Stormwater- Checklist

Facility Name: INDEPENDENCE PREMIUM FOODS LLC

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 18015   Authorization No: 18015-17788

Expiration Date: 1/1/2028(current) Address: 812 3RD ST. NW - INDEPENDENCE , IA 50644-0433

County: BUCHANAN Field Office: 1 SIC: 2047 Geospatial Information: 590105(X)/4702658(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