Stormwater- Checklist

Facility Name: BRUCE YOUNGBLOOD 2

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 7819   Authorization No: 7819-7626

Expiration Date: 6/14/2005 (discontinued) Address: 1139 K. AVENUE - JEFFERSON , IA 50129

County: GREENE Field Office: 4 SIC: Geospatial Information: 381507(X)/4657431(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