Stormwater- Checklist

Facility Name: CCM - FOREST CITY

Permit Type: GP #3 Legal Status: Private     File No: 1902   Authorization No: 1902-1762

Expiration Date: 10/1/2029(current) Address: 1406 S. 4TH ST. - FOREST CITY , IA 50436

County: HANCOCK Field Office: 2 SIC: 3273/1442 Geospatial Information: 448269(X)/4788820(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