Stormwater- Affiliates

Facility Name: HUMBOLDT COUNTY MEMORIAL HOSPITAL WELLNESS HUB ADDITION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 32550   Authorization No: 32550-32259

Expiration Date: 4/3/2021 (discontinued) Address: 1000 15TH ST. NORTH - HUMBOLDT , IA 50548

County: HUMBOLDT Field Office: 2 SIC: Geospatial Information: 399162(X)/4732175(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type HUMBOLDT COUNTY MEMORIAL HOSPITAL 1000 15TH ST. NORTH HUMBOLDT IA 50548 (515)332-4200 Owner STEVEN SANDE 1111 16TH AVE. N. HUMBOLDT IA 50548 (515)332-2021 Contact STEVEN C SANDE     IA     Certifier 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