Stormwater-

Facility Name: RR DONELLEY

Permit Type: No Exposure Legal Status: Private

Address: 1960 S. RIVERSIDE DR. - IOWA CITY , IA 52246

County: JOHNSON Field Office: 6 SIC: 2761 Geospatial Information: 617571(X)/4614567(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