Stormwater- Affiliates

Facility Name: ALICE PLACE, RESIDENTIAL RETIREMENT FACILITY - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 31858   Authorization No: 31858-31569

Expiration Date: 11/9/2018(expired) Address: SITE IS SW OF THE INTERSECTION OF HAWKEYE DR. AND SOUTH DELAWARE ST. (1704 HAWKEYE DR.) - BOONE , IA

County: BOONE Field Office: 5 SIC: Geospatial Information: 428095(X)/4654398(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type JIM BERGMAN     IA     Certifier JNB SENIOR 1, LP 20 SANDSTONE CT. LECLAIRE IA 52753 (563)505-5611 Owner KEVIN KADLEC 2205 KIMBERLY RD. BETTENDORF IA 52722 (563)355-0794 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