Stormwater- Affiliates

Facility Name: MENARDS / HOME DEPOT ENTRANCE & ACCESS ROAD

Permit Type: GP #2 - Construction Activity Legal Status: Public     File No: 11022   Authorization No: 11022-10817

Expiration Date: 3/24/2007 (discontinued) Address: SE DELAWARE AVENUE - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451724(X)/4617256(Y)

Affiliates   Name Address City State Zip Phone Type CITY OF ANKENY 410 W. FIRST ST. ANKENY IA 50023 (515)965-6400 Owner JOLEE BELZUNG 220 W. FIRST ST. ANKENY IA 50023 (515)963-3520 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