Stormwater- Checklist

Facility Name: TRI-CITY BLACKTOP, INC.

Permit Type: GP #3 Legal Status: Private     File No: 3323   Authorization No: 3323-3150

Expiration Date: 10/1/2021(expired) Address: 425 S. DEVILS GLEN RD. - BETTENDORF , IA 52722

County: SCOTT Field Office: 6 SIC: 2951 Geospatial Information: 710189(X)/4600444(Y)

Checklist 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