Stormwater- Checklist

Facility Name: CASEY'S

Permit Type: GP #2 Legal Status: Private     File No: 18571   Authorization No: 18571-18344

Expiration Date: 5/24/2011 (discontinued) Address: 2601 SE CREEKVIEW DR. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 452058(X)/4617344(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