Stormwater- Checklist

Facility Name: CTI READY MIX

Permit Type: GP #3 Legal Status: Private     File No: 13002   Authorization No: 13002-12788

Expiration Date: 10/1/2030(current) Address: 6207 NW BEAVER DR. - JOHNSTON , IA 50313

County: POLK Field Office: 5 SIC: 3200 Geospatial Information: 443479(X)/4613860(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