Stormwater- Checklist

Facility Name: CLIVE KUM & GO #206

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 18838   Authorization No: 18838-18610

Expiration Date: 7/20/2011 (discontinued) Address: 1725 NW 86TH ST. - CLIVE , IA 50325

County: POLK Field Office: 5 SIC: Geospatial Information: 439046(X)/4606063(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