Stormwater- Checklist

Facility Name: HAYESVILLE BEND WILDLIFE MANAGEMENT AREA #09-05-54-01

Permit Type: GP #2 Legal Status: State     File No: 21749   Authorization No: 21749-21515

Expiration Date: 5/20/2013 (discontinued) Address: SOUTH OF CO. HWY G48, 2 MILES WEST OF HAYESVILLE, IA, WEST OF 158TH AVE. & EAST OF SOUTH SKUNK R

County: KEOKUK Field Office: 6 SIC: Geospatial Information: 558559(X)/4567993(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