Stormwater- Affiliates

Facility Name: STEW HANSEN'S DODGE CITY

Permit Type: GP #2 Legal Status: Private     File No: 3568   Authorization No: 3568-3407

Expiration Date: 5/11/1999 (discontinued) Address: 12103 HICKMAN RD (HI-WAY 6) - URBANDALE , IA 50322

County: POLK Field Office: 5 SIC: Geospatial Information: 434682(X)/4607335(Y)

Affiliates   Name Address City State Zip Phone Type STEW HANSEN'S DODGE CITY 2103 INGERSOLL AVENUE DES MOINES IA 50323 515/243-8900 Operator STEW HANSEN'S DODGE CITY 2103 INGERSOLL AVENUE DES MOINES IA 50323 515/243-8900 Owner BRENT HANSEN 12103 HICKMAN RD. DES MOINES IA 50323   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