Stormwater- Checklist

Facility Name: MATT NORMAN - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 13215   Authorization No: 13215-13006

Expiration Date: 4/1/2008 (discontinued) Address: 2069 210TH STREET - WASHINGTON , IA 52353

County: WASHINGTON Field Office: 6 SIC: Geospatial Information: 604606(X)/4578123(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