Stormwater- Checklist

Facility Name: ALLIANCE PATTERNS, INC.

Permit Type: GP #1 Legal Status: Private     File No: 980   Authorization No: 980-766

Expiration Date: 9/30/2016 (discontinued) Address: 2560 KINDUSTRY PARK RD. - KEOKUK , IA 52632

County: LEE Field Office: 6 SIC: 3999 Geospatial Information: 633272(X)/4474960(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