Stormwater- Checklist

Facility Name: SINCLAIR FORT MADISON TERMINAL

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 423   Authorization No: 423-299

Expiration Date: 10/1/2005 (discontinued) Address: 2010 35TH STREET - FORT MADISON , IA 52627

County: LEE Field Office: 6 SIC: 5171 Geospatial Information: 638921(X)/4497927(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