Stormwater- Checklist

Facility Name: N. DES MOINES SAND LOC. # 314

Permit Type: GP #3 Legal Status: Private     File No: 3605   Authorization No: 3605-3445

Expiration Date: 10/1/2002 (discontinued) Address: 5201 NW BEAVER DRIVE - JOHNSTON , IA 50131

County: POLK Field Office: 5 SIC: 1442 Geospatial Information: 443112(X)/4611734(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