Stormwater - Affiliates

Facility Name: LAKESIDE AUTO RECYCLERS

Permit Type: GP #1 - Industrial Activity Legal Status: Private File No: 5654 Authorization No: 5654-5479

Expiration Date: 11/8/2034(current) Address: 2813 N 9TH ST. - CARTER LAKE , IA 51510

County: POTTAWATTAMIE Field Office: 4 SIC: 5015 Geospatial Information: 255639(X)/4574416(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

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