Stormwater- Affiliates

Facility Name: MONTGOMERY COUNTY MEMORIAL HOSPITAL RENOVATION & EXPANSION

Permit Type: GP #2 Legal Status: Public     File No: 16123   Authorization No: 16123-15899

Expiration Date: 8/4/2011 (discontinued) Address: 2301 EASTERN AVE. - RED OAK , IA 51566

County: MONTGOMERY Field Office: 4 SIC: Geospatial Information: 313466(X)/4544129(Y)

Affiliates   Name Address City State Zip Phone Type MONTGOMERY COUNTY MEMORIAL HOSPITAL 2301 EASTERN AVE. RED OAK IA 51566 (712)623-7000 Owner PAUL STEIN 1981 G AVE. RED OAK IA 51566 (712)623-4927 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