Stormwater- Checklist

Facility Name: LARIS SHELMAN & SONS TRUCKING, INC.

Permit Type: GP #1 - Industrial Activity Legal Status: Private     File No: 3747   Authorization No: 3747-3878

Expiration Date: 9/30/2028(current) Address: 709 W. HWY 78 - WINFIELD , IA 52159

County: HENRY Field Office: 6 SIC: 4213 Geospatial Information: 630412(X)/4553040(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