Stormwater- Payment History

Facility Name: SAM'S CLUB #8162-04

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 9379   Authorization No: 9379-9182

Expiration Date: 5/20/2007 (discontinued) Address: 2605 BLAIRS FERRY ROAD NE - CEDAR RAPIDS , IA 52402

County: LINN Field Office: 1 SIC: Geospatial Information: 609435(X)/4654460(Y)

Payment History   Payment Date Activity Payment Account 05/04/2006 Received Fee (1-Year) 150.00 2962 05/20/2005 Received Fee (1-Year) 150.00 5973 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: