Stormwater- Checklist

Facility Name: BACON FUNERAL HOME

Permit Type: GP #2 Legal Status: Private     File No: 7391   Authorization No: 7391-7198

Expiration Date: 3/31/2005 (discontinued) Address: 1418 FAWCETT PARKWAY - NEVADA , IA 50201

County: STORY Field Office: 5 SIC: Geospatial Information: 463594(X)/4651181(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