Stormwater- Affiliates

Facility Name: HICKORY GLEN PARK - PHASE 3 - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 44155   Authorization No: 44155-43747

Expiration Date: 4/1/2025 (discontinued) Address: 1000 SE 68TH ST - PLEASANT HILL , IA 50327

County: POLK Field Office: 5 SIC: Geospatial Information: 460554(X)/4603004(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type RYAN MERRITT 5160 MAPLE DR PLEASANT HILL IA 50327 (515)309-9453 Contact RYAN MERRITT   PLEASANT HILL IA 50327 (515)309-9453 Certifier CITY OF PLEASANT HILL 5160 MAPLE DR PLEASANT HILL IA 50327 (515)262-9368 Owner CITY OF PLEASANT HILL 5160 MAPLE DR PLEASANT HILL IA 50327 (515)309-9453 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