Stormwater- Checklist

Facility Name: PENN STREET QUALITY CARE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 17529   Authorization No: 17529-17295

Expiration Date: 7/20/2010 (discontinued) Address: 1020 PENN ST. - NORTH LIBERTY , IA 52317

County: JOHNSON Field Office: 6 SIC: Geospatial Information: 615342(X)/4623595(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