Stormwater- Checklist

Facility Name: CENTRAL IOWA READY MIX JEFFERSON

Permit Type: GP #3 Legal Status: Private     File No: 41213   Authorization No: 41213-40840

Expiration Date: 3/1/2029(current) Address: 1295 ORCHARD AVE. - JEFFERSON , IA 50129

County: GREENE Field Office: 4 SIC: 3273 Geospatial Information: 388490(X)/4654601(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