Stormwater- Affiliates

Facility Name: PEDIATRIC DENTAL PROSPECT - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27795   Authorization No: 27795-27550

Expiration Date: 9/28/2016 (discontinued) Address: 125 24TH ST., SE - ALTOONA , IA 50009

County: POLK Field Office: 5 SIC: Geospatial Information: 452300(X)/4615179(Y)

Affiliates   Name Address City State Zip Phone Type DOWNING CONSRUCTION 2500 W 2ND AVE. INDIANOLA IA 50125 (515)961-5386 Owner JOE BUTLER 2500 W 2ND AVE. INDIANOLA IA 50125 (515)961-5386 Contact JOE BUTLER   INDIANOLA IA 50125 (515)961-5386 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