Stormwater - Affiliates

Facility Name: UNITED SUPPLIERS SOUTH WAREHOUSE EXPANSION

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 21774 Authorization No: 21774-21596

Expiration Date: 5/11/2013(discontinued) Address: 30473 260TH ST., DIRECTLY EAST OF EXISTING SOUTH WAREHOUSE - ELDORA , IA 50627

County: HARDIN Field Office: 2 SIC: Geospatial Information: 490654(X)/4686207(Y) (Electronic app)

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