Stormwater- Checklist

Facility Name: NUTRA-BLEND, L.L.C.

Permit Type: GP #1 Legal Status: Private     File No: 5733   Authorization No: 5733-5557

Expiration Date: 2/20/2028(current) Address: 1609 19TH ST. SW - MASON CITY , IA 50401

County: CERRO GORDO Field Office: 2 SIC: 2048 Geospatial Information: 481471(X)/4775319(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