Stormwater- Checklist

Facility Name: CCM - NORTHWOOD

Permit Type: GP #3 Legal Status: Private     File No: 1252   Authorization No: 1252-1016

Expiration Date: 9/30/2029(current) Address: 1343 HWY 105 WEST - NORTHWOOD , IA 50459

County: WORTH Field Office: 2 SIC: 3273 Geospatial Information: 479290(X)/4809784(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