Stormwater- Affiliates

Facility Name: KUM & GO #520

Permit Type: GP #2 Legal Status: Private     File No: 21563   Authorization No: 21563-21327

Expiration Date: 6/1/2013 (discontinued) Address: 2604 16TH AVE. SW - CEDAR RAPIDS , IA 52404

County: LINN Field Office: 1 SIC: Geospatial Information: 606793(X)/4646143(Y)

Affiliates   Name Address City State Zip Phone Type RYAN HALDER 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)457-6232 Contact KUM & GO, LC 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)457-6232 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