Stormwater- Checklist

Facility Name: THE CHANTLAND-MHS COMPANY

Permit Type: GP #1 Legal Status: Private     File No: 941   Authorization No: 941-737

Expiration Date: 9/30/2028(current) Address: 502 N. 7TH ST. - DAKOTA CITY , IA 50529

County: HUMBOLDT Field Office: 2 SIC: 3535 Geospatial Information: 401826(X)/4731275(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