Stormwater- Checklist

Facility Name: JOHN'S QWIK STOP, GAS STATION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27994   Authorization No: 27994-27754

Expiration Date: 10/12/2021(expired) Address: 814 C AVE. - FORT MADISON , IA 52627

County: LEE Field Office: 6 SIC: Geospatial Information: 634773(X)/4497084(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