Stormwater- Checklist

Facility Name: FRANKLIN GENERAL HOSPITAL - REMODEL / ADDITION

Permit Type: GP #2 Legal Status: Public     File No: 17101   Authorization No: 17101-16877

Expiration Date: 5/1/2012 (discontinued) Address: 1720 CENTRAL AVE. EAST - HAMPTON , IA 50441

County: FRANKLIN Field Office: 2 SIC: Geospatial Information: 484640(X)/4732161(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