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Stormwater-
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Facility Name:
TRI MARK CORPERATION
Permit Type:
No Exposure
Legal Status:
Private
Address:
500 BAILEY AVE. - NEW HAMPTON , IA 50659
County:
CHICKASAW
Field Office:
1
SIC:
3429
Geospatial Information:
554324(X)/4768051(Y)
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No Exposure Certification
Application Date:
MM/DD/YYYY
Previously covered under a NPDES Storm Water permit?
If yes, enter permit number:
Certification Signed?
Permit Type:
--PERMIT TYPE--
GP #1
GP #2
GP #3
NO EXPOSURE
SIC:
Notes:
Eligibility Confirmed Date:
MM/DD/YYYY
Not Eligible For Storm Water Exclusion Date:
MM/DD/YYYY
Application For Storm Water Exclusion Approved Date:
MM/DD/YYYY
Expiration Date Of Exclusion:
MM/DD/YYYY