Stormwater- Checklist

Facility Name: CEMSTONE CONCRETE MATERIALS

Permit Type: GP #3 Legal Status: Private     File No: 5169   Authorization No: 5169-5001

Expiration Date: 1/14/2031(current) Address: 308 SIOUX ST. - SAC CITY , IA 50583

County: SAC Field Office: 3 SIC: 3273 Geospatial Information: 336544(X)/4698769(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