Stormwater- Checklist

Facility Name: FORT MADISON READY MIXED CONCRETE CO.

Permit Type: GP #3 Legal Status: Private     File No: 717   Authorization No: 717-526

Expiration Date: 10/1/2027(current) Address: 1204 14TH ST. - FORT MADISON , IA 52627

County: LEE Field Office: 6 SIC: 3273 Geospatial Information: 641862(X)/4498711(Y)

Checklist 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