Stormwater- Affiliates

Facility Name: LAKE MATHES DAM IMPROVEMENTS

Permit Type: GP #2 Legal Status: Private     File No: 24923   Authorization No: 24923-24666

Expiration Date: 4/1/2016 (discontinued) Address: 17575 DMC HWY 79 - MIDDLETOWN , IA 52638-9701

County: DES MOINES Field Office: 6 SIC: Geospatial Information: 647464(X)/4515765(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type RUSS BECKMAN 17575 HIGHWAY 79 MIDDLETOWN IA 52638 (800)488-9719 Owner KYLE JOHNSON PO BOX 488 WASHINGTON IA 52353 (319)653-3334 Contact DANA DELONG-PATTERSON     IA     Certifier DANA DELONG-PATTERSON     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