Stormwater- Checklist

Facility Name: TRI-STATE INDUSTRIES, INC., METAL FABRICATION

Permit Type: GP #1 Legal Status: Private     File No: 24718   Authorization No: 24718-24467

Expiration Date: 1/22/2027(current) Address: 1340 SYNERGY CT. - DUBUQUE , IA 52002

County: DUBUQUE Field Office: 1 SIC: 3499 Geospatial Information: 682811(X)/4706823(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