Stormwater- Affiliates

Facility Name: MERCY CAMPUS-EAST SITE DEMOLTION - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 29813   Authorization No: 29813-29548

Expiration Date: 10/25/2020 (discontinued) Address: 1111 6TH AVE. - DES MOINES , IA 50314

County: POLK Field Office: 5 SIC: Geospatial Information: 448260(X)/4605137(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type RON MUECKE     IA     Certifier CATHOLIC HEALTH INITIATIVES- IOWA CORP. 1111 6TH AVE. DES MOINES IA 50314 (515)247-3121 Owner DIANE CUMMINGS 1111 6TH AVE. DES MOINES IA 50314 (515)247-3121 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