Stormwater- Affiliates

Facility Name: TERRY STAIERT - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 12076   Authorization No: 12076-11868

Expiration Date: 7/25/2007 (discontinued) Address: 59968 160TH AVENUE - FONDA , IA 50540

County: POCAHONTAS Field Office: 3 SIC: Geospatial Information: 353105(X)/4720280(Y)

Affiliates   Name Address City State Zip Phone Type JIM FONKEN 221 WEST MAIN LAKE CITY IA 51449 (712)830-5395 Contact TERRY STAIERT 59524 160TH AVENUE FONDA IA 50540 (712)299-3023 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