Stormwater- Checklist

Facility Name: GENESIS MEDICAL CENTER - PARKWAY PROJECT

Permit Type: GP #2 Legal Status: Private     File No: 5667   Authorization No: 5667-5504

Expiration Date: 1/15/2004 (discontinued) Address: 1227 E. RUSHOLME STREET - DAVENPORT , IA 52803

County: SCOTT Field Office: 6 SIC: Geospatial Information: 703725(X)/4601858(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