Work Request - Template

Work Request ID - 3101

G & S Country Farms - 310695837

1442 Kiwi Avenue Little Rock, IA 51243

Lyon County

FO 3

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Work Request ID:

Program Type:

Program ID:

Type:

County:

Requested By:

Due Date:

Assigned To:

Assigned Date:

Describe Request

Date	Comment	Commenter
6/1/2015	Conduct site survey, if necesary, and review MMP for increase in AU only with no new construction at an existing swine site.Non matrix size. No karst or alluvial concerns. No CDS required.	PAUL PETITTI

Describe Request:

Request Files

Attached Files

File Name	File Type	File Date

Work Request Resolution

Action Date:

Status:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
6/15/2015	MMP approved 6/15/2015. No site survey conducted as there is no construction associated with this work request.	DON CUNNINGHAM

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

Multiple Results Found

Field Office Compliance - Work Request

Work Request ID - 3101

G & S Country Farms - 310695837

1442 Kiwi Avenue Little Rock, IA 51243

Lyon County

FO 3

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Facility Note

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Compliance Tracking