Stormwater- Payment History

Facility Name: WRIGHT MEDICAL CENTER HOSPITAL

Permit Type: GP #2 Legal Status: Private     File No: 7478   Authorization No: 7478-7284

Expiration Date: 4/13/2007 (discontinued) Address: 1316 SOUTH MAIN STREET - CLARION , IA 50525

County: WRIGHT Field Office: 2 SIC: Geospatial Information: 439977(X)/4730053(Y)

Payment History   Payment Date Activity Payment Account 03/15/2006 Received Fee (1-Year) 150.00 8024 03/29/2005 Received Fee (1-Year) 150.00 1222 04/13/2004 Received Fee (1-Year) 150.00 8847 Activity Date: MM/DD/YYYY Payment Option: --ACTIVITY TYPE-- INSUFFICIENT FEE PAYMENT RECEIVED PERMIT APPLICATION SENT RENEWAL REMINDER SENT DELINQUENT NOTICE (FIRST) RECEIVED FEE (1-YEAR) RECEIVED FEE (3-YEAR) RECEIVED FEE (4-YEAR) RECEIVED FEE (5-YEAR) RECEIVED FEE (TERM UNKNOWN) SENT PERMIT APPLICATION UPDATE RECEIVED PERMIT APPLICATION UPDATE IMPROPER NOTICE OF DISCONTINUATION RECEIVED SENT PAYMENT OPTION LETTER UPDATE INCOMPLETE – RETURNED APPLICATION DISCONTINUED PERMIT Payment: Invalid value Account: Comment: