Stormwater- Affiliates

Facility Name: ANKENY REGIONAL AIRPORT SOUTH APRON GRADING & PAVING PHASE 1 - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 30407   Authorization No: 30407-30136

Expiration Date: 3/27/2018 (discontinued) Address: 3700 SE CONVENIENCE BLVD. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 452888(X)/4615724(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type KENT JOHNSON PO BOX 738 GRIMES IA 50111 (515)986-3527 Contact JIM ELLIOT     IA     Certifier POLK COUNTY AVIATION AUTHORITY 410 W. FIRST ST. ANKENY IA 50023 (515)965-6420 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