Stormwater- Affiliates

Facility Name: OTTER CREEK MARSH WILDLIFE MANAGEMENT AREA

Permit Type: GP #2 - Construction Activity Legal Status: State     File No: 18065   Authorization No: 18065-17836

Expiration Date: 12/10/2010 (discontinued) Address: 2805 HWY E66 - CHELSEA , IA 52215

County: TAMA Field Office: 5 SIC: Geospatial Information: 544389(X)/4645096(Y)

Affiliates   Name Address City State Zip Phone Type LOREN DOSTAL 301 VINE ST. TOLEDO IA 52342 (641)484-6272 Contact IOWA DEPARTMENT OF NATURAL RESOURCES 502 E. 9TH ST. DES MOINES IA 50319 (515)250-3707 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