Stormwater - Affiliates

Facility Name: BULK STORAGE EXPANSION

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 22934 Authorization No: 22934-22694

Expiration Date: 1/7/2014(discontinued) Address: 60597 195TH ST. - PACIFIC JUNCTION , IA 51561

County: MILLS Field Office: 4 SIC: Geospatial Information: 264557(X)/4543129(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