Stormwater- Checklist

Facility Name: SIMONSEN RENDERING, LLC

Permit Type: GP #1 Legal Status: Private     File No: 5647   Authorization No: 5647-5472

Expiration Date: 1/20/2029(current) Address: 6141 SIMONSEN RD. - QUIMBY , IA 51049

County: CHEROKEE Field Office: 3 SIC: 2077 Geospatial Information: 281561(X)/4723148(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