Stormwater- Affiliates

Facility Name: CAMP DODGE SANITARY SEWER LATERAL REPAIR - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 28969   Authorization No: 28969-28706

Expiration Date: 5/23/2018 (discontinued) Address: 7105 NW 70TH AVE. - JOHNSTON , IA 50131

County: POLK Field Office: 5 SIC: Geospatial Information: 440732(X)/4616624(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type NATHAN MINER PO BOX 350 GRIMES IA 50111 (515)228-3030 Contact IOWA ARMY NATIONAL GUARD CONSTRUCTION OFFICE 7105 NW 70TH AVE., BLDG 3535 JOHNSTON IA 50131 (515)252-4483 Owner JAMIE CRUBAUGH     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