Stormwater- Affiliates

Facility Name: KWIK STAR CONVENIENCE STORE - DEMOLITION AND CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 29904   Authorization No: 29904-29642

Expiration Date: 11/1/2017 (discontinued) Address: 4923 MERLE HAY RD. - DES MOINES , IA 50322

County: POLK Field Office: 5 SIC: Geospatial Information: 432597(X)/4610968(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type GEORGE HUTTON 4949 WESTOWN PARKWAY WEST DES MOINES IA 50266 (641)201-0438 Contact DON SNYDER     IA     Certifier KWIK TRIP, INC. 1626 OAK ST. LACROSSE WI 54603 (608)781-8988 Owner 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