Stormwater- Checklist

Facility Name: MANATT'S, INC. PLANT NO. 436

Permit Type: GP #3 Legal Status: Private     File No: 2346   Authorization No: 2346-2205

Expiration Date: 10/1/2028(current) Address: 510 SE CREEKVIEW DR. - ANKENY , IA 50131

County: POLK Field Office: 5 SIC: 3273 Geospatial Information: 452244(X)/4619411(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