Stormwater- Checklist

Facility Name: SIOUX PHARM, INC.

Permit Type: GP #1 Legal Status: Private     File No: 18869   Authorization No: 18869-18639

Expiration Date: 11/17/2028(current) Address: 121 19TH ST. SW - SIOUX CENTER , IA 51250

County: SIOUX Field Office: 3 SIC: 2834 Geospatial Information: 241009(X)/4772266(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