Stormwater- Checklist

Facility Name: IOWA LUTHERAN HOSPITAL SITE IMPROVEMENTS

Permit Type: GP #2 Legal Status: Private     File No: 20304   Authorization No: 20304-20077

Expiration Date: 6/20/2012 (discontinued) Address: 700 E. UNIVERSITY AVE. - DES MOINES , IA 50316

County: POLK Field Office: 5 SIC: Geospatial Information: 449555(X)/4605988(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