Stormwater- Affiliates

Facility Name: KIMBERLEY ESTATES PLAT 1 - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 36037   Authorization No: 36037-35698

Expiration Date: 8/7/2027(current) Address: WEST SIDE OF DELAWARE AVE. ~1/4 MILE NORTH OF NE 54TH ST. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451491(X)/4625787(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type JENNA KIMBERLEY PO BOX 396 ANKENY IA 50021 (515)963-8335 Contact BILL KIMBERLEY, LC PO BOX 396 ANKENY IA 50021 (515)963-8335 Owner JENNA KIMBERLEY     IA     Certifier 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