Stormwater- Checklist

Facility Name: PLEASANT VALLEY REDI-MIX, BLUE GRASS SITE

Permit Type: GP #3 Legal Status: Private     File No: 33499   Authorization No: 33499-33360

Expiration Date: 5/1/2030(current) Address: 721 INDUSTRIAL DR. - BLUE GRASS , IA 52726

County: SCOTT Field Office: 6 SIC: 3273 Geospatial Information: 685074(X)/4597884(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