Stormwater- Checklist

Facility Name: MONOGRAM PREPARED MEATS, LLC

Permit Type: GP #1 Legal Status: Private     File No: 19335   Authorization No: 19335-19106

Expiration Date: 11/30/2028(current) Address: 1231 W. 870TH ST. - HARLAN , IA 51537

County: SHELBY Field Office: 4 SIC: 2013 Geospatial Information: 305643(X)/4610848(Y)

Checklist 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