Stormwater- Checklist

Facility Name: PRAIRIE FARMS DAIRY

Permit Type: GP #1 Legal Status: Private     File No: 1228   Authorization No: 1228-1337

Expiration Date: 10/1/2028(current) Address: 11744 EDGEWOOD AVE. - LUANA , IA 52156

County: CLAYTON Field Office: 1 SIC: 2022 Geospatial Information: 626667(X)/4768129(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