Stormwater- Affiliates

Facility Name: POLK CO. - IOWA HIGHWAY 163, FROM MILE MARKER 13.0 TO MILE MAKER 13.2

Permit Type: GP #2 Legal Status: Public     File No: 22189   Authorization No: 22189-21953

Expiration Date: 8/20/2013 (discontinued) Address: 12181 UNIVERSITY AVE. NE - MITCHELLVILLE , IA 50169

County: POLK Field Office: 5 SIC: Geospatial Information: 471386(X)/4604947(Y)

Affiliates   Name Address City State Zip Phone Type KURT BAILEY 5885 NE 14TH ST. DES MOINES IA 50313 (515)286-3705 Contact IOWA DEPARTMENT OF TRANSPORTATION 1020 S. 4TH ST. AMES IA 50010 (515)239-1430 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