Stormwater- Checklist

Facility Name: MALCOM MINE

Permit Type: GP #3 - Industrial Rock/Asphalt Legal Status: Private     File No: 3603   Authorization No: 3603-3443

Expiration Date: 10/1/2027(current) Address: 968 370TH AVE. - GRINNELL , IA 50112

County: POWESHIEK Field Office: 5 SIC: 1422 Geospatial Information: 533426(X)/4623062(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