Stormwater- Affiliates

Facility Name: COLE PRIVATE RESIDENCE - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 28194   Authorization No: 28194-27946

Expiration Date: 2/1/2017(expired) Address: 620 FOSTER RD. - IOWA CITY , IA 52245

County: JOHNSON Field Office: 6 SIC: Geospatial Information: 620268(X)/4615521(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type BRIAN BOELK     IA     Certifier EDDIE COLE 1450 LAURA DR. IOWA CITY 0 52245 (319)321-1002 Owner BRIAN BOELK 509 SOUTH GILBERT ST. IOWA CITY IA 52240 (319)338-7557 Contact 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