Stormwater- Checklist

Facility Name: SHENANDOAH MEDICAL CENTER, ADDITION AND RENOVATION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27598   Authorization No: 27598-27348

Expiration Date: 7/20/2018(expired) Address: 300 PERSHING AVE. - SHENANDOAH , IA 51601

County: PAGE Field Office: 4 SIC: Geospatial Information: 299866(X)/4514117(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