Stormwater- Affiliates

Facility Name: SAM'S CLUB #8162-04

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 9379   Authorization No: 9379-9182

Expiration Date: 5/20/2007 (discontinued) Address: 2605 BLAIRS FERRY ROAD NE - CEDAR RAPIDS , IA 52402

County: LINN Field Office: 1 SIC: Geospatial Information: 609435(X)/4654460(Y)

Affiliates   Name Address City State Zip Phone Type SAM'S REAL ESTATE BUSINESS TRUST SAM M. WALTON DEVELOPMENT COMPLEX BENTONVILLE AR 72712-6489 (479)273-4876 Owner MORIAH SNOXHILL DEPARTMENT 9635 SWCC BENTONVILLE AR 72716-0550 (479)204-0772 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