Stormwater- Affiliates

Facility Name: IOWA LUTHERAN HOSPITAL SITE IMPROVEMENTS

Permit Type: GP #2 Legal Status: Private     File No: 20304   Authorization No: 20304-20077

Expiration Date: 6/20/2012 (discontinued) Address: 700 E. UNIVERSITY AVE. - DES MOINES , IA 50316

County: POLK Field Office: 5 SIC: Geospatial Information: 449555(X)/4605988(Y)

Affiliates   Name Address City State Zip Phone Type NICK CIMAGLIA 3405 SE CROSSROADS DR., SUITE X GRIMES IA 50311 (515)369-4949 Contact IOWA LUTHERAN HOSPITAL 700 E. UNIVERSITY AVE. DES MOINES IA 50316 (515)266-7610 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