Stormwater- Checklist

Facility Name: LINCOLN SUPPLY, LC

Permit Type: GP #2 Legal Status: Private     File No: 14787   Authorization No: 14787-14571

Expiration Date: 10/15/2009 (discontinued) Address: 3364 VAIL AVE. - ELLSWORTH , IA 50075

County: HAMILTON Field Office: 2 SIC: Geospatial Information: 454223(X)/4683209(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