Stormwater-

Facility Name: DOW JONES & COMPANY, INC.

Permit Type: No Exposure Legal Status:

Address: 1601 42ND STREET - WEST DES MOINES , IA 50266-1052

County: POLK Field Office: 5 SIC: 2711 Geospatial Information: 452300(X)/4615179(Y)

No Exposure Certification Application Date: MM/DD/YYYY Previously covered under a NPDES Storm Water permit? If yes, enter permit number: Certification Signed? Permit Type: --PERMIT TYPE-- GP #1 GP #2 GP #3 NO EXPOSURE SIC: Notes: Eligibility Confirmed Date: MM/DD/YYYY Not Eligible For Storm Water Exclusion Date: MM/DD/YYYY Application For Storm Water Exclusion Approved Date: MM/DD/YYYY Expiration Date Of Exclusion: MM/DD/YYYY