Stormwater- Checklist

Facility Name: SHELBY DISTRIBUTION / MANUFACTURING FACILITY

Permit Type: GP #2 Legal Status: Private     File No: 11337   Authorization No: 11337-11121

Expiration Date: 10/1/2008 (discontinued) Address: 9 EAST STREET - SHELBY , IA 51570

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 295795(X)/4596566(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