Stormwater- Checklist

Facility Name: HEGG MEMORIAL HOSPITAL

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 14192   Authorization No: 14192-13983

Expiration Date: 8/1/2009 (discontinued) Address: 1202 21ST AVE. - ROCK VALLEY , IA 51247

County: SIOUX Field Office: 3 SIC: Geospatial Information: 233511(X)/4788671(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