Stormwater- Checklist

Facility Name: KELDERMAN MANUFACTURING, INC.

Permit Type: GP #1 Legal Status: Private     File No: 5620   Authorization No: 5620-5447

Expiration Date: 12/6/2026(current) Address: 2686 HWY 92 EAST - OSKALOOSA , IA 52577

County: MAHASKA Field Office: 5 SIC: 3274 Geospatial Information: 537665(X)/4571773(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