Stormwater- Checklist

Facility Name: AVERA HOLY FAMILY HOSPITAL - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 23864   Authorization No: 23864-23611

Expiration Date: 7/1/2016(expired) Address: 820 N. 7TH ST. - ESTHERVILLE , IA 51334

County: EMMET Field Office: 3 SIC: Geospatial Information: 351682(X)/4807985(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