Stormwater- Checklist

Facility Name: LIBERTY READY MIX

Permit Type: GP #2 Legal Status: Private     File No: 8367   Authorization No: 8367-8172

Expiration Date: 9/30/2008 (discontinued) Address: 5002 BEISSER DR. - GRIMES , IA 50111

County: POLK Field Office: 5 SIC: Geospatial Information: 434782(X)/4611445(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