Stormwater- Affiliates

Facility Name: CURT BOSMA - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 6521   Authorization No: 6521-6324

Expiration Date: 7/22/2004(expired) Address: L-54 SOUTH WEST OF OCHEYEDAN - OCHEYEDAN , IA 51354

County: OSCEOLA Field Office: 3 SIC: Geospatial Information: 290248(X)/4806777(Y)

Affiliates   Name Address City State Zip Phone Type CURT BOSMA 6057 - 180TH STREET OCHEYEDAN IA 51354 (712)758-3566 Contact CURT BOSMA 6057 - 180TH STREET OCHEYEDAN IA 51354 (712)758-3566 Operator CURT BOSMA 6057 - 180TH STREET OCHEYEDAN IA 51354 (712)758-3566 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