Stormwater- Checklist

Facility Name: AVEKA MANUFACTURING, INC.

Permit Type: GP #1 Legal Status: Private     File No: 4769   Authorization No: 4769-4610

Expiration Date: 5/22/2028(current) Address: 279 N. WOODWARD AVE. - FREDERICKSBURG , IA 50630

County: CHICKASAW Field Office: 1 SIC: 2869 Geospatial Information: 565179(X)/4757455(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