Stormwater- Affiliates

Facility Name: MARY GREELEY MEDICAL CENTER, BUILDING ADDITION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 20615   Authorization No: 20615-20382

Expiration Date: 9/1/2017 (discontinued) Address: 1111 DUFF AVE. - AMES , IA 50010

County: STORY Field Office: 5 SIC: Geospatial Information: 449048(X)/4653467(Y)

Affiliates   Name Address City State Zip Phone Type MONICA CONVERSE 4125 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)223-8104 Contact LYNN WHISLER     IA     Certifier JOHN RODILOSSO     IA     Certifier MARY GREELEY MEDICAL CENTER 1111 DUFF AVE. AMES IA 50010 (515)239-2349 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