Stormwater- Affiliates

Facility Name: FORT DODGE - WATER MAIN CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Public     File No: 8286   Authorization No: 8286-8098

Expiration Date: 10/1/2005 (discontinued) Address: 819 FIRST AVENUE SOUTH - FORT DODGE , IA 50501

County: WEBSTER Field Office: 2 SIC: Geospatial Information: 402483(X)/4706428(Y)

Affiliates   Name Address City State Zip Phone Type CITY OF FORT DODGE MUNICIPAL BLDG. FORT DODGE IA 50501 (515)573-7144 Owner DERICK ANDERSON, E.I. 705 FIRST AVENUE NORTH FORT DODGE IA 50501 (515)576-7155 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