Stormwater- Checklist

Facility Name: ACH FOAM TECHNOLOGIES - BUILDING ADDITION

Permit Type: GP #2 Legal Status: Private     File No: 20388   Authorization No: 20388-20154

Expiration Date: 7/5/2012 (discontinued) Address: 809 E. 15TH ST. - WASHINGTON , IA 52353

County: WASHINGTON Field Office: 6 SIC: Geospatial Information: 610219(X)/4574311(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