Stormwater- Affiliates

Facility Name: TRI-CITY BLACKTOP, INC.

Permit Type: GP #3 Legal Status: Private     File No: 3323   Authorization No: 3323-3150

Expiration Date: 10/1/2021(expired) Address: 425 S. DEVILS GLEN RD. - BETTENDORF , IA 52722

County: SCOTT Field Office: 6 SIC: 2951 Geospatial Information: 710189(X)/4600444(Y)

Affiliates   Name Address City State Zip Phone Type TRI-CITY BLACKTOP, INC. 425 S. DEVILS GLEN RD. BETTENDORF IA 52722 319/359-3491 Operator BRIAN GILBANK 425 DEVILS GLEN ROAD BETTENDORF IA 52722 (563)320-6211 Contact TRI-CITY BLACKTOP 425 DEVILS GLEN ROAD BETTENDORF IA 52722 (563)359-3491 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