Stormwater - Affiliates

Facility Name: SHADY LAWN, L.L.C.

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 11065 Authorization No: 11065-10857

Expiration Date: 4/1/2008(discontinued) Address: 2179 448TH AVENUE - GUERNSEY , IA 52221

County: POWESHIEK Field Office: 5 SIC: Geospatial Information: 552662(X)/4611147(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

Stormwater General Permits