Stormwater- Checklist

Facility Name: FIRE STATION NO. 4

Permit Type: GP #2 Legal Status: Public     File No: 19481   Authorization No: 19481-19256

Expiration Date: 5/1/2014 (discontinued) Address: 3109 DEARBORN BLVD. - SIOUX CITY , IA 51104

County: WOODBURY Field Office: 3 SIC: Geospatial Information: 219433(X)/4713508(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