Stormwater- Affiliates

Facility Name: BRUCE YOUNGBLOOD 2

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 7819   Authorization No: 7819-7626

Expiration Date: 6/14/2005 (discontinued) Address: 1139 K. AVENUE - JEFFERSON , IA 50129

County: GREENE Field Office: 4 SIC: Geospatial Information: 381507(X)/4657431(Y)

Affiliates   Name Address City State Zip Phone Type BRUCE YOUNGBLOOD 1068 M. AVENUE JEFFERSON IA 50129 (515)386-3596 Contact BRUCE YOUNGBLOOD 1068 M. AVENUE JEFFERSON IA 50129 (515)386-3596 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