Stormwater - Affiliates

Facility Name: HELENA INDUSTRIES

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 15068 Authorization No: 15068-14851

Expiration Date: 3/1/2010(discontinued) Address: 3525 VANDALIA RD. - DES MOINES , IA 50306

County: POLK Field Office: 5 SIC: Geospatial Information: 454623(X)/4601683(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

Business Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Ext:

Home Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Fax:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Mobile Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX