Stormwater- Affiliates

Facility Name: LOVE'S TRAVEL STOP AND COUNTRY STORE - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 28767   Authorization No: 28767-28495

Expiration Date: 4/25/2018 (discontinued) Address: 1400 INDUSTRIAL PARK RD. - ELLSWORTH , IA 55075

County: HAMILTON Field Office: 2 SIC: Geospatial Information: 453380(X)/4684819(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type TERRY ROSS     IA     Certifier LOVE'S TRAVEL STOPS AND COUNTRY STORES 10601 N. PENNSYLVANIA AVE. OKLAHOMA CITY OK 73120 (405)302-6774 Owner HERROLD DEKE WILLIS 4420 JACKSON ST. MARIANNA FL 32446 (850)372-4045 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