Stormwater- Checklist

Facility Name: OUTBACK STEAKHOUSE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 7784   Authorization No: 7784-7589

Expiration Date: 6/2/2005 (discontinued) Address: 2410 SE TONES DRIVE - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 452529(X)/4617244(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