Stormwater- Affiliates

Facility Name: MULLIS SITE - CONSTRUCTION ACTIVITIES

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 22502   Authorization No: 22502-22264

Expiration Date: 8/30/2013 (discontinued) Address: 1722 255TH AVE. - EARLVILLE , IA 52041

County: DELAWARE Field Office: 1 SIC: Geospatial Information: 639739(X)/4711062(Y)

Affiliates   Name Address City State Zip Phone Type TWIN LAKE ENVIRONMENTAL SERVICES, LLC 2203 OGDEN AVE. ROCKWELL CITY IA 50579 (712)297-5530 Contact TODD & AMY MULLIS REVOCABLE LIVING TRUST 1722 255TH AVE. EARLVILLE IA 52041 (563)925-2332 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