Stormwater- Checklist

Facility Name: MERCY MEDICAL CENTER

Permit Type: GP #2 Legal Status: Private     File No: 15465   Authorization No: 15465-15252

Expiration Date: 5/1/2010 (discontinued) Address: 701 10TH ST. SE - CEDAR RAPIDS , IA 52403

County: LINN Field Office: 1 SIC: Geospatial Information: 611579(X)/4648555(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