Stormwater - Affiliates

Facility Name: GROWMARK FORT DODGE TERMINAL - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 20596 Authorization No: 20596-20365

Expiration Date: 8/15/2016(discontinued) Address: 3140 200TH ST. - FORT DODGE , IA .

County: WEBSTER Field Office: 2 SIC: Geospatial Information: 415733(X)/4705521(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

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