Stormwater- Affiliates

Facility Name: KIRKWOOD CONFERENCE CENTER

Permit Type: GP #2 Legal Status: Private     File No: 12183   Authorization No: 12183-11976

Expiration Date: 10/1/2008(expired) Address: 6301 KIRKWOOD BLVD. SW - CEDAR RAPIDS , IA 52404

County: LINN Field Office: 1 SIC: Geospatial Information: 611834(X)/4639684(Y)

Affiliates   Name Address City State Zip Phone Type KIRKWOOD COMMUNITY COLLEGE 6301 KIRKWOOD BLVD. SW CEDAR RAPIDS IA 52404 (319)398-5411 Owner JASON WILLIS 9440 ATLANTIC DRIVE SW, STE.#3 CEDAR RAPIDS IA 52404 (319)298-5206 Contact 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