Stormwater- Affiliates

Facility Name: SHADOW CREEK NORTH PLATS 5-10 AND WEST - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 37354   Authorization No: 37354-36998

Expiration Date: 4/13/2029(current) Address: NW OF THE INTERSECTION OF WESTGATE PARKWAY AND BERKSHIRE PARKWAY - CLIVE , IA 50325

County: DALLAS Field Office: 5 SIC: Geospatial Information: 428156(X)/4609788(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type Joseph Willms     IA     Certifier JOE WILLMS 2400 NW 86TH ST., SUITE 24 URBANDALE IA 50322 (515)276-3456 Contact SHADOW CREEK ESTATES, LLC 2400 NW 86TH ST., SUITE 24 URBANDALE IA 50322 (515)276-3456 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