Stormwater- Affiliates

Facility Name: JAY OSTRANDER - SWINE SITE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 15423   Authorization No: 15423-15207

Expiration Date: 4/1/2009(expired) Address: ORCHARD AVE. - JEFFERSON , IA 50129

County: GREENE Field Office: 4 SIC: Geospatial Information: 388813(X)/4660522(Y)

Affiliates   Name Address City State Zip Phone Type JAY OSTRANDER 1065 ORCHARD AVE. JEFFERSON IA 50129 (515)370-1234 Contact JAY OSTRANDER 1065 ORCHARD AVE. JEFFERSON IA 50129 (515)370-1234 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