Stormwater- Checklist

Facility Name: DFA DAIRY BRANDS FLUID, LLC DBA KEMPS

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 828   Authorization No: 828-931

Expiration Date: 10/1/2030(current) Address: 1188 LINCOLN ST. SW - LE MARS , IA 51031

County: PLYMOUTH Field Office: 3 SIC: 2026 Geospatial Information: 239608(X)/4741199(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 SEE CO/CV FOR REFUND OF $80.00 - OVERPAYMENT