Stormwater- Checklist

Facility Name: CONTITECH USA, INC.

Permit Type: GP #1 Legal Status: Private     File No: 5544   Authorization No: 5544-5366

Expiration Date: 10/14/2030(current) Address: 400 N. GOODYEAR RD. - MOUNT PLEASANT , IA 52641

County: HENRY Field Office: 6 SIC: 3052 Geospatial Information: 619213(X)/4536628(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