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Fiave you satisfied the MS4 permit conditions to develop/implement storm mgmt. program and report on <br /> status/effectiveness? <br /> Are you required to obtain a NPDES (Nat'I Pollutant Discharge Elimination System) permit for storm water during <br /> construction? <br /> If yes, have you prepared a Storm Water Pollution Prevention Plan (SWPPP) for erosion prevention/sediment control? <br /> (Attach copy of plan) <br /> Telecommunications Providers and Service Description <br /> Contact Name <br /> Com an <br /> Address <br /> Cit /State/Zi <br /> Phone <br /> E-Mail <br /> Does the site have broadband service? <br /> If there is broadband service, what is the upstream band width? mbps/gbps <br /> What is the downstream band width? mbps/gbps <br /> What is the type of delivery medium (copper, fiber optics, etc.) <br /> If service not available, how soon cou�d it be installed? <br /> Does the site have two (or more) fiber providers within 5 miles? <br /> If so, describe additional service below(Insert rows): <br /> VIII. VERIFICATION AND ASSURANCE <br /> I agree that the information is valid and accurate on a best effort basis, that the site can be listed on the MN DEED web site, ai <br /> site information will be updated annually, as of the date of signature. Si nature: <br /> Name: Title: Organization: <br /> If this is an amended application (new contact person): <br /> I agree that the information is valid and accurate on a best effort basis, that the site can be listed on the MN DEED web site, ai <br /> site information will be updated annually, as of the date of signature. Signature: <br /> Name: Title: Organization: <br />