Stormwater- Checklist

Facility Name: KIMBERLEY ESTATES PLAT 1 - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 36037   Authorization No: 36037-35698

Expiration Date: 8/7/2027(current) Address: WEST SIDE OF DELAWARE AVE. ~1/4 MILE NORTH OF NE 54TH ST. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451491(X)/4625787(Y) (Electronic app)

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