Stormwater- Checklist

Facility Name: FEDERAL FOAM TECHNOLOGIES, INC.

Permit Type: GP #1 Legal Status: Private     File No: 4001   Authorization No: 4001-3841

Expiration Date: 9/30/2026(current) Address: 91 16TH ST. SOUTH - NORTHWOOD , IA 50459

County: WORTH Field Office: 2 SIC: 3086 Geospatial Information: 482996(X)/4809949(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