Stormwater- Checklist

Facility Name: BERTCH CABINET, LLC

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 1364   Authorization No: 1364-1122

Expiration Date: 9/30/2028(current) Address: 4747 CRESTWOOD DR. - WATERLOO , IA 50702

County: BLACK HAWK Field Office: 1 SIC: 2434 Geospatial Information: 557725(X)/4699682(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