Stormwater- Checklist

Facility Name: CTI READY MIX

Permit Type: GP #3 Legal Status: Private     File No: 691   Authorization No: 691-510

Expiration Date: 9/30/2030(current) Address: 1380 HOAK DR. - WEST DES MOINES , IA 50265

County: POLK Field Office: 5 SIC: 3273 Geospatial Information: 440651(X)/4604667(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