Stormwater- Checklist

Facility Name: OTTUMWA REGIONAL HEALTH CARE

Permit Type: GP #2 Legal Status: Private     File No: 19085   Authorization No: 19085-18858

Expiration Date: 11/1/2012 (discontinued) Address: 1001 PENNSYLVANIA AVE. - OTTUMWA , IA 52501

County: WAPELLO Field Office: 6 SIC: Geospatial Information: 550817(X)/4541986(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