Stormwater- Checklist

Facility Name: COHRON READY MIX, LLC

Permit Type: GP #3 Legal Status: Private     File No: 3398   Authorization No: 3398-3230

Expiration Date: 9/30/2028(current) Address: 10001 192ND ST. - COUNCIL BLUFFS , IA 51503

County: POTTAWATTAMIE Field Office: 4 SIC: 3723 Geospatial Information: 263197(X)/4560400(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 PAID $250 (UNDER NEW RULES ANNUAL PERMIT = $150.00); REFUND $100.00 C/V DONE 1/22/98