Stormwater- Checklist

Facility Name: WARREN DIRKSEN

Permit Type: GP #2 Legal Status: Private     File No: 23115   Authorization No: 23115-22874

Expiration Date: 10/20/2013 (discontinued) Address: 3187 TAYLOR AVE. - DANBURY , IA 51019

County: WOODBURY Field Office: 3 SIC: Geospatial Information: 276873(X)/4680408(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