Stormwater- Checklist

Facility Name: TRI RINSE, INC.

Permit Type: GP #1 Legal Status: Private     File No: 43583   Authorization No: 43583-43176

Expiration Date: 7/1/2026(current) Address: 700 LUICK'S LANE SOUTH - BELMOND , IA 50421

County: WRIGHT Field Office: 2 SIC: 4226 Geospatial Information: 450673(X)/4743145(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