Stormwater- Checklist

Facility Name: BAKER INC.

Permit Type: GP #1 Legal Status: Private     File No: 1430   Authorization No: 1430-1165

Expiration Date: 9/30/2008 (discontinued) Address: 3240 31ST ST. - SIOUX CITY , IA 51105

County: WOODBURY Field Office: 3 SIC: 5015 Geospatial Information: 223371(X)/4713315(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