Stormwater- Checklist

Facility Name: VERN VAN BEEK - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 9609   Authorization No: 9609-9404

Expiration Date: 9/30/2008 (discontinued) Address: 1921 270TH STREET - INWOOD , IA 51240

County: SIOUX Field Office: 3 SIC: Geospatial Information: 223751(X)/4794056(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