Stormwater-

Facility Name: WOODHARBER DOORS

Permit Type: No Exposure Legal Status:

Address: 100 ENTERPRISE DR. - NORTHWOOD , IA 50459

County: WORTH Field Office: 2 SIC: 2431 Geospatial Information: 484933(X)/4809733(Y)

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