ms4 pond, wetland, and lake inventory form · 2017-04-25 · unique id number: type of feature...

21
wq-strm4-30 • 12/18/13 www.pca.state.mn.us Available in alternative formats 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 Page 1 of 21 Name of MS4 Permittee Date form completed Unique ID Number Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude) Decimal Degrees X Coordinate (Longitude) Decimal Degrees City of Rogers 3/25/2014 L27013500 Lake Grass Lake 45.19442216 -93.52359568 City of Rogers 3/25/2014 L27016900 Lake Cowley Lake 45.19580497 -93.59304068 City of Rogers 3/25/2014 L27017000 Lake 45.1990769 -93.62597656 City of Rogers 3/25/2014 L27017000 Lake 45.19896803 -93.62718527 City of Rogers 3/25/2014 L27017100 Lake Sylvan Lake 45.19021887 -93.61103684 City of Rogers 3/25/2014 L27017200 Lake Whiteford Lake 45.18204459 -93.60149876 City of Rogers 3/25/2014 L27017500 Lake Henry Lake 45.16881789 -93.60618718 City of Rogers 3/25/2014 L27017700 Lake Prairie Lake 45.19092789 -93.64507056 City of Rogers 3/25/2014 L27028400 Lake 45.21585264 -93.52328979 City of Rogers 3/25/2014 L27030000 Lake 45.17547842 -93.59900939 City of Rogers 3/25/2014 L27030100 Lake 45.1738044 -93.6126778 City of Rogers 3/25/2014 L27033900 Lake South Twin Lake 45.19184954 -93.63362275 City of Rogers 3/25/2014 L27034200 Lake 45.18148733 -93.63623585 City of Rogers 3/25/2014 L99000297 Lake 45.19897898 -93.59098822 City of Rogers 3/25/2014 L99000300 Lake 45.19721028 -93.58048297 City of Rogers 3/25/2014 L99000304 Lake 45.19659395 -93.62750485 City of Rogers 3/25/2014 L99000320 Lake 45.19031297 -93.5791769 City of Rogers 3/25/2014 L99000350 Lake 45.18022902 -93.63096983 City of Rogers 3/25/2014 P1 Stormwater Pond 45.22512903 -93.55178863 City of Rogers 3/25/2014 P10 Stormwater Pond 45.20889796 -93.54948885 City of Rogers 3/25/2014 P101 Stormwater Pond 45.19031312 -93.54996019 City of Rogers 3/25/2014 P102 Stormwater Pond 45.19003336 -93.55964101 City of Rogers 3/25/2014 P103 Stormwater Pond 45.18999486 -93.52978102 City of Rogers 3/25/2014 P104 Stormwater Pond 45.18997522 -93.57843877 City of Rogers 3/25/2014 P105 Stormwater Pond 45.18991805 -93.55761219 City of Rogers 3/25/2014 P106 Stormwater Pond 45.18966008 -93.56262429 City of Rogers 3/25/2014 P107 Stormwater Pond 45.18956679 -93.5273516 City of Rogers 3/25/2014 P108 Stormwater Pond 45.18955002 -93.56211135 City of Rogers 3/25/2014 P109 Stormwater Pond 45.18954133 -93.53236145 City of Rogers 3/25/2014 P11 Stormwater Pond 45.20881143 -93.55351039 City of Rogers 3/25/2014 P111 Stormwater Pond 45.18922162 -93.57986945 City of Rogers 3/25/2014 P112 Stormwater Pond 45.18874989 -93.54143504 City of Rogers 3/25/2014 P113 Stormwater Pond 45.18850252 -93.55718328 City of Rogers 3/25/2014 P114 Stormwater Pond 45.18834248 -93.57254221 MS4 Pond, Wetland, and Lake Inventory Form Municipal Separate Storm Sewer System (MS4) Program Doc Type: Plans/Specifications/Maps

Upload: others

Post on 07-Mar-2020

4 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 1 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 L27013500 Lake Grass Lake 45.19442216 -93.52359568City of Rogers 3/25/2014 L27016900 Lake Cowley Lake 45.19580497 -93.59304068City of Rogers 3/25/2014 L27017000 Lake 45.1990769 -93.62597656City of Rogers 3/25/2014 L27017000 Lake 45.19896803 -93.62718527City of Rogers 3/25/2014 L27017100 Lake Sylvan Lake 45.19021887 -93.61103684City of Rogers 3/25/2014 L27017200 Lake Whiteford Lake 45.18204459 -93.60149876City of Rogers 3/25/2014 L27017500 Lake Henry Lake 45.16881789 -93.60618718City of Rogers 3/25/2014 L27017700 Lake Prairie Lake 45.19092789 -93.64507056City of Rogers 3/25/2014 L27028400 Lake 45.21585264 -93.52328979City of Rogers 3/25/2014 L27030000 Lake 45.17547842 -93.59900939City of Rogers 3/25/2014 L27030100 Lake 45.1738044 -93.6126778City of Rogers 3/25/2014 L27033900 Lake South Twin Lake 45.19184954 -93.63362275City of Rogers 3/25/2014 L27034200 Lake 45.18148733 -93.63623585City of Rogers 3/25/2014 L99000297 Lake 45.19897898 -93.59098822City of Rogers 3/25/2014 L99000300 Lake 45.19721028 -93.58048297City of Rogers 3/25/2014 L99000304 Lake 45.19659395 -93.62750485City of Rogers 3/25/2014 L99000320 Lake 45.19031297 -93.5791769City of Rogers 3/25/2014 L99000350 Lake 45.18022902 -93.63096983City of Rogers 3/25/2014 P1 Stormwater Pond 45.22512903 -93.55178863City of Rogers 3/25/2014 P10 Stormwater Pond 45.20889796 -93.54948885City of Rogers 3/25/2014 P101 Stormwater Pond 45.19031312 -93.54996019City of Rogers 3/25/2014 P102 Stormwater Pond 45.19003336 -93.55964101City of Rogers 3/25/2014 P103 Stormwater Pond 45.18999486 -93.52978102City of Rogers 3/25/2014 P104 Stormwater Pond 45.18997522 -93.57843877City of Rogers 3/25/2014 P105 Stormwater Pond 45.18991805 -93.55761219City of Rogers 3/25/2014 P106 Stormwater Pond 45.18966008 -93.56262429City of Rogers 3/25/2014 P107 Stormwater Pond 45.18956679 -93.5273516City of Rogers 3/25/2014 P108 Stormwater Pond 45.18955002 -93.56211135City of Rogers 3/25/2014 P109 Stormwater Pond 45.18954133 -93.53236145City of Rogers 3/25/2014 P11 Stormwater Pond 45.20881143 -93.55351039City of Rogers 3/25/2014 P111 Stormwater Pond 45.18922162 -93.57986945City of Rogers 3/25/2014 P112 Stormwater Pond 45.18874989 -93.54143504City of Rogers 3/25/2014 P113 Stormwater Pond 45.18850252 -93.55718328City of Rogers 3/25/2014 P114 Stormwater Pond 45.18834248 -93.57254221

MS4 Pond, Wetland, and Lake Inventory FormMunicipal Separate Storm Sewer System (MS4) Program

Doc Type: Plans/Specifications/Maps

Page 2: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 2 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 P115 Stormwater Pond 45.18778573 -93.53317977City of Rogers 3/25/2014 P116 Stormwater Pond 45.18771403 -93.54851316City of Rogers 3/25/2014 P117 Stormwater Pond 45.18767705 -93.57860707City of Rogers 3/25/2014 P118 Stormwater Pond 45.18753075 -93.57396506City of Rogers 3/25/2014 P119 Stormwater Pond 45.1875158 -93.57586014City of Rogers 3/25/2014 P12 Stormwater Pond 45.20873979 -93.52600197City of Rogers 3/25/2014 P120 Stormwater Pond 45.18664345 -93.53454405City of Rogers 3/25/2014 P121 Stormwater Pond 45.18657672 -93.60798112City of Rogers 3/25/2014 P122 Stormwater Pond 45.18652568 -93.57927242City of Rogers 3/25/2014 P123 Stormwater Pond 45.1860119 -93.5702054City of Rogers 3/25/2014 P124 Stormwater Pond 45.18548402 -93.57470868City of Rogers 3/25/2014 P125 Stormwater Pond 45.18506738 -93.54061904City of Rogers 3/25/2014 P126 Stormwater Pond 45.18442207 -93.54279042City of Rogers 3/25/2014 P127 Stormwater Pond 45.18401298 -93.56807277City of Rogers 3/25/2014 P128 Stormwater Pond 45.1839077 -93.5421269City of Rogers 3/25/2014 P129 Stormwater Pond 45.1837953 -93.60815714City of Rogers 3/25/2014 P13 Stormwater Pond 45.20854429 -93.5306386City of Rogers 3/25/2014 P130 Stormwater Pond 45.18370767 -93.57022386City of Rogers 3/25/2014 P131 Stormwater Pond 45.18327596 -93.56565927City of Rogers 3/25/2014 P132 Stormwater Pond 45.18286539 -93.54784613City of Rogers 3/25/2014 P133 Stormwater Pond 45.18241111 -93.53719547City of Rogers 3/25/2014 P134 Stormwater Pond 45.18151178 -93.56757918City of Rogers 3/25/2014 P135 Stormwater Pond 45.18146521 -93.54077863City of Rogers 3/25/2014 P136 Stormwater Pond 45.1808277 -93.54017911City of Rogers 3/25/2014 P137 Stormwater Pond 45.18031231 -93.5492179City of Rogers 3/25/2014 P138 Stormwater Pond 45.17990783 -93.56499353City of Rogers 3/25/2014 P139 Stormwater Pond 45.17983331 -93.55341712City of Rogers 3/25/2014 P14 Stormwater Pond 45.20853459 -93.52790297City of Rogers 3/25/2014 P140 Stormwater Pond 45.17963198 -93.60488781City of Rogers 3/25/2014 P141 Stormwater Pond 45.17910801 -93.53822053City of Rogers 3/25/2014 P142 Stormwater Pond 45.17614699 -93.55303837City of Rogers 3/25/2014 P143 Stormwater Pond 45.17548642 -93.61242395City of Rogers 3/25/2014 P144 Stormwater Pond 45.17532708 -93.54573278City of Rogers 3/25/2014 P146 Stormwater Pond 45.17414269 -93.54750832City of Rogers 3/25/2014 P147 Stormwater Pond 45.17402877 -93.59527229City of Rogers 3/25/2014 P148 Stormwater Pond 45.17383407 -93.58094121City of Rogers 3/25/2014 P149 Stormwater Pond 45.17234171 -93.59316499City of Rogers 3/25/2014 P15 Stormwater Pond 45.20797905 -93.54281235City of Rogers 3/25/2014 P152 Stormwater Pond 45.17049974 -93.58321887City of Rogers 3/25/2014 P153 Stormwater Pond 45.16949262 -93.58275333

Page 3: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 3 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 P154 Stormwater Pond 45.16925059 -93.58156315City of Rogers 3/25/2014 P155 Stormwater Pond 45.16888601 -93.52300102City of Rogers 3/25/2014 P156 Stormwater Pond 45.16801993 -93.52530958City of Rogers 3/25/2014 P157 Stormwater Pond 45.16793991 -93.5218351City of Rogers 3/25/2014 P158 Stormwater Pond 45.16756034 -93.52490901City of Rogers 3/25/2014 P16 Stormwater Pond 45.2079164 -93.54224221City of Rogers 3/25/2014 P160 Stormwater Pond 45.16562658 -93.58656882City of Rogers 3/25/2014 P161 Stormwater Pond 45.16490207 -93.59999582City of Rogers 3/25/2014 P162 Stormwater Pond 45.16340366 -93.60292659City of Rogers 3/25/2014 P163 Stormwater Pond 45.16237912 -93.58501325City of Rogers 3/25/2014 P164 Stormwater Pond 45.16226802 -93.60146579City of Rogers 3/25/2014 P165 Stormwater Pond 45.15860402 -93.5828582City of Rogers 3/25/2014 P167 Stormwater Pond 45.15822288 -93.58260523City of Rogers 3/25/2014 P168 Stormwater Pond 45.1567832 -93.61402194City of Rogers 3/25/2014 P169 Stormwater Pond 45.15588449 -93.61183401City of Rogers 3/25/2014 P17 Stormwater Pond 45.20789744 -93.54585432City of Rogers 3/25/2014 P171 Stormwater Pond 45.1550709 -93.60746728City of Rogers 3/25/2014 P172 Stormwater Pond 45.15345071 -93.60312739City of Rogers 3/25/2014 P173 Stormwater Pond 45.15340378 -93.62772754City of Rogers 3/25/2014 P174 Stormwater Pond 45.15605846 -93.61044403City of Rogers 3/25/2014 P175 Stormwater Pond 45.20899198 -93.58990633City of Rogers 3/25/2014 P176 Stormwater Pond 45.20539915 -93.58470505City of Rogers 3/25/2014 P177 Stormwater Pond 45.20538905 -93.58430274City of Rogers 3/25/2014 P178 Stormwater Pond 45.20996549 -93.55350897City of Rogers 3/25/2014 P179 Stormwater Pond 45.20970163 -93.55159565City of Rogers 3/25/2014 P18 Stormwater Pond 45.20767468 -93.5617548City of Rogers 3/25/2014 P180 Stormwater Pond 45.15652044 -93.61277525City of Rogers 3/25/2014 P19 Stormwater Pond 45.20703274 -93.55968257City of Rogers 3/25/2014 P2 Stormwater Pond 45.22301444 -93.5328917City of Rogers 3/25/2014 P20 Stormwater Pond 45.20692077 -93.55453668City of Rogers 3/25/2014 P21 Stormwater Pond 45.20690251 -93.57573314City of Rogers 3/25/2014 P22 Stormwater Pond 45.20660767 -93.58739746City of Rogers 3/25/2014 P23 Stormwater Pond 45.2065849 -93.52255185City of Rogers 3/25/2014 P24 Stormwater Pond 45.20656896 -93.5488679City of Rogers 3/25/2014 P25 Stormwater Pond 45.20620994 -93.56935331City of Rogers 3/25/2014 P26 Stormwater Pond 45.2057333 -93.57374589City of Rogers 3/25/2014 P27 Stormwater Pond 45.20556892 -93.54185292City of Rogers 3/25/2014 P28 Stormwater Pond 45.20536077 -93.54416228City of Rogers 3/25/2014 P29 Stormwater Pond 45.20501919 -93.53199159City of Rogers 3/25/2014 P3 Stormwater Pond 45.21305661 -93.5291992

Page 4: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 4 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 P30 Stormwater Pond 45.20491604 -93.58987102City of Rogers 3/25/2014 P31 Stormwater Pond 45.20488271 -93.56044969City of Rogers 3/25/2014 P32 Stormwater Pond 45.2048489 -93.57071222City of Rogers 3/25/2014 P33 Stormwater Pond 45.20480096 -93.58915631City of Rogers 3/25/2014 P34 Stormwater Pond 45.20452102 -93.57082235City of Rogers 3/25/2014 P35 Stormwater Pond 45.20446282 -93.54215046City of Rogers 3/25/2014 P36 Stormwater Pond 45.20329869 -93.53577616City of Rogers 3/25/2014 P37 Stormwater Pond 45.20313877 -93.57723635City of Rogers 3/25/2014 P38 Stormwater Pond 45.20240877 -93.56409848City of Rogers 3/25/2014 P39 Stormwater Pond 45.20194389 -93.5440995City of Rogers 3/25/2014 P4 Stormwater Pond 45.21267859 -93.55186775City of Rogers 3/25/2014 P40 Stormwater Pond 45.20189426 -93.54545197City of Rogers 3/25/2014 P41 Stormwater Pond 45.20187243 -93.56467381City of Rogers 3/25/2014 P42 Stormwater Pond 45.20172196 -93.58538801City of Rogers 3/25/2014 P43 Stormwater Pond 45.20167667 -93.53786638City of Rogers 3/25/2014 P44 Stormwater Pond 45.2012401 -93.54763481City of Rogers 3/25/2014 P45 Stormwater Pond 45.20122912 -93.59209146City of Rogers 3/25/2014 P46 Stormwater Pond 45.2012091 -93.57902433City of Rogers 3/25/2014 P47 Stormwater Pond 45.20089286 -93.55750289City of Rogers 3/25/2014 P48 Stormwater Pond 45.20034273 -93.59044001City of Rogers 3/25/2014 P49 Stormwater Pond 45.20024882 -93.55166803City of Rogers 3/25/2014 P5 Stormwater Pond 45.21174412 -93.54805916City of Rogers 3/25/2014 P50 Stormwater Pond 45.20024368 -93.52903876City of Rogers 3/25/2014 P51 Stormwater Pond 45.20017148 -93.52807249City of Rogers 3/25/2014 P52 Stormwater Pond 45.20014391 -93.54821422City of Rogers 3/25/2014 P53 Stormwater Pond 45.20000787 -93.57560846City of Rogers 3/25/2014 P54 Stormwater Pond 45.19999371 -93.58047598City of Rogers 3/25/2014 P55 Stormwater Pond 45.19983633 -93.54332259City of Rogers 3/25/2014 P56 Stormwater Pond 45.19963235 -93.53502343City of Rogers 3/25/2014 P57 Stormwater Pond 45.19951241 -93.53653659City of Rogers 3/25/2014 P58 Stormwater Pond 45.19948628 -93.57410121City of Rogers 3/25/2014 P59 Stormwater Pond 45.1992377 -93.60211532City of Rogers 3/25/2014 P6 Stormwater Pond 45.21017085 -93.57353396City of Rogers 3/25/2014 P60 Stormwater Pond 45.19902237 -93.53846946City of Rogers 3/25/2014 P61 Stormwater Pond 45.19887496 -93.5816439City of Rogers 3/25/2014 P62 Stormwater Pond 45.19883972 -93.58032677City of Rogers 3/25/2014 P63 Stormwater Pond 45.19872866 -93.53709463City of Rogers 3/25/2014 P64 Stormwater Pond 45.19753412 -93.58417845City of Rogers 3/25/2014 P65 Stormwater Pond 45.19738189 -93.57318184City of Rogers 3/25/2014 P66 Stormwater Pond 45.19719694 -93.58047639

Page 5: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 5 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 P67 Stormwater Pond 45.19713539 -93.53493139City of Rogers 3/25/2014 P68 Stormwater Pond 45.19700708 -93.58654132City of Rogers 3/25/2014 P69 Stormwater Pond 45.19659038 -93.54136151City of Rogers 3/25/2014 P7 Stormwater Pond 45.20991917 -93.56239689City of Rogers 3/25/2014 P70 Stormwater Pond 45.19648723 -93.54048092City of Rogers 3/25/2014 P71 Stormwater Pond 45.19634732 -93.52786371City of Rogers 3/25/2014 P72 Stormwater Pond 45.19612276 -93.54870892City of Rogers 3/25/2014 P73 Stormwater Pond 45.19606756 -93.52928143City of Rogers 3/25/2014 P74 Stormwater Pond 45.19574233 -93.55367678City of Rogers 3/25/2014 P75 Stormwater Pond 45.19548363 -93.55854033City of Rogers 3/25/2014 P76 Stormwater Pond 45.19546207 -93.53804495City of Rogers 3/25/2014 P77 Stormwater Pond 45.19531451 -93.56761777City of Rogers 3/25/2014 P78 Stormwater Pond 45.1945683 -93.58154692City of Rogers 3/25/2014 P79 Stormwater Pond 45.1945313 -93.5508294City of Rogers 3/25/2014 P8 Stormwater Pond 45.20991086 -93.56839799City of Rogers 3/25/2014 P80 Stormwater Pond 45.19411126 -93.52769995City of Rogers 3/25/2014 P81 Stormwater Pond 45.19385313 -93.53660549City of Rogers 3/25/2014 P82 Stormwater Pond 45.19328178 -93.58171453City of Rogers 3/25/2014 P83 Stormwater Pond 45.19327923 -93.56879217City of Rogers 3/25/2014 P84 Stormwater Pond 45.19312015 -93.56475689City of Rogers 3/25/2014 P85 Stormwater Pond 45.19310608 -93.56761024City of Rogers 3/25/2014 P86 Stormwater Pond 45.19208946 -93.53267566City of Rogers 3/25/2014 P87 Stormwater Pond 45.19196745 -93.55312491City of Rogers 3/25/2014 P88 Stormwater Pond 45.19188434 -93.56759604City of Rogers 3/25/2014 P89 Stormwater Pond 45.19168885 -93.58112034City of Rogers 3/25/2014 P9 Stormwater Pond 45.20953629 -93.52448286City of Rogers 3/25/2014 P90 Stormwater Pond 45.19134996 -93.52761192City of Rogers 3/25/2014 P91 Stormwater Pond 45.1913402 -93.55168535City of Rogers 3/25/2014 P92 Stormwater Pond 45.19126566 -93.56534816City of Rogers 3/25/2014 P93 Stormwater Pond 45.19113874 -93.5782822City of Rogers 3/25/2014 P94 Stormwater Pond 45.19109525 -93.56133432City of Rogers 3/25/2014 P95 Stormwater Pond 45.19090613 -93.54115385City of Rogers 3/25/2014 P96 Stormwater Pond 45.19079005 -93.55069806City of Rogers 3/25/2014 P97 Stormwater Pond 45.19074071 -93.53240453City of Rogers 3/25/2014 P98 Stormwater Pond 45.19050698 -93.54057877City of Rogers 3/25/2014 R642502 River Crow River 45.2109868 -93.59625852City of Rogers 3/25/2014 W Wetland 45.19104701 -93.58192397City of Rogers 3/25/2014 W1 Wetland 45.18181858 -93.59092176City of Rogers 3/25/2014 W10 Wetland 45.18237695 -93.5482047City of Rogers 3/25/2014 W101 Wetland 45.16339215 -93.57100196

Page 6: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 6 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W102 Wetland 45.1709946 -93.60279576City of Rogers 3/25/2014 W103 Wetland 45.18944333 -93.63167332City of Rogers 3/25/2014 W104 Wetland 45.16658826 -93.5936419City of Rogers 3/25/2014 W105 Wetland 45.17187371 -93.60324562City of Rogers 3/25/2014 W1054 Wetland 45.17874728 -93.63369847City of Rogers 3/25/2014 W106 Wetland 45.15308469 -93.53162338City of Rogers 3/25/2014 W109 Wetland 45.20450258 -93.62214107City of Rogers 3/25/2014 W11 Wetland 45.17317259 -93.52272783City of Rogers 3/25/2014 W111 Wetland 45.20087258 -93.62023091City of Rogers 3/25/2014 W113 Wetland 45.18912535 -93.58192457City of Rogers 3/25/2014 W114 Wetland 45.17315139 -93.54751658City of Rogers 3/25/2014 W117 Wetland 45.18853217 -93.59294279City of Rogers 3/25/2014 W118 Wetland 45.16594589 -93.55592639City of Rogers 3/25/2014 W12 Wetland 45.19187485 -93.64846461City of Rogers 3/25/2014 W120 Wetland 45.17851198 -93.62681833City of Rogers 3/25/2014 W121 Wetland 45.18898907 -93.62842328City of Rogers 3/25/2014 W122 Wetland 45.16362306 -93.59114097City of Rogers 3/25/2014 W124 Wetland 45.19177176 -93.61698347City of Rogers 3/25/2014 W125 Wetland 45.1951184 -93.55433282City of Rogers 3/25/2014 W126 Wetland 45.17011165 -93.62589425City of Rogers 3/25/2014 W1266 Wetland 45.22483542 -93.55790696City of Rogers 3/25/2014 W127 Wetland 45.18845645 -93.54153845City of Rogers 3/25/2014 W1273 Wetland 45.19588682 -93.63052941City of Rogers 3/25/2014 W1274 Wetland 45.19588682 -93.63052941City of Rogers 3/25/2014 W1275 Wetland 45.19835129 -93.62898414City of Rogers 3/25/2014 W1276 Wetland 45.19835129 -93.62898414City of Rogers 3/25/2014 W128 Wetland 45.18725725 -93.57673511City of Rogers 3/25/2014 W1288 Wetland 45.17015171 -93.62618353City of Rogers 3/25/2014 W1289 Wetland 45.17015171 -93.62618353City of Rogers 3/25/2014 W1294 Wetland 45.21828994 -93.57582456City of Rogers 3/25/2014 W1297 Wetland 45.2268822 -93.53376332City of Rogers 3/25/2014 W13 Wetland 45.17035496 -93.55676707City of Rogers 3/25/2014 W130 Wetland 45.17394127 -93.62799858City of Rogers 3/25/2014 W131 Wetland 45.23019676 -93.53488871City of Rogers 3/25/2014 W1313 Wetland 45.17479774 -93.62590142City of Rogers 3/25/2014 W1314 Wetland 45.17479774 -93.62590142City of Rogers 3/25/2014 W132 Wetland 45.19513405 -93.60531233City of Rogers 3/25/2014 W1326 Wetland 45.18310928 -93.65140867City of Rogers 3/25/2014 W133 Wetland 45.17672638 -93.54269654City of Rogers 3/25/2014 W1331 Wetland 45.21115411 -93.60328165

Page 7: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 7 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W1333 Wetland 45.20941017 -93.62252493City of Rogers 3/25/2014 W1336 Wetland 45.20888997 -93.61788691City of Rogers 3/25/2014 W134 Wetland 45.17922743 -93.61634083City of Rogers 3/25/2014 W1344 Wetland 45.20514154 -93.63374685City of Rogers 3/25/2014 W135 Wetland 45.15568688 -93.5828761City of Rogers 3/25/2014 W136 Wetland 45.16568442 -93.60111934City of Rogers 3/25/2014 W1363 Wetland 45.19896803 -93.62718527City of Rogers 3/25/2014 W137 Wetland 45.20534911 -93.60436294City of Rogers 3/25/2014 W139 Wetland 45.15643491 -93.56407761City of Rogers 3/25/2014 W14 Wetland 45.16307063 -93.56631477City of Rogers 3/25/2014 W141 Wetland 45.16423416 -93.56784178City of Rogers 3/25/2014 W142 Wetland 45.16487399 -93.60914369City of Rogers 3/25/2014 W143 Wetland 45.21118214 -93.58241009City of Rogers 3/25/2014 W144 Wetland 45.16440528 -93.56851302City of Rogers 3/25/2014 W145 Wetland 45.18515962 -93.58227641City of Rogers 3/25/2014 W147 Wetland 45.18539435 -93.59272498City of Rogers 3/25/2014 W148 Wetland 45.18255373 -93.53101323City of Rogers 3/25/2014 W149 Wetland 45.19382608 -93.65708876City of Rogers 3/25/2014 W15 Wetland 45.18572921 -93.54667315City of Rogers 3/25/2014 W152 Wetland 45.20785312 -93.55795215City of Rogers 3/25/2014 W154 Wetland 45.18914776 -93.54040697City of Rogers 3/25/2014 W155 Wetland 45.18844591 -93.61845623City of Rogers 3/25/2014 W156 Wetland 45.16192959 -93.60314927City of Rogers 3/25/2014 W158 Wetland 45.17272505 -93.62695167City of Rogers 3/25/2014 W16 Wetland 45.19836084 -93.61713365City of Rogers 3/25/2014 W160 Wetland 45.21617584 -93.57593057City of Rogers 3/25/2014 W161 Wetland 45.17740726 -93.52522595City of Rogers 3/25/2014 W162 Wetland 45.1900065 -93.64046267City of Rogers 3/25/2014 W164 Wetland 45.15913677 -93.61516965City of Rogers 3/25/2014 W165 Wetland 45.19975577 -93.55180944City of Rogers 3/25/2014 W166 Wetland 45.1919903 -93.52859409City of Rogers 3/25/2014 W168 Wetland 45.21826467 -93.57487124City of Rogers 3/25/2014 W169 Wetland 45.16613779 -93.6167931City of Rogers 3/25/2014 W17 Wetland 45.17619921 -93.60864162City of Rogers 3/25/2014 W172 Wetland 45.15835965 -93.62801517City of Rogers 3/25/2014 W173 Wetland 45.19457298 -93.52926054City of Rogers 3/25/2014 W174 Wetland 45.19554693 -93.57793308City of Rogers 3/25/2014 W176 Wetland 45.19539795 -93.54841531City of Rogers 3/25/2014 W178 Wetland 45.18187058 -93.57045468City of Rogers 3/25/2014 W179 Wetland 45.15891403 -93.58609215

Page 8: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 8 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W18 Wetland 45.1644716 -93.57644653City of Rogers 3/25/2014 W180 Wetland 45.16151865 -93.585276City of Rogers 3/25/2014 W181 Wetland 45.1618889 -93.60800494City of Rogers 3/25/2014 W183 Wetland 45.16523658 -93.60752137City of Rogers 3/25/2014 W184 Wetland 45.19485095 -93.54547501City of Rogers 3/25/2014 W185 Wetland 45.16604305 -93.6034029City of Rogers 3/25/2014 W187 Wetland 45.1772797 -93.60548935City of Rogers 3/25/2014 W188 Wetland 45.17526718 -93.63231191City of Rogers 3/25/2014 W189 Wetland 45.18215404 -93.56065737City of Rogers 3/25/2014 W19 Wetland 45.19516547 -93.56779473City of Rogers 3/25/2014 W190 Wetland 45.18727941 -93.52788562City of Rogers 3/25/2014 W197 Wetland 45.18318909 -93.56042613City of Rogers 3/25/2014 W198 Wetland 45.22554773 -93.53371291City of Rogers 3/25/2014 W199 Wetland 45.1855212 -93.62405571City of Rogers 3/25/2014 W2 Wetland 45.15597838 -93.58525738City of Rogers 3/25/2014 W20 Wetland 45.18839722 -93.57844213City of Rogers 3/25/2014 W202 Wetland 45.20931075 -93.59018206City of Rogers 3/25/2014 W203 Wetland 45.21832824 -93.526039City of Rogers 3/25/2014 W206 Wetland 45.16789208 -93.54133908City of Rogers 3/25/2014 W207 Wetland 45.21667336 -93.52229713City of Rogers 3/25/2014 W208 Wetland 45.17831847 -93.6106794City of Rogers 3/25/2014 W209 Wetland 45.15770614 -93.54785946City of Rogers 3/25/2014 W21 Wetland 45.15825542 -93.62086727City of Rogers 3/25/2014 W210 Wetland 45.20463625 -93.57052191City of Rogers 3/25/2014 W211 Wetland 45.20482865 -93.56749283City of Rogers 3/25/2014 W212 Wetland 45.19351175 -93.56219787City of Rogers 3/25/2014 W214 Wetland 45.16714259 -93.5752056City of Rogers 3/25/2014 W216 Wetland 45.17829863 -93.56128755City of Rogers 3/25/2014 W217 Wetland 45.21482372 -93.59276676City of Rogers 3/25/2014 W218 Wetland 45.18024888 -93.64146884City of Rogers 3/25/2014 W219 Wetland 45.15583188 -93.58746134City of Rogers 3/25/2014 W22 Wetland 45.18211782 -93.63331626City of Rogers 3/25/2014 W220 Wetland 45.21135039 -93.59076826City of Rogers 3/25/2014 W221 Wetland 45.21488878 -93.53679596City of Rogers 3/25/2014 W223 Wetland 45.16015728 -93.58436595City of Rogers 3/25/2014 W224 Wetland 45.15852093 -93.6128629City of Rogers 3/25/2014 W228 Wetland 45.15746913 -93.6082351City of Rogers 3/25/2014 W229 Wetland 45.21781557 -93.54369176City of Rogers 3/25/2014 W23 Wetland 45.17819212 -93.63994834City of Rogers 3/25/2014 W233 Wetland 45.20932998 -93.53558607

Page 9: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 9 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W234 Wetland 45.19051757 -93.62901657City of Rogers 3/25/2014 W235 Wetland 45.18867487 -93.59020084City of Rogers 3/25/2014 W237 Wetland 45.17614084 -93.53075751City of Rogers 3/25/2014 W239 Wetland 45.16579939 -93.60603493City of Rogers 3/25/2014 W24 Wetland 45.1882648 -93.53101585City of Rogers 3/25/2014 W241 Wetland 45.17453169 -93.60724009City of Rogers 3/25/2014 W242 Wetland 45.19406204 -93.58229938City of Rogers 3/25/2014 W243 Wetland 45.18820414 -93.58217284City of Rogers 3/25/2014 W247 Wetland 45.19455588 -93.60318278City of Rogers 3/25/2014 W248 Wetland 45.18306819 -93.54648265City of Rogers 3/25/2014 W249 Wetland 45.18992016 -93.57027704City of Rogers 3/25/2014 W250 Wetland 45.1799657 -93.61763265City of Rogers 3/25/2014 W252 Wetland 45.16803032 -93.54832979City of Rogers 3/25/2014 W255 Wetland 45.1708803 -93.62112247City of Rogers 3/25/2014 W256 Wetland 45.17656604 -93.60097164City of Rogers 3/25/2014 W257 Wetland 45.20569064 -93.53828383City of Rogers 3/25/2014 W258 Wetland 45.20443664 -93.60566515City of Rogers 3/25/2014 W259 Wetland 45.16725504 -93.54170674City of Rogers 3/25/2014 W26 Wetland 45.1608678 -93.62797707City of Rogers 3/25/2014 W260 Wetland 45.18857335 -93.62022509City of Rogers 3/25/2014 W261 Wetland 45.18766182 -93.58869791City of Rogers 3/25/2014 W262 Wetland 45.16957997 -93.62072883City of Rogers 3/25/2014 W263 Wetland 45.23018626 -93.54250804City of Rogers 3/25/2014 W264 Wetland 45.18272012 -93.53642581City of Rogers 3/25/2014 W269 Wetland 45.18930387 -93.62308169City of Rogers 3/25/2014 W27 Wetland 45.16510767 -93.59661491City of Rogers 3/25/2014 W270 Wetland 45.17127441 -93.62890923City of Rogers 3/25/2014 W27016700 Wetland 45.15577363 -93.59361923City of Rogers 3/25/2014 W27017300 Wetland Tiltons 45.16896066 -93.56441695City of Rogers 3/25/2014 W27028600 Wetland 45.20293148 -93.52225874City of Rogers 3/25/2014 W27028800 Wetland 45.20211644 -93.53259572City of Rogers 3/25/2014 W27028900 Wetland 45.20769495 -93.54929296City of Rogers 3/25/2014 W27029000 Wetland 45.20265992 -93.56066845City of Rogers 3/25/2014 W27029100 Wetland 45.21412938 -93.58037738City of Rogers 3/25/2014 W27029300 Wetland 45.19143715 -93.5891445City of Rogers 3/25/2014 W27029400 Wetland 45.19219623 -93.56502923City of Rogers 3/25/2014 W27029700 Wetland 45.16579266 -93.55154632City of Rogers 3/25/2014 W27030100 Wetland 45.17326586 -93.61643869City of Rogers 3/25/2014 W27030200 Wetland 45.16660477 -93.58594714City of Rogers 3/25/2014 W27030500 Wetland 45.16439981 -93.56309089

Page 10: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 10 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W27030600 Wetland 45.16102274 -93.57100815City of Rogers 3/25/2014 W27034000 Wetland 45.19219199 -93.65170344City of Rogers 3/25/2014 W27034100 Wetland 45.1873125 -93.64617886City of Rogers 3/25/2014 W27034400 Wetland 45.17824933 -93.63093459City of Rogers 3/25/2014 W272 Wetland 45.16877279 -93.54933098City of Rogers 3/25/2014 W274 Wetland 45.17434475 -93.59311826City of Rogers 3/25/2014 W275 Wetland 45.17681997 -93.61152068City of Rogers 3/25/2014 W277 Wetland 45.20886007 -93.59293934City of Rogers 3/25/2014 W278 Wetland 45.16387979 -93.52567826City of Rogers 3/25/2014 W28 Wetland 45.17132186 -93.56971924City of Rogers 3/25/2014 W280 Wetland 45.19232334 -93.57598625City of Rogers 3/25/2014 W284 Wetland 45.16049765 -93.59237431City of Rogers 3/25/2014 W285 Wetland 45.18979449 -93.54269528City of Rogers 3/25/2014 W287 Wetland 45.16835673 -93.58613151City of Rogers 3/25/2014 W290 Wetland 45.16722323 -93.58025387City of Rogers 3/25/2014 W291 Wetland 45.18851822 -93.59705681City of Rogers 3/25/2014 W292 Wetland 45.16901915 -93.57488003City of Rogers 3/25/2014 W293 Wetland 45.15758277 -93.56155621City of Rogers 3/25/2014 W295 Wetland 45.19106336 -93.64050059City of Rogers 3/25/2014 W3 Wetland 45.22323045 -93.55101214City of Rogers 3/25/2014 W30 Wetland 45.1548468 -93.62091733City of Rogers 3/25/2014 W300 Wetland 45.1882877 -93.64416932City of Rogers 3/25/2014 W301 Wetland 45.16664222 -93.57507058City of Rogers 3/25/2014 W304 Wetland 45.18335961 -93.65112085City of Rogers 3/25/2014 W305 Wetland 45.19503149 -93.56138074City of Rogers 3/25/2014 W306 Wetland 45.16649217 -93.61794559City of Rogers 3/25/2014 W307 Wetland 45.20901353 -93.54078114City of Rogers 3/25/2014 W308 Wetland 45.15791466 -93.58047372City of Rogers 3/25/2014 W309 Wetland 45.18719544 -93.62118671City of Rogers 3/25/2014 W310 Wetland 45.18652483 -93.62031694City of Rogers 3/25/2014 W311 Wetland 45.17643674 -93.60715598City of Rogers 3/25/2014 W312 Wetland 45.1558137 -93.58044151City of Rogers 3/25/2014 W314 Wetland 45.20613261 -93.56349999City of Rogers 3/25/2014 W315 Wetland 45.18775918 -93.59100006City of Rogers 3/25/2014 W316 Wetland 45.18953588 -93.56625464City of Rogers 3/25/2014 W317 Wetland 45.16371435 -93.59660037City of Rogers 3/25/2014 W318 Wetland 45.178807 -93.63200791City of Rogers 3/25/2014 W319 Wetland 45.20400388 -93.59270771City of Rogers 3/25/2014 W32 Wetland 45.16070212 -93.5994137City of Rogers 3/25/2014 W320 Wetland 45.17914018 -93.58699847

Page 11: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 11 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W324 Wetland 45.16120813 -93.52468103City of Rogers 3/25/2014 W325 Wetland 45.17887113 -93.52175134City of Rogers 3/25/2014 W326 Wetland 45.20676707 -93.53668344City of Rogers 3/25/2014 W327 Wetland 45.16524854 -93.55841998City of Rogers 3/25/2014 W329 Wetland 45.21459465 -93.52702971City of Rogers 3/25/2014 W33 Wetland 45.18393792 -93.58913999City of Rogers 3/25/2014 W330 Wetland 45.1696574 -93.54431265City of Rogers 3/25/2014 W332 Wetland 45.19512292 -93.61613042City of Rogers 3/25/2014 W334 Wetland 45.17063492 -93.5979287City of Rogers 3/25/2014 W335 Wetland 45.15586154 -93.62779853City of Rogers 3/25/2014 W337 Wetland 45.21541548 -93.5391211City of Rogers 3/25/2014 W338 Wetland 45.17070432 -93.62977549City of Rogers 3/25/2014 W339 Wetland 45.17480924 -93.60078346City of Rogers 3/25/2014 W34 Wetland 45.16116204 -93.55720656City of Rogers 3/25/2014 W340 Wetland 45.18481675 -93.53666564City of Rogers 3/25/2014 W341 Wetland 45.16382367 -93.60947719City of Rogers 3/25/2014 W342 Wetland 45.15556196 -93.61628305City of Rogers 3/25/2014 W343 Wetland 45.18452828 -93.62147397City of Rogers 3/25/2014 W344 Wetland 45.17482913 -93.62564471City of Rogers 3/25/2014 W345 Wetland 45.16136935 -93.56521455City of Rogers 3/25/2014 W346 Wetland 45.15351916 -93.62050935City of Rogers 3/25/2014 W347 Wetland 45.17974771 -93.60025568City of Rogers 3/25/2014 W348 Wetland 45.21792135 -93.59191911City of Rogers 3/25/2014 W349 Wetland 45.16445354 -93.62740501City of Rogers 3/25/2014 W35 Wetland 45.18559953 -93.59703487City of Rogers 3/25/2014 W350 Wetland 45.18780308 -93.52877848City of Rogers 3/25/2014 W352 Wetland 45.18132108 -93.55028657City of Rogers 3/25/2014 W353 Wetland 45.1675305 -93.61094768City of Rogers 3/25/2014 W354 Wetland 45.1530767 -93.56757579City of Rogers 3/25/2014 W355 Wetland 45.17151781 -93.59235074City of Rogers 3/25/2014 W358 Wetland 45.18610499 -93.60884248City of Rogers 3/25/2014 W359 Wetland 45.21758553 -93.53407795City of Rogers 3/25/2014 W361 Wetland 45.20087647 -93.52944485City of Rogers 3/25/2014 W363 Wetland 45.21314029 -93.54266639City of Rogers 3/25/2014 W364 Wetland 45.1810487 -93.55214708City of Rogers 3/25/2014 W366 Wetland 45.1529692 -93.58084852City of Rogers 3/25/2014 W37 Wetland 45.18515518 -93.63447332City of Rogers 3/25/2014 W371 Wetland 45.20653954 -93.56064865City of Rogers 3/25/2014 W372 Wetland 45.16281093 -93.60372286City of Rogers 3/25/2014 W374 Wetland 45.21940358 -93.52461513

Page 12: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 12 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W376 Wetland 45.22108312 -93.53256123City of Rogers 3/25/2014 W378 Wetland 45.16346002 -93.56960176City of Rogers 3/25/2014 W379 Wetland 45.19283196 -93.52623066City of Rogers 3/25/2014 W38 Wetland 45.20731597 -93.58205863City of Rogers 3/25/2014 W381 Wetland 45.16319054 -93.55079814City of Rogers 3/25/2014 W382 Wetland 45.15544585 -93.6095943City of Rogers 3/25/2014 W384 Wetland 45.15871121 -93.57437432City of Rogers 3/25/2014 W385 Wetland 45.17491407 -93.62846823City of Rogers 3/25/2014 W388 Wetland 45.15289379 -93.63021586City of Rogers 3/25/2014 W389 Wetland 45.21704233 -93.52717755City of Rogers 3/25/2014 W390 Wetland 45.15408296 -93.58199684City of Rogers 3/25/2014 W392 Wetland 45.21904613 -93.52593555City of Rogers 3/25/2014 W394 Wetland 45.16204719 -93.59390209City of Rogers 3/25/2014 W395 Wetland 45.16738387 -93.52435073City of Rogers 3/25/2014 W396 Wetland 45.22431094 -93.53629568City of Rogers 3/25/2014 W397 Wetland 45.20493438 -93.54275912City of Rogers 3/25/2014 W4 Wetland 45.22544658 -93.55917391City of Rogers 3/25/2014 W40 Wetland 45.18287548 -93.59457838City of Rogers 3/25/2014 W402 Wetland 45.16152542 -93.52554076City of Rogers 3/25/2014 W404 Wetland 45.15386961 -93.62487162City of Rogers 3/25/2014 W407 Wetland 45.19940435 -93.59005794City of Rogers 3/25/2014 W409 Wetland 45.1592391 -93.56989277City of Rogers 3/25/2014 W41 Wetland 45.16077737 -93.61263076City of Rogers 3/25/2014 W411 Wetland 45.17727147 -93.6203178City of Rogers 3/25/2014 W415 Wetland 45.19910752 -93.59277345City of Rogers 3/25/2014 W416 Wetland 45.17853534 -93.60824479City of Rogers 3/25/2014 W418 Wetland 45.16875354 -93.6190043City of Rogers 3/25/2014 W42 Wetland 45.16424539 -93.5266503City of Rogers 3/25/2014 W420 Wetland 45.179351 -93.57831954City of Rogers 3/25/2014 W421 Wetland 45.20710688 -93.52853383City of Rogers 3/25/2014 W424 Wetland 45.19609927 -93.54723192City of Rogers 3/25/2014 W426 Wetland 45.1954729 -93.54599479City of Rogers 3/25/2014 W427 Wetland 45.19686489 -93.53980825City of Rogers 3/25/2014 W43 Wetland 45.19386295 -93.5771806City of Rogers 3/25/2014 W430 Wetland 45.17607401 -93.60322147City of Rogers 3/25/2014 W431 Wetland 45.18441108 -93.57572219City of Rogers 3/25/2014 W432 Wetland 45.20883837 -93.62274197City of Rogers 3/25/2014 W433 Wetland 45.18025347 -93.61936707City of Rogers 3/25/2014 W434 Wetland 45.17287824 -93.52605333City of Rogers 3/25/2014 W437 Wetland 45.18674239 -93.57843391

Page 13: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 13 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

City of Rogers 3/25/2014 W439 Wetland 45.16790166 -93.59006907City of Rogers 3/25/2014 W44 Wetland 45.20238188 -93.60654215City of Rogers 3/25/2014 W440 Wetland 45.17851236 -93.57726732City of Rogers 3/25/2014 W442 Wetland 45.15324346 -93.6015898City of Rogers 3/25/2014 W444 Wetland 45.17915407 -93.60380892City of Rogers 3/25/2014 W445 Wetland 45.17223255 -93.60685834City of Rogers 3/25/2014 W447 Wetland 45.18912166 -93.6163718City of Rogers 3/25/2014 W448 Wetland 45.15280507 -93.62868613City of Rogers 3/25/2014 W449 Wetland 45.20658933 -93.5953454City of Rogers 3/25/2014 W45 Wetland 45.19373194 -93.63981599City of Rogers 3/25/2014 W451 Wetland 45.1560862 -93.57693102City of Rogers 3/25/2014 W452 Wetland 45.19389127 -93.60184982City of Rogers 3/25/2014 W457 Wetland 45.20821651 -93.58923957City of Rogers 3/25/2014 W459 Wetland 45.19829317 -93.56244783City of Rogers 3/25/2014 W460 Wetland 45.18524217 -93.52515833City of Rogers 3/25/2014 W461 Wetland 45.19061731 -93.59345103City of Rogers 3/25/2014 W462 Wetland 45.19299131 -93.55647204City of Rogers 3/25/2014 W463 Wetland 45.16972175 -93.58210003City of Rogers 3/25/2014 W464 Wetland 45.17742825 -93.55710834City of Rogers 3/25/2014 W465 Wetland 45.17466537 -93.60515895City of Rogers 3/25/2014 W466 Wetland 45.1815606 -93.53519766City of Rogers 3/25/2014 W467 Wetland 45.20049472 -93.59266058City of Rogers 3/25/2014 W468 Wetland 45.1817022 -93.64341508City of Rogers 3/25/2014 W47 Wetland 45.21036334 -93.60519752City of Rogers 3/25/2014 W470 Wetland 45.15515012 -93.57860043City of Rogers 3/25/2014 W472 Wetland 45.19490979 -93.52374575City of Rogers 3/25/2014 W474 Wetland 45.18258209 -93.62763112

W475 Wetland 45.19330616 -93.62890628W48 Wetland 45.16699487 -93.54864347W481 Wetland 45.22062269 -93.52386612W483 Wetland 45.15988569 -93.61915451W489 Wetland 45.19116383 -93.5568029W49 Wetland 45.18661053 -93.54274293W490 Wetland 45.17471771 -93.62194435W491 Wetland 45.1844411 -93.57485495W492 Wetland 45.15886798 -93.58751852W493 Wetland 45.18036928 -93.63260392W494 Wetland 45.18782181 -93.53105039W498 Wetland 45.16488432 -93.61539438W5 Wetland 45.18605902 -93.55108617

Page 14: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 14 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W502 Wetland 45.16363323 -93.52477886W503 Wetland 45.16414962 -93.61228222W504 Wetland 45.1601281 -93.58806455W505 Wetland 45.15512147 -93.61119378W507 Wetland 45.18411798 -93.56234106W508 Wetland 45.20269107 -93.52233906W51 Wetland 45.17355494 -93.60538931W510 Wetland 45.2051903 -93.59204847W511 Wetland 45.18028861 -93.62778933W512 Wetland 45.21330017 -93.53731801W514 Wetland 45.16776759 -93.54432402W515 Wetland 45.19758578 -93.59839712W517 Wetland 45.17041431 -93.54667226W518 Wetland 45.20804785 -93.61751286W52 Wetland 45.22242807 -93.52233805W522 Wetland 45.18962032 -93.56238321W523 Wetland 45.16370622 -93.58407456W524 Wetland 45.15437649 -93.56421823W526 Wetland 45.17308849 -93.52872689W527 Wetland 45.17881395 -93.58034433W528 Wetland 45.1575839 -93.6025925W53 Wetland 45.16476047 -93.52382767W531 Wetland 45.15539976 -93.53526797W532 Wetland 45.16747986 -93.54039509W536 Wetland 45.17240591 -93.52419193W537 Wetland 45.16762152 -93.58316008W54 Wetland 45.17130111 -93.62781116W541 Wetland 45.17086139 -93.6221764W542 Wetland 45.18549118 -93.61310915W543 Wetland 45.17842836 -93.56746712W545 Wetland 45.16127482 -93.59581793W546 Wetland 45.22254296 -93.56033682W547 Wetland 45.16979721 -93.61555923W548 Wetland 45.18131642 -93.57053254W55 Wetland 45.17710783 -93.63387442W550 Wetland 45.17428804 -93.58890576W551 Wetland 45.15619676 -93.56512958W553 Wetland 45.16825778 -93.57695779W557 Wetland 45.18767653 -93.58807665W560 Wetland 45.1790978 -93.53268567

Page 15: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 15 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W563 Wetland 45.16287914 -93.59614807W566 Wetland 45.1779045 -93.59637214W568 Wetland 45.16019499 -93.58622178W569 Wetland 45.1669468 -93.60842354W572 Wetland 45.21999853 -93.52791617W575 Wetland 45.18133315 -93.56399459W576 Wetland 45.16192232 -93.62447498W58 Wetland 45.17368947 -93.57692711W580 Wetland 45.19482062 -93.57839645W584 Wetland 45.16110531 -93.57713401W585 Wetland 45.16445122 -93.52463599W588 Wetland 45.19974739 -93.58647377W59 Wetland 45.19447349 -93.57161502W590 Wetland 45.16262268 -93.60933631W592 Wetland 45.15298302 -93.60391847W593 Wetland 45.1910647 -93.63864931W594 Wetland 45.16918364 -93.54260399W595 Wetland 45.15870785 -93.62654831W597 Wetland 45.15590886 -93.5843293W598 Wetland 45.21807663 -93.54578656W6 Wetland 45.15915894 -93.53364282W60 Wetland 45.16548708 -93.60847166W600 Wetland 45.20711049 -93.59019068W603 Wetland 45.18067566 -93.60712048W604 Wetland 45.19667665 -93.54939532W605 Wetland 45.21282113 -93.59304173W608 Wetland 45.16571673 -93.58322481W61 Wetland 45.1999613 -93.57118903W611 Wetland 45.20732375 -93.54413606W612 Wetland 45.18550315 -93.53614885W615 Wetland 45.18427778 -93.61289383W616 Wetland 45.15740541 -93.57196226W619 Wetland 45.17821767 -93.60404235W62 Wetland 45.20082304 -93.56976523W620 Wetland 45.1661025 -93.61307534W621 Wetland 45.15517172 -93.60499405W623 Wetland 45.17700379 -93.62578576W624 Wetland 45.17812749 -93.5396909W628 Wetland 45.16569693 -93.52776069W63 Wetland 45.18727572 -93.53362199

Page 16: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 16 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W630 Wetland 45.16011651 -93.52489091W633 Wetland 45.15351744 -93.57732752W634 Wetland 45.17948571 -93.61042341W635 Wetland 45.21254608 -93.57371086W639 Wetland 45.20582761 -93.54925746W64 Wetland 45.18079258 -93.55281956W642 Wetland 45.2242039 -93.55060973W643 Wetland 45.16748194 -93.57517864W645 Wetland 45.15409815 -93.61016702W647 Wetland 45.15817153 -93.52291925W648 Wetland 45.18447054 -93.5634863W65 Wetland 45.15978463 -93.58091659W653 Wetland 45.16499875 -93.52192362W654 Wetland 45.15496621 -93.57028188W656 Wetland 45.19460256 -93.535976W658 Wetland 45.17986459 -93.52177678W659 Wetland 45.16975292 -93.58575709W660 Wetland 45.19663527 -93.61246719W661 Wetland 45.17445138 -93.54650309W662 Wetland 45.17848651 -93.58393581W665 Wetland 45.16592512 -93.60854581W67 Wetland 45.16895466 -93.5403511W670 Wetland 45.15314156 -93.52997368W671 Wetland 45.18854311 -93.65088083W673 Wetland 45.1540394 -93.56873256W674 Wetland 45.20087698 -93.62432498W677 Wetland 45.18475581 -93.58076805W678 Wetland 45.20179719 -93.59638927W68 Wetland 45.16924885 -93.55328289W682 Wetland 45.18647629 -93.60431463W683 Wetland 45.21982935 -93.52288722W689 Wetland 45.15404265 -93.57080522W69 Wetland 45.20664404 -93.61472088W690 Wetland 45.17882474 -93.55828656W691 Wetland 45.19105939 -93.61576134W692 Wetland 45.16362067 -93.54935901W695 Wetland 45.18525292 -93.63728286W696 Wetland 45.15811293 -93.56715886W699 Wetland 45.1617466 -93.57907579W7 Wetland 45.20585047 -93.55084865

Page 17: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 17 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W70 Wetland 45.153532 -93.61547948W700 Wetland 45.17782876 -93.63018229W702 Wetland 45.15886054 -93.60526767W703 Wetland 45.19099873 -93.58115174W705 Wetland 45.21675736 -93.53153641W707 Wetland 45.19277153 -93.61665104W709 Wetland 45.16948979 -93.58800498W71 Wetland 45.19917525 -93.53850224W711 Wetland 45.18759505 -93.58185305W712 Wetland 45.18034385 -93.63969794W713 Wetland 45.1905753 -93.56085279W715 Wetland 45.17561198 -93.62376379W717 Wetland 45.1751053 -93.62676597W72 Wetland 45.16196007 -93.61274384W723 Wetland 45.21385526 -93.59086615W724 Wetland 45.21815626 -93.57221685W727 Wetland 45.19364966 -93.55468254W728 Wetland 45.198296 -93.60574838W73 Wetland 45.21586416 -93.58320312W732 Wetland 45.16393945 -93.55196758W733 Wetland 45.15945326 -93.5974366W734 Wetland 45.16650385 -93.57253707W735 Wetland 45.15770712 -93.61150201W737 Wetland 45.18672259 -93.53944103W739 Wetland 45.16726024 -93.6160592W74 Wetland 45.18319658 -93.54398637W741 Wetland 45.15346895 -93.62880743W743 Wetland 45.17612702 -93.53688669W745 Wetland 45.21088246 -93.58749524W746 Wetland 45.21253529 -93.54733792W747 Wetland 45.18704228 -93.55467191W75 Wetland 45.18120968 -93.62997112W750 Wetland 45.1789787 -93.52968931W751 Wetland 45.16937484 -93.58490479W753 Wetland 45.17437111 -93.60074353W754 Wetland 45.19480949 -93.64154182W757 Wetland 45.15469195 -93.58422824W758 Wetland 45.17469544 -93.56750246W76 Wetland 45.21788469 -93.53992057W765 Wetland 45.19547633 -93.65500623

Page 18: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 18 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W767 Wetland 45.19684134 -93.54988937W768 Wetland 45.19565314 -93.55304746W769 Wetland 45.18265498 -93.63396297W77 Wetland 45.21214182 -93.58497751W770 Wetland 45.18493073 -93.64675659W774 Wetland 45.21192617 -93.58105303W777 Wetland 45.15287239 -93.60727341W779 Wetland 45.18039596 -93.61085283W782 Wetland 45.20442344 -93.57265101W784 Wetland 45.22092731 -93.56456864W788 Wetland 45.18201577 -93.54561853W79 Wetland 45.19633501 -93.54313849W790 Wetland 45.19456293 -93.6552353W792 Wetland 45.21230235 -93.583949W794 Wetland 45.18518739 -93.62536618W796 Wetland 45.15484035 -93.53553457W8 Wetland 45.17916274 -93.62114981W80 Wetland 45.1863129 -93.63274044W800 Wetland 45.18403473 -93.60388053W801 Wetland 45.15509198 -93.62467289W802 Wetland 45.18348436 -93.61087905W803 Wetland 45.17687948 -93.59286629W804 Wetland 45.15294322 -93.60617001W808 Wetland 45.17169322 -93.62698601W81 Wetland 45.15376113 -93.57272518W810 Wetland 45.17053308 -93.52209078W811 Wetland 45.20423119 -93.55085325W815 Wetland 45.16233054 -93.57762391W819 Wetland 45.22303389 -93.52228634W82 Wetland 45.17132453 -93.55045798W820 Wetland 45.19374029 -93.61509273W821 Wetland 45.19492677 -93.55128573W822 Wetland 45.18426178 -93.56760655W823 Wetland 45.15470536 -93.6255922W827 Wetland 45.16275345 -93.5970044W829 Wetland 45.19087851 -93.57609375W833 Wetland 45.16275481 -93.60505409W834 Wetland 45.18419639 -93.52577401W836 Wetland 45.18287615 -93.63970765W837 Wetland 45.20753725 -93.63545428

Page 19: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 19 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W84 Wetland 45.18596426 -93.56801855W841 Wetland 45.19449663 -93.55327497W843 Wetland 45.16201364 -93.59611382W845 Wetland 45.21768095 -93.59177659W848 Wetland 45.21885205 -93.55343431W85 Wetland 45.21327364 -93.52372838W852 Wetland 45.16368306 -93.52257321W855 Wetland 45.18365157 -93.56630804W86 Wetland 45.18731743 -93.56548222W860 Wetland 45.18833448 -93.56249526W861 Wetland 45.20577177 -93.59921604W863 Wetland 45.19373224 -93.54630985W864 Wetland 45.18379447 -93.52216981W865 Wetland 45.20493251 -93.54912647W866 Wetland 45.15591996 -93.60564177W870 Wetland 45.21192273 -93.5347129W871 Wetland 45.19103786 -93.63363237W872 Wetland 45.16185123 -93.60871266W873 Wetland 45.16462451 -93.56459531W874 Wetland 45.2006103 -93.56057961W877 Wetland 45.18435399 -93.64410692W879 Wetland 45.16577017 -93.61007059W88 Wetland 45.18231888 -93.54264577W880 Wetland 45.18623286 -93.6453186W881 Wetland 45.15295115 -93.62722666W882 Wetland 45.19504355 -93.6019299W884 Wetland 45.18078989 -93.60940468W886 Wetland 45.18881693 -93.60606698W887 Wetland 45.19211607 -93.557139W892 Wetland 45.1832344 -93.60818823W896 Wetland 45.1771326 -93.53366132W898 Wetland 45.21733466 -93.57586182W9 Wetland 45.21722114 -93.55900107W902 Wetland 45.17281747 -93.60912753W903 Wetland 45.18800844 -93.65396125W909 Wetland 45.15724781 -93.58064371W91 Wetland 45.19524195 -93.63734452W910 Wetland 45.17961094 -93.61195464W911 Wetland 45.17319616 -93.60429972W92 Wetland 45.18603195 -93.56409341

Page 20: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 20 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees

W920 Wetland 45.18809538 -93.60189322W923 Wetland 45.17600356 -93.620797W925 Wetland 45.21357119 -93.53080497W927 Wetland 45.20090743 -93.56238387W929 Wetland 45.16213526 -93.55209181W932 Wetland 45.18571676 -93.61105314W935 Wetland 45.20377079 -93.6212731W936 Wetland 45.1629952 -93.52338054W937 Wetland 45.16504702 -93.5536661W94 Wetland 45.18428279 -93.57168563W95 Wetland 45.17672665 -93.61504117W96 Wetland 45.21627499 -93.57863203W965 Wetland 45.17868701 -93.6331759W97 Wetland 45.1860052 -93.53462438W98 Wetland 45.18626567 -93.59197221

Page 21: MS4 Pond, Wetland, and Lake Inventory Form · 2017-04-25 · Unique ID Number: Type of Feature (Pond, Wetland or Lake) Feature Common Name (If Applicable) Y Coordinate (Latitude)

wq-strm4-30 • 12/18/13 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 21 of 21

Name of MS4 PermitteeDate form completed Unique ID Number

Type of Feature (Pond, Wetland or Lake)

Feature Common Name (If Applicable)

Y Coordinate (Latitude) Decimal Degrees

X Coordinate (Longitude) Decimal Degrees