Stormwater- Affiliates

Facility Name: WACO PLACE WATER MAIN EXTENSION - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 32184   Authorization No: 32184-31886

Expiration Date: 2/22/2019 (discontinued) Address: WEST SIDE OF WACO PLACE APPROX. 1550 FEET SOUTH OF UNIVERSITY AVE. - WAUKEE , IA 50263

County: DALLAS Field Office: 5 SIC: Geospatial Information: 429813(X)/4605186(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type BRENT THOMPSON     IA     Certifier CITY OF WAUKEE 805 UNIVERSITY AVE. WAUKEE IA 50263 (515)987-4363 Owner MIKE KOSLOSKE 5700 UNIVERSITY AVE., SUITE 220 WEST DES MOINES IA 50266 (515)967-0639 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