Stormwater- Payment History

Facility Name: ORANGE CITY HEALTH SYSTEM REPLACEMENT CAMPUS

Permit Type: GP #2 Legal Status: Private     File No: 7814   Authorization No: 7814-7615

Expiration Date: 6/9/2007 (discontinued) Address: INTERSECTION OF HIGHWAY 10 AND LINCOLN PLACE - ORANGE CITY , IA 51041

County: SIOUX Field Office: 3 SIC: Geospatial Information: 252013(X)/4764609(Y)

Payment History   Payment Date Activity Payment Account 06/06/2006 Received Fee (1-Year) 150.00 6002 05/12/2005 Received Fee (1-Year) 150.00 5286 06/08/2004 Received Fee (1-Year) 150.00 3292 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: