Stormwater- Affiliates

Facility Name: MINER STORAGE, COMMERCIAL DEVELOPMENT - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 25929   Authorization No: 25929-25684

Expiration Date: 9/1/2015(expired) Address: 2213 BRICKYARD RD. - ADEL , IA 50003

County: DALLAS Field Office: 5 SIC: Geospatial Information: 413957(X)/4607148(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type MATT MINER PO BOX 457 GRANGER IA 50109 (515)208-5011 Owner JAMIE SCHRIEVER 101 NE CIRCLE DR. GRIMES IA 50111 (515)986-5048 Contact JAMIE SCHRIEVER     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