Stormwater- Affiliates

Facility Name: MADISON COUNTY HEALTH CARE SYSTEM

Permit Type: GP #2 Legal Status: Private     File No: 19265   Authorization No: 19265-19043

Expiration Date: 11/15/2013 (discontinued) Address: 300 W. HUTCHINGS ST. - WINTERSET , IA 50273

County: MADISON Field Office: 5 SIC: Geospatial Information: 414785(X)/4575517(Y)

Affiliates   Name Address City State Zip Phone Type JASON STUDT 13210 CENTENNIAL RD., SUITE 1 OMAHA NE 68138 (402)891-9651 Contact MADISON COUNTY HEALTH CARE SYSTEM 300 W. HUTCHINGS ST. WINTERSET IA 50273 (515)462-2373 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