Work Request - Template

Work Request ID - 1665

Trent Banwart Finisher - 312004167

405 140th St West Bend, IA 50597

Kossuth County

FO 2

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
4/9/2012	Conduct site survey and review MMP for new 2 barn finisher site. Matrix size. No karst or alluvial concerns. PE CDS submitted.	PAUL PETITTI
4/30/2012	Site Survey conducted 4/19/2012. Neither myself nor the county official (sanitarian) noted any obvious concerns.	CHRISTOPHER GELNER

Describe Request:

Request Files

Attached Files

File Name	File Type	File Date

Work Request Resolution

Action Date:

Status:

Report

Attached Files/Reports

Document Name	Type	File Date	Note
Trent Banwart Finisher - 67149 - Kossuth (2012-04-19) AFO Site Survey.pdf	Inspection Report (public)	04/19/2012	Trent Banwart Site Survey
Trent Banwart Fax (2012-04-24).pdf	Inspection Report (public)	04/19/2012	Trent Banwart Fax Confirmation

File Name	File Type	File Date	Note

Comment:

Compliance Tracking

Action Type	Date	Completed Date	Comment	Delete

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Field Office Compliance - Work Request

Work Request ID - 1665

Trent Banwart Finisher - 312004167

405 140th St West Bend, IA 50597

Kossuth County

FO 2

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