Stormwater- Checklist

Facility Name: GREATER REGIONAL MED. CENTER - BUILDING ADDITION

Permit Type: GP #2 Legal Status: Private     File No: 20012   Authorization No: 20012-19785

Expiration Date: 4/12/2012 (discontinued) Address: 1700 W. TOWNLINE RD. - CRESTON , IA 50801

County: UNION Field Office: 4 SIC: Geospatial Information: 385596(X)/4546380(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