Stormwater- Checklist

Facility Name: DOHRN TRANSFER COMPANY

Permit Type: GP #1 Legal Status: Private     File No: 3580   Authorization No: 3580-3419

Expiration Date: 5/18/2029(current) Address: 2129 SE HULSIZER RD. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: 4213 Geospatial Information: 451302(X)/4617447(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