Stormwater- Affiliates

Facility Name: DOLLAR GENERAL #30420 - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 43774   Authorization No: 43774-43369

Expiration Date: 1/4/2024(expired) Address: 808 E WASHINGTON ST - CLARINDA , IA 51632

County: PAGE Field Office: 4 SIC: Geospatial Information: 328738(X)/4511849(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type JACOB STAUFFER 1906 E BATTLEFIELD RD SPRINGFIELD MO 65804 (417)256-8150 Owner JACOB STAUFFER 1906 E BATTLEFIELD RD SPRINGFIELD MO 65804 (417)256-8150 Contact Rusty Doss     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