Stormwater- Affiliates

Facility Name: MENARD, INC. SITE EXPANSION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 39952   Authorization No: 39952-39569

Expiration Date: 8/15/2022 (discontinued) Address: 9402 EAST ST. - SHELBY , IA 51570

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 295508(X)/4596661(Y)

Affiliates   Name Address City State Zip Phone Type JIM CARLSON 5101 MENARD DR. EAU CLAIRE WI 54703 (715)876-2308 Contact JIM CARLSON   EAU CLAIRE WI 54703 (715)876-2308 Certifier MENARD, INC. 5101 MENARD DR. EAU CLAIRE WI 54703 (715)876-2177 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