Stormwater- Affiliates

Facility Name: CASEY'S

Permit Type: GP #2 Legal Status: Private     File No: 18058   Authorization No: 18058-17830

Expiration Date: 11/1/2010 (discontinued) Address: 6120 DOUGLAS AVE. - DES MOINES , IA 50322

County: POLK Field Office: 5 SIC: Geospatial Information: 441480(X)/4608469(Y)

Affiliates   Name Address City State Zip Phone Type TOM GRUBER ONE SE CONVENIENCE BLVD. ANKENY IA 50021 (515)965-6100 Contact CASEY'S GENERAL STORES ONE SE CONVENIENCE BLVD. ANKENY IA 50021 (515)965-6100 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