Stormwater- Checklist

Facility Name: BLACKHAWK FOUNDRY & MACHINE CO., INC.

Permit Type: GP #1 Legal Status: Private     File No: 761   Authorization No: 761-559

Expiration Date: 10/1/2012(expired) Address: 323 SOUTH CLARK STREET - DAVENPORT , IA 52802

County: SCOTT Field Office: 6 SIC: 3321 Geospatial Information: 698400(X)/4598873(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