Stormwater- Checklist

Facility Name: DALLAS COUNTY HOSPITAL - PARKING LOT RECONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 18594   Authorization No: 18594-18370

Expiration Date: 6/1/2011 (discontinued) Address: 610 10TH ST. - PERRY , IA 50220

County: DALLAS Field Office: 5 SIC: Geospatial Information: 409335(X)/4631619(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