Stormwater- Affiliates

Facility Name: CUSTOM PRECAST COMPANY

Permit Type: GP #1 Legal Status: Private     File No: 204   Authorization No: 204-594

Expiration Date: 9/30/2029(current) Address: 995 MONROE ST. NE - CASCADE , IA 52033

County: DUBUQUE Field Office: 1 SIC: 3272 Geospatial Information: 664274(X)/4685987(Y)

Affiliates   Name Address City State Zip Phone Type CUSTOM PRECAST CO. P.O. BOX 640 CASCADE IA 52033 (319)852-3044 Operator CARL KELCHEN 991 FARLEY ROAD CASCADE IA 52033 319/852-3044 Owner BRYON KELCHEN 995 MONROE ST. NE CASCADE IA 52033 (563)852-3044 Contact 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