Stormwater- Checklist

Facility Name: LANTOW SITE #2 - CONSTRUCTION ACTIVITIES

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 20875   Authorization No: 20875-20643

Expiration Date: 10/1/2012 (discontinued) Address: 2796 260TH ST. - FREDERICKSBURG , IA 50630

County: CHICKASAW Field Office: 1 SIC: Geospatial Information: 564891(X)/4758459(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