Stormwater- Checklist

Facility Name: DFS OSKALOOSA, LLC

Permit Type: GP #1 Legal Status: Private     File No: 3467   Authorization No: 3467-3307

Expiration Date: 10/1/2028(current) Address: 2905 S. 33RD ST. - OSKALOOSA , IA 52577

County: MAHASKA Field Office: 5 SIC: 2048 Geospatial Information: 532974(X)/4568717(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