Stormwater- Affiliates

Facility Name: WEST CENTRAL COOP

Permit Type: GP #2 Legal Status: Private     File No: 17304   Authorization No: 17304-17071

Expiration Date: 7/1/2013 (discontinued) Address: 1095 T AVE. - BOONE , IA 50036

County: BOONE Field Office: 5 SIC: Geospatial Information: 433749(X)/4655956(Y)

Affiliates   Name Address City State Zip Phone Type CHRIS BLAIR 1095 T AVE. BOONE IA 50036 (515)432-4563 Contact WEST CENTRAL COOP 1095 T AVE. BOONE IA 50036 (515)432-4563 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