Stormwater- Affiliates

Facility Name: GOOGLE, INC.; CBFS PROJECT - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 14557   Authorization No: 14557-14346

Expiration Date: 9/23/2026(current) Address: 10410 BUNGE AVE. - COUNCIL BLUFFS , IA 51503

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 266816(X)/4562274(Y)

Affiliates   Name Address City State Zip Phone Type TRAVIS TODD     IA     Certifier GOOGLE, INC. 10410 BUNGE AVE. COUNCIL BLUFFS IA 51503 (704)681-0492 Owner JEREMY ZIEGLER 10410 BUNGE AVE. COUNCIL BLUFFS IA 51503 (704)681-0492 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