Stormwater- Affiliates

Facility Name: BACON FUNERAL HOME

Permit Type: GP #2 Legal Status: Private     File No: 7391   Authorization No: 7391-7198

Expiration Date: 3/31/2005 (discontinued) Address: 1418 FAWCETT PARKWAY - NEVADA , IA 50201

County: STORY Field Office: 5 SIC: Geospatial Information: 463594(X)/4651181(Y)

Affiliates   Name Address City State Zip Phone Type BILL SPRINGER P.O. BOX 1228 SAINT CLOUD MN 56302 (320)251-4109 Contact ROBERT BACON 1204 FIFTH STREET NEVADA IA 50201 (515)382-2661 Owner Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL 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