Stormwater- Affiliates

Facility Name: NATHAN DOUMA - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 11826   Authorization No: 11826-11616

Expiration Date: 6/21/2007 (discontinued) Address: 300TH STREET - SANBORN , IA 51248

County: O'BRIEN Field Office: SIC: Geospatial Information: 281263(X)/4788801(Y)

Affiliates   Name Address City State Zip Phone Type NATHAN DOUMA 504 FRANKLIN STREET SANBORN IA 51248 (712)930-3131 Contact NATHAN DOUMA 504 FRANKLIN STREET SANBORN IA 51248 (712)930-3131 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