Stormwater- Checklist

Facility Name: DALLAS COUNTY HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 10690   Authorization No: 10690-10488

Expiration Date: 12/30/2007 (discontinued) Address: 610 10TH STREET - PERRY , IA 50220

County: BOONE Field Office: 5 SIC: Geospatial Information: 409159(X)/4631860(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