Stormwater- Checklist

Facility Name: MENARD, INC.

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 7818   Authorization No: 7818-7750

Expiration Date: 7/7/2006 (discontinued) Address: 3319 - 5TH AVENUE SOUTH - FORT DODGE , IA 50501

County: WEBSTER Field Office: 2 SIC: Geospatial Information: 405715(X)/4706051(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