Stormwater- Affiliates

Facility Name: SQUAW CREEK VILLAGE MOBILE HOME PARK

Permit Type: GP #2 Legal Status: Private     File No: 2138   Authorization No: 2138-2013

Expiration Date: 12/3/2001 (discontinued) Address: 6201 HENNESSEY PARKWAY - MARION , IA 52302

County: LINN Field Office: 1 SIC: Geospatial Information: 620338(X)/4655025(Y)

Affiliates   Name Address City State Zip Phone Type CHRISTINE GAGE 6201 HENNESSEY PARKWAY MARION IA 52302   Contact WILLIAM HENNESSEY 6201 HENNESSEY PARKWAY MARION IA 52302 (319)350-2627 Operator WILLIAM HENNESSEY 6201 HENNESSEY PARKWAY MARION IA 52302 (319)350-2627 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