Stormwater- Checklist

Facility Name: KARL CHEVROLET, INC.

Permit Type: GP #2 Legal Status: Private     File No: 9524   Authorization No: 9524-9322

Expiration Date: 6/13/2011 (discontinued) Address: 1101 SE ORALABOR RD. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451681(X)/4616832(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