Stormwater- Affiliates

Facility Name: ORBIS CORPORATION

Permit Type: GP #1 Legal Status: Private     File No: 5712   Authorization No: 5712-5535

Expiration Date: 2/3/2028(current) Address: 206 PLASTIC LANE - MONTICELLO , IA 52310

County: JONES Field Office: 1 SIC: 3089 Geospatial Information: 648713(X)/4679110(Y)

Affiliates   Name Address City State Zip Phone Type LYNNETTE MARTINEAU 206 PLASTIC LANE MONTICELLO IA 52310 (618)791-1937 Operator DOUGLAS WORTMAN     IA     Certifier LYNNETTE MARTINEAU     IA     Certifier MALLORY MILNER 5464 TWIN BRIDGE COURT INDIANAPOLIS IN 46239 (618)791-1937 Contact ORBIS CORPORATION 5464 TWIN BRIDGE COURT INDIANAPOLIS IN 46239 (618)791-1937 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