Stormwater- Checklist

Facility Name: WESTERN QLF

Permit Type: GP #2 Legal Status: Private     File No: 2310   Authorization No: 2310-2166

Expiration Date: 6/1/1996 (discontinued) Address: 107 W. REMSEN - DUNLAP , IA 51529

County: HARRISON Field Office: 4 SIC: 2048 Geospatial Information: 283682(X)/4636531(Y)

Checklist 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 SWITCHED FEES W/GP1 $250.00 REC'D 06/02/94 #5960