Stormwater- Checklist

Facility Name: SHADY LAWN, L.L.C.

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 11065   Authorization No: 11065-10857

Expiration Date: 4/1/2008 (discontinued) Address: 2179 448TH AVENUE - GUERNSEY , IA 52221

County: POWESHIEK Field Office: 5 SIC: Geospatial Information: 552662(X)/4611147(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