Stormwater- Checklist

Facility Name: NEW KLEIN CENTER - NURSING CARE FACILITY

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 20172   Authorization No: 20172-19958

Expiration Date: 5/23/2014 (discontinued) Address: 1221 S. GEAR AVE. - WEST BURLINGTON , IA 52655-1654

County: DES MOINES Field Office: 6 SIC: Geospatial Information: 653921(X)/4519057(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