Stormwater- Checklist

Facility Name: SOUTHERN BREEZE, INC.

Permit Type: GP #2 Legal Status: Private     File No: 15255   Authorization No: 15255-15037

Expiration Date: 4/1/2009 (discontinued) Address: 473 430TH ST. - MARCUS , IA 51035

County: CHEROKEE Field Office: 3 SIC: Geospatial Information: 272581(X)/4753383(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