Stormwater- Affiliates

Facility Name: DECATUR COUNTY HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 19914   Authorization No: 19914-19686

Expiration Date: 7/1/2014(expired) Address: 1405 NW CHURCH ST. - LEON , IA 50144

County: DECATUR Field Office: 5 SIC: Geospatial Information: 437272(X)/4511302(Y)

Affiliates   Name Address City State Zip Phone Type MATT CASTOR 1601 48TH ST., SUITE 200 WEST DES MOINES IA 50266 (515)223-8104 Contact DECATUR COUNTY HOSPITAL ATTN: LYNN MILNES LEON IA 50144 (641)446-4871 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