Stormwater- Checklist

Facility Name: YSSELSTEIN DAIRY, INC.

Permit Type: GP #2 Legal Status: Private     File No: 7505   Authorization No: 7505-7310

Expiration Date: 4/19/2008 (discontinued) Address: 1760 - 300TH STREET - ROCK VALLEY , IA 51247

County: SIOUX Field Office: 3 SIC: Geospatial Information: 220691(X)/4790346(Y)

Checklist Checklist Completed. Automatic Update NOI Received Fee Correct Facility Info PPP Developed Location Info PPP Comply Outfall Info Public Notice Received   Contact Info Public Notice Complete   Permit Type Info Signature   Fee Paid File Memo   Fee Memo