Stormwater- Checklist

Facility Name: FMP III, WERNIMONT #1 SITE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 13204   Authorization No: 13204-12995

Expiration Date: 3/26/2008(expired) Address: BETWEEN 100TH & 110TH AVE. ON 610TH STREET - FONDA , IA 50540

County: POCAHONTAS Field Office: 3 SIC: Geospatial Information: 344161(X)/4718967(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