Stormwater- Checklist

Facility Name: HENNINGSEN CONSTRUCTION, INC.

Permit Type: GP #3 - Industrial Rock/Asphalt Legal Status: Private     File No: 1121   Authorization No: 1121-885

Expiration Date: 10/1/2027(current) Address: 15692 HWY 988 - CRESCENT , IA 51526

County: POTTAWATTAMIE Field Office: 4 SIC: 2951 Geospatial Information: 258654(X)/4582645(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