Stormwater- Affiliates

Facility Name: NORTH RIDGE - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 8696   Authorization No: 8696-8503

Expiration Date: 7/1/2017 (discontinued) Address: 25597 310TH ST. - NEOLA , IA 51559-0040

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 283084(X)/4584715(Y)

Affiliates   Name Address City State Zip Phone Type DAN PEDERSON 25889 IDLEWOOD RD. UNDERWOOD IA 51576 (712)566-2054 Contact DAN PEDERSON 25889 IDLEWOOD RD. UNDERWOOD IA 51576 (712)566-2054 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