Stormwater- Affiliates

Facility Name: LE GRAND SHOP - PORTABLE ASPHALT PLANT

Permit Type: GP #3 Legal Status: Private     File No: 3447   Authorization No: 3447-3286

Expiration Date: 10/1/2030(current) Address: 3220 ZELLER AVE. - LE GRAND , IA 50142

County: MARSHALL Field Office: 5 SIC: 2951 Geospatial Information: 518160(X)/4652546(Y)

Affiliates   Name Address City State Zip Phone Type OMG MIDWEST, INC. PO BOX 3365 DES MOINES IA 50316 (515)266-9928 Owner ROSA MENDOZA PO BOX 3365 DES MOINES IA 50316 (515)414-6577 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