Stormwater- Affiliates

Facility Name: LAKES REGIONAL HEALTHCARE - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 23602   Authorization No: 23602-23359

Expiration Date: 10/16/2014 (discontinued) Address: 2301 HIGHWAY 71 SOUTH - SPIRIT LAKE , IA 51360

County: DICKINSON Field Office: 3 SIC: Geospatial Information: 327796(X)/4809496(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type TYLER BECK     IA     Certifier KEN MCCORMICK 421 GRAND AVE. DES MOINES IA 50309 (515)645-9500 Contact LAKES REGIONAL HEALTHCARE 2301 HIGHWAY 71 SOUTH SPIRIT LAKE IA 51360 (712)389-2539 Owner TYLER BECK     IA     Certifier 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