Stormwater- Checklist

Facility Name: STA-BILT CONSTRUCTION COMPANY

Permit Type: GP #3 Legal Status: Private     File No: 1755   Authorization No: 1755-1658

Expiration Date: 9/30/2026(current) Address: 1339 NISHNA AVE. - HARLAN , IA 51537

County: SHELBY Field Office: 4 SIC: 1600 Geospatial Information: 307753(X)/4614505(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