Stormwater- Affiliates

Facility Name: FOREST CITY WASTEWATER PLANT

Permit Type: GP #2 Legal Status: Public     File No: 12404   Authorization No: 12404-12191

Expiration Date: 9/8/2007 (discontinued) Address: 1890 RIVER ROAD - FOREST CITY , IA 50436

County: HANCOCK Field Office: 2 SIC: Geospatial Information: 450290(X)/4786678(Y)

Affiliates   Name Address City State Zip Phone Type CITY OF FOREST CITY 305 N. CLARK ST. FOREST CITY IA 50436 (641)585-2829 Owner ELYNN CHARLSON 305 NORTH CLARK STREET FOREST CITY IA 50436 (641)581-2341 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