Stormwater- Affiliates

Facility Name: CASEY'S GENERAL STORES, INC.

Permit Type: GP #2 Legal Status: Private     File No: 18813   Authorization No: 18813-18584

Expiration Date: 7/1/2012 (discontinued) Address: 2905 W. 1ST ST. - ANKENY , IA 50023

County: POLK Field Office: 5 SIC: Geospatial Information: 447241(X)/4619791(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