Stormwater- Checklist

Facility Name: TERRY STAIERT - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 12076   Authorization No: 12076-11868

Expiration Date: 7/25/2007 (discontinued) Address: 59968 160TH AVENUE - FONDA , IA 50540

County: POCAHONTAS Field Office: 3 SIC: Geospatial Information: 353105(X)/4720280(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