Stormwater- Checklist

Facility Name: FAWN ENGINEERING CORPORATION

Permit Type: GP #1 Legal Status: Private     File No: 3383   Authorization No: 3383-3216

Expiration Date: 11/18/2026(current) Address: 8040 UNIVERSITY BLVD. - CLIVE , IA 50325

County: POLK Field Office: 5 SIC: 3581 Geospatial Information: 439279(X)/4605815(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