Stormwater- Checklist

Facility Name: HELENA INDUSTRIES, LLC

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 253   Authorization No: 253-468

Expiration Date: 10/1/2027(current) Address: 3525 VANDALIA RD. - DES MOINES , IA 50317

County: POLK Field Office: 5 SIC: 2879 Geospatial Information: 454480(X)/4602068(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