Stormwater- Affiliates

Facility Name: FMP III, WERNIMONT #1 SITE

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 13204   Authorization No: 13204-12995

Expiration Date: 3/26/2008(expired) Address: BETWEEN 100TH & 110TH AVE. ON 610TH STREET - FONDA , IA 50540

County: POCAHONTAS Field Office: 3 SIC: Geospatial Information: 344161(X)/4718967(Y)

Affiliates   Name Address City State Zip Phone Type FMP III, L.L.P. 216 S. FULTON STREET NEWELL IA 50568 (712)272-3603 Owner RUSTY KOSKY 216 S. FULTON STREET NEWELL IA 50568 (712)272-3603 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