Stormwater- Checklist

Facility Name: BLOOMFIELD FOUNDRY, INC.

Permit Type: GP #1 Legal Status: Private     File No: 568   Authorization No: 568-407

Expiration Date: 9/30/2014(expired) Address: 808 KARR AVE. - BLOOMFIELD , IA 52537

County: DAVIS Field Office: 6 SIC: 3321 Geospatial Information: 548468(X)/4510504(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