Stormwater- Checklist

Facility Name: GILBERTVILLE WATER TOWER

Permit Type: GP #2 Legal Status: Private     File No: 10622   Authorization No: 10622-10416

Expiration Date: 12/2/2007 (discontinued) Address: NE OF FENTON AND 8TH STREET - GILBERTVILLE , IA 50634

County: BLACK HAWK Field Office: 1 SIC: Geospatial Information: 564908(X)/4696833(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 CON 11-4-1 BLACK HAWK CO.   Fee Memo