Stormwater- Checklist

Facility Name: PEDIATRIC DENTAL PROSPECT - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27795   Authorization No: 27795-27550

Expiration Date: 9/28/2016 (discontinued) Address: 125 24TH ST., SE - ALTOONA , IA 50009

County: POLK Field Office: 5 SIC: Geospatial Information: 452300(X)/4615179(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