brian Erickson
Title Director of Public Works/Engineering
Mailing
address 2875 145th St W
City Rosemount
State MN
Zip code 55068
Phone 651-322-2025
Email brian.erickson@ci.rosemount.mn.us
Preparer Contact Information (if different from the MS4 General Contact)
Full name Jane Byron
Title Storm Water Specialist
Organization City of Rosemount
Mailing
address 2875 145th St W
City Rosemount
State MN
Zip code 55068
Phone 651-322-2075
Email jane.byron@ci.rosemount.mn.us
MCM 1: Public Education and Outreach
The following questions refer to Part III.D.1. of the Permit.
Q2 Did you select a stormwater-related issue of high priority to be emphasized during this
Permit term? [Part III.D.1.a.(1)]
Yes
No
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Q3 What is your stormwater-related issue(s)? Check all that apply.
TMDL(s)
Local businesses
Residential BMPs
Pet waste
Yard waste
Deicing materials
Household chemicals
Construction activities
Post-construction activities
Other
Q4 Have you distributed educational materials or equivalent outreach to the public focused
on illicit discharge recognition and reporting? [Part III.D.1.a.(2)]
Yes
No
Q5 Do you have an implementation plan as required by the Permit? [Part III.D.1.b.]
Yes
No
Q6 How did you distribute educational materials or equivalent outreach? Check all that
apply and provide circulation/audience associated with each item. [Part III.D.1.a.]
Brochure
Newsletter
Utility bill insert
Newspaper ad
Radio ad
Television ad
Cable access channel
Stormwater-related event
School presentation or project
Website
Other (1)
Other (2)
Other (3)
Other (1),
describe:
Drinking Water Report - annual drinking water report, contains
pollution prevention information
Other (2),
describe:Facebook - 23 posts
Other (3),
describe:Twitter - 19 tweets
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Q7 Intended audience? Check all that apply.
Residents Local
Businesses Developers Students Employees Other
Brochure
Newsletter
Website
Other (1)
Other (2)
Other (3)
Q8 Enter the total circulation/audience (if unknown, use best estimate):
Brochure <100
Newsletter 9900
Website 222
Other (1)9900
Other (2)3900
Other (3)902
Provide a brief description of each activity related to public education and outreach
(e.g. rain garden workshop, school presentation, public works open house) held and
the date each activity was held from January 1, 2018 to December 31, 2018. [Part
III.D.1.c.(4)]
Q9 Date of activity Q10Description of activity
Date
(mm/dd/yyyy)05/12/18 Spring Clean Up Day
Date
(mm/dd/yyyy)10/06/18 Fall Clean Up Day
Date
(mm/dd/yyyy)07/28/18 REST booth at Leprechaun Days
Date
(mm/dd/yyyy)07/27/18 REST booth at Leprechaun Days
Date
(mm/dd/yyyy)10/30/18 Salt Use Survey - winter snow and ice control
and water softenting
Date
(mm/dd/yyyy)04/05/18 MS4 Annual Staff Training
Date
(mm/dd/yyyy)
Date
(mm/dd/yyyy)
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Q11 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your public education and outreach program?
[Part IV.B.]
Yes
No
MCM 2: Public Participation/Involvement
The following questions refer to Part III.D.2.a. of the Permit.
Q12 You must provide a minimum of one opportunity each year for the public to provide
input on the adequacy of your Stormwater Pollution Prevention Program (SWPPP). Did
you provide this opportunity between January 1, 2018 and December 31, 2018? [Part
III.D.2.a.(1)]
Yes
No
Q13 What was the opportunity that you provided? Check all that apply.
Public meeting
Public event
Other
Q14 Did you hold a stand-alone meeting or combine it with another event?
Stand-alone
Combined
Enter the date
of the public
meeting
(mm/dd/yyyy):
04/28/18
Enter the
number of
citizens that
attended and
were
informed
about your
SWPPP:
0
Q17 Between January 1, 2018 and December 31, 2018, did you receive any input regarding
your SWPPP?
Yes
No
Q19 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your public participation/involvement program?
[Part IV.B.]
Yes
No
MCM 3: Illicit Discharge Detection and Elimination
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The following questions refer to Part III.D.3. of the Permit.
Q20 Do you have a regulatory mechanism which prohibits non-stormwater discharges to
your MS4? [Part III.D.3.b.]
Yes
No
Q21 Did you identify any illicit discharges between January 1, 2018 and December 31,
2018? [Part III.D.3.h.(4)]
Yes
No
Q22 Enter the number of illicit discharges detected:
16
Q23 How did you discover these illicit discharges? Check all that apply and enter the
number of illicit discharges discovered by each category.
Public complaint
Staff
Q24 Enter the number discovered by the public:
2
Q25 Enter the number discovered by staff:
14
Q26 Did any of the discovered illicit discharges result in an enforcement action (this includes
verbal warnings)?
Yes
No
Q27 What type of enforcement action(s) was taken and how many of each action were
issued between January 1, 2018 and December 31, 2018? Check all that apply.
Verbal warning
Notice of violation
Fines
Criminal action
Civil penalties
Other
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Enter the
number
of verbal
warnings
issued:
1
Enter the
number
of notice
of
violations
issued:
15
Q28 Did the enforcement action(s) taken sufficiently address the illicit discharge(s)?
Yes
No
Q30 Do you have written Enforcement Response Procedures (ERPs) to compel compliance
with your illicit discharge regulatory mechanism(s)? [Part III.B.]
Yes
No
Q31 Between January 1, 2018 and December 31, 2018, did you train all field staff in illicit
discharge recognition (including conditions which could cause illicit discharges) and
reporting illicit discharges for further investigations? [Part III.D.3.e.]
Yes
No
Q32 How did you train your field staff? Check all that apply.
Email
PowerPoint
Presentation
Video
Field Training
Other
The following questions refer to Part III.C.1. of the Permit.
Q33 Did you update your storm sewer system map between January 1, 2018 and December
31, 2018? [Part III.C.1.]
Yes
No
Q34 Does your storm sewer map include all pipes 12 inches or greater in diameter and the
direction of stormwater flow in those pipes? [Part III.C.1.a.]
Yes
No
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Q35 Does your storm sewer map include outfalls, including a unique identification (ID)
number and an associated geographic coordinate? [Part III.C.1.b.]
Yes
No
Q36 Does your storm sewer map include all structural stormwater BMPs that are part of
your MS4? [Part III.C.1.c.]
Yes
No
Q37 Does your storm sewer map include all receiving waters? [Part III.C.1.d.]
Yes
No
Q38 In what format is your storm sewer map available?
Hardcopy only
GIS
CAD
Other
Q39 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your illicit discharge detection and elimination
(IDDE) program? [Part IV.B.]
Yes
No
MCM 4: Construction Site Stormwater Runoff Control
The following questions refer to Part III.D.4. of the Permit.
Q40 Do you have a regulatory mechanism that is at least as stringent as the Agency's
general permit to Discharge Stormwater Associated with Construction Activity (CSW
Permit) No. MN R100001 (http://www.pca.state.mn.us/index.php/view-document.html?
gid=18984) for erosion and sediment controls and waste controls? [Part III.D.4.a.]
Yes
No
Q41 Have you developed written procedures for site plan reviews as required by the
Permit? [Part III.D.4.b.]
Yes
No
Q42 Have you documented each site plan review as required by the Permit? [Part III.D.4.f.]
Yes
No
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Q43 Enter the number of site plan reviews conducted for sites an acre or greater of soil
disturbance between January 1, 2018 and December 31, 2018:
13
Q44 What types of enforcement actions do you have available to compel compliance with
your regulatory mechanism? Check all that apply and enter the number of each used
from January 1, 2018 to December 31, 2018.
Verbal warnings
Notice of violation
Administrative orders
Stop-work orders
Fines
Forfeit of security of bond money
Withholding of certificate of occupancy
Criminal actions
Civil penalties
Other
Enter the
number
of verbal
warnings
issued:
8
Enter the
number
of notice
of
violations
issued:
1
Enter the
number
of stop-
work
orders
issued:
0
Enter the
number
of fines
issued:
0
Enter the
number
of
forfeitures
of
security
bond
money
issued:
0
Enter the
number
criminal
actions
issued:
0
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Q45 Do you have written Enforcement Response Procedures (ERPs) to compel compliance
with your construction site stormwater runoff control regulatory mechanism(s)? [Part
III.B.]
Yes
No
Q46 Enter the number of active construction sites an acre or greater that were in your
jurisdiction between January 1, 2018 and December 31, 2018:
24
Q47 Do you have written procedures for identifying priority sites for inspections? [Part
III.D.4.d.(1)]
Yes
No
Q48 How are sites prioritized for inspections? Check all that apply.
Site topography
Soil characteristics
Types of receiving water(s)
Stage of construction
Compliance history
Weather conditions
Citizen complaints
Project size
Other
Q49 Do you have a checklist or other written means to document site inspections when
determining compliance? [Part III.D.4.d.(4)]
Yes
No
Q50 Enter the number of site inspections conducted for sites an acre or greater between
January 1, 2018 and December 31, 2018:
577
Q51 Enter the frequency at which site inspections are conducted (e.g. daily, weekly,
monthly): [Part III.D.4.d.(2)]
Weekly on average for most sites.
Q52 Enter the number of trained inspectors that were available for construction site
inspections between January 1, 2018 and December 31, 2018:
2
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Q53 Provide the contact information for the inspector(s) and/or organization that conducts
construction stormwater inspections for your MS4. List your primary construction
stormwater contact first if you have multiple inspectors.
(1)
Inspector
name
Meghan Litsey
Organization WSB & Associates, Inc
Phone
(Office)763-287-7155
Phone
(Work Cell)612-723-9166
Email mlitsey@wsbeng.com
Preferred
contact
method
email
(2)
Inspector
name
Derick Anderson
Organization City of Rosemount
Phone
(Office)651-322-2055
Phone
(Work Cell)651-485-1834
Email derick.anderson@ci.rosemount.mn.us
Preferred
contact
method
email
(3)
Inspector
name
Organization
Phone
(Office)
Phone
(Work Cell)
Email
Preferred
contact
method
Q54 What training did inspectors receive? Check all that apply.
University of Minnesota Erosion and Stormwater Management Certification Program
Qualified Compliance Inspector of Stormwater (QCIS)
Minnesota Laborers Training Center Stormwater Pollution Prevention Plan Installer or Supervisor
Minnesota Utility Contractors Association Erosion Control Training
Certified Professional in Erosion and Sediment Control (CPESC)
Certified Professional in Stormwater Quality (CPSWQ)
Certified Erosion, Sediment and Storm Water Inspector (CESSWI)
Other
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Q55 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your construction site stormwater runoff control
program? [Part IV.B.]
Yes
No
MCM 5: Post-Construction Stormwater Management
The following questions refer to Part III.D.5. of the Permit.
Q56 Do you have a regulatory mechanism which meets all requirements as specified in Part
III.D.5.a. of the Permit?
Yes
No
Q57 What approach are you using to meet the performance standard for Volume, Total
Suspended Solids (TSS), and Total Phosphorus (TP) as required by the Permit? [Part
III.D.5.a.(2)]
Check all that apply.
Refer to the link http://www.pca.state.mn.us/index.php/view-document.html?gid=17815
for guidance on stormwater management approaches.
Retain a runoff volume equal to one inch times the area of the proposed increase of impervious
surfaces on-site
Retain the post-construction runoff volume on site for the 95th percentile storm
Match the pre-development runoff conditions
Adopt the Minimal Impact Design Standards (MIDS)
An approach has not been selected
Other method (Must be technically defensible--e.g. based on modeling, research and acceptable
engineering practices)
Other, describe:
For developments and redevelopments greater than one acre in which the City will
not be providing a regional stormwater system, the City's policy is that storage
must be provided for the runoff from the 100-year, 24-hour storm event on site.
Developments will be required to provide 1/12 of an acre-foot/acre/day of
infiltration for the entire site's acreage.
Q58 Do you have written Enforcement Response Procedures (ERPs) to compel compliance
with your post-construction stormwater management regulatory mechanism(s)? [Part
III.B.]
Yes
No
Q59 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your post-construction stormwater management
program? [Part IV.B.]
Yes
No
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MCM 6: Pollution Prevention/Good Housekeeping for Municipal Operations
The following questions refer to Part III.D.6. of the Permit.
Q60 Enter the total number of structural stormwater BMPs, outfalls (excluding underground
outfalls), and ponds within your MS4 (exclude privately owned).
Structural
stormwater
BMPs
1703
Outfalls 86
Ponds 65
Q61 Enter the number of structural stormwater BMPs, outfalls (excluding underground
outfalls), and ponds that were inspected from January 1, 2018 to December 31, 2018
within your MS4 (exclude privately owned). [Part III.D.6.e.]
Structural
stormwater
BMPs
645
Outfalls 0
Ponds 19
Q62 Have you developed an alternative inspection frequency for any structural stormwater
BMPs, as allowed in Part III.D.6.e.(1) of the Permit?
Yes
No
Q63 Based on inspection findings, did you conduct any maintenance on any structural
stormwater BMPs? [Part III.D.6.e.(1)]
Yes
No
Q64 Briefly describe the maintenance that was conducted:
Cleaning accumulated debris and structural repairs.
Q65 Do you own or operate any stockpiles, and/or storage and material handling areas?
[Part III.D.6.e.(3)]
Yes
No
Q66 Did you inspect all stockpiles and storage and material handling areas quarterly? [Part
III.D.6.e.(3)]
Yes
No
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Q67 Based on inspection findings, did you conduct maintenance at any of the stockpiles
and/or storage and material handling areas?
Yes
No
Q69 Between January 1, 2018 and December 31, 2018, did you modify your BMPs,
measurable goals, or future plans for your pollution prevention/good housekeeping for
municipal operations program? [Part IV.B.]
Yes
No
Partnerships
Q78 Did you rely on any other regulated MS4s to satisfy one or more Permit requirements?
Yes
No
Additional Information
If you would like to provide any additional files to accompany your annual report, use
the space below to upload those files. For each space, you may attach one file. You
may provide additional explanation and/or information in an email with the subject
YourMS4NameHere_2018AR to ms4permitprogram.pca@state.mn.us.
Q80 Click the "up arrow" icon below to upload a file. When it has uploaded successfully, a
unique ID will appear in the box. Only files less than 10 MB in size will upload.
Q81 Click the "up arrow" icon below to upload a file. When it has uploaded successfully, a
unique ID will appear in the box. Only files less than 10 MB in size will upload.
Q82 Click the "up arrow" icon below to upload a file. When it has uploaded successfully, a
unique ID will appear in the box. Only files less than 10 MB in size will upload.
Q83 Optional, describe the file(s) uploaded:
6/27/2019 MS4 Annual Report for 2018
https://survey.mn.gov/siam/surveylanding/printerviewer.asp?sid=746D7065676832706B313536313634343533382E39 15/16
Owner or Operator Certification
The person with overall administrative responsibility for SWPPP implementation and
Permit compliance must certify this MS4 Annual Report. This person must be duly
authorized and should be either a principal executive (i.e., Director of Public Works,
City Administrator) or ranking elected official (i.e., Mayor, Township Supervisor).
I certify under penalty of law that this document and all attachments were prepared
under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. Based
on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete (Minn. R. 7001.0070). I
am aware that there are significant penalties for submitting false information, including
the possibility of fine and imprisonment (Minn. R. 7001.0540).
Yes
By typing my name in the following box, I certify the above statements to be true and
correct, to the best of my knowledge, and that information can be used for the purpose
of processing my MS4 Annual Report.
Name:Brian Erickson
Title:Director of Public Works/Engineering
Date:
(mm/dd/yyyy)06/27/2019
When you are ready to submit, you must click the
'Submit' button at the bottom of this page.
Provide the email(s) of the individual(s) you would like to receive the MS4 Annual
Report for 2018 submittal confirmation email from the MPCA. After you click the Submit
button below, please allow up to three business days to receive this email.
Email
(1)pwadm@ci.rosemount.mn.us
Email
(2)jane.byron@ci.rosemount.mn.us
Email
(3)
6/27/2019 MS4 Annual Report for 2018
https://survey.mn.gov/siam/surveylanding/printerviewer.asp?sid=746D7065676832706B313536313634343533382E39 16/16
Print or save a copy of your completed MS4 Annual Report for 2018 for your
records. The MPCA will email a PDF of your MS4 Annual Report for 2018
information in a confirmation email within three business days after you submit
this form to the email(s) you provided above.
You may print a copy of the MS4 Annual Report for 2018 for your records by pressing
the ‘Print’ button at the bottom of the page.
Additionally, it is possible to save a PDF copy of the MS4 Annual Report for 2018 if you
are working on a computer with OneNote (a program often included in Microsoft Office
packages). Detailed saving instructions are available at
stormwater.pca.state.mn.us/index.php/Guidance_for_saving_MS4_annual_reports.
If you have any questions, contact MPCA staff Cole Landgraf
(cole.landgraf@state.mn.us, 651-757-2880).