Stormwater- Affiliates

Facility Name: KUM AND GO #542

Permit Type: GP #2 Legal Status: Private     File No: 25249   Authorization No: 25249-24997

Expiration Date: 5/1/2015 (discontinued) Address: 11989 HICKMAN RD. - URBANDALE , IA 50322

County: POLK Field Office: 5 SIC: Geospatial Information: 435036(X)/4607733(Y)

Affiliates   Name Address City State Zip Phone Type NICK HALFHILL 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)226-0128 Contact KUM AND GO, LC 6400 WESTOWN PARKWAY WEST DES MOINES IA 50266 (515)226-0128 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