Stormwater- Checklist

Facility Name: CRYSTAL DISTRIBUTION SERVICES, INC.

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 17643   Authorization No: 17643-17409

Expiration Date: 8/24/2012 (discontinued) Address: 1656 SYCAMORE ST. - WATERLOO , IA 50703

County: BLACK HAWK Field Office: 1 SIC: Geospatial Information: 555646(X)/4704117(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