Stormwater- Checklist

Facility Name: PAT BROKERAGE COMPANY, INC.

Permit Type: GP #2 Legal Status: Private     File No: 17094   Authorization No: 17094-16867

Expiration Date: 6/1/2011 (discontinued) Address: 4529 & 4539 DOUGLAS AVE. - DES MOINES , IA *

County: POLK Field Office: 5 SIC: Geospatial Information: 443120(X)/4608479(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