Stormwater- Checklist

Facility Name: CASS COUNTY MEMORIAL HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 19391   Authorization No: 19391-19167

Expiration Date: 3/1/2017(expired) Address: 1501 E. 10TH ST. - ATLANTIC , IA 50022

County: CASS Field Office: 4 SIC: Geospatial Information: 333736(X)/4585107(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