Stormwater- Affiliates

Facility Name: SYSCO OFFICE EXPANSION

Permit Type: GP #2 Legal Status: Private     File No: 19231   Authorization No: 19231-19003

Expiration Date: 9/1/2016(expired) Address: 1 SYSCO PLACE - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451242(X)/4618157(Y)

Affiliates   Name Address City State Zip Phone Type SYSCO IOWA, INC. 1 SYSCO PLACE ANKENY IA 50021 (515)289-5300 Owner ROD BACKOUS 1 SYSCO PLACE ANKENY IA 50021 (515)289-5300 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