Stormwater- Checklist

Facility Name: CERNE CALCIUM COMPANY

Permit Type: GP #3 Legal Status: Private     File No: 4270   Authorization No: 4270-4104

Expiration Date: 1/13/2026(expired) Address: 2123 200TH ST. - FORT DODGE , IA 50501

County: WEBSTER Field Office: 2 SIC: 1422 Geospatial Information: 399372(X)/4706181(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