Stormwater- Affiliates

Facility Name: BRIAN LEADERS - HOME CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 10870   Authorization No: 10870-10670

Expiration Date: 4/1/2007 (discontinued) Address: NEAR MAGNOLIA ROAD & 260TH STREET - UNDERWOOD , IA 51576

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 274090(X)/4584059(Y)

Affiliates   Name Address City State Zip Phone Type BRIAN LEADERS 25966 ROSEWOOD ROAD UNDERWOOD IA 51576 (402)670-9700 Contact BRIAN LEADERS 25966 ROSEWOOD ROAD UNDERWOOD IA 51576 (402)670-9700 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