Stormwater- Payment History

Facility Name: HEGG MEMORIAL HOSPITAL

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 14192   Authorization No: 14192-13983

Expiration Date: 8/1/2009 (discontinued) Address: 1202 21ST AVE. - ROCK VALLEY , IA 51247

County: SIOUX Field Office: 3 SIC: Geospatial Information: 233511(X)/4788671(Y)

Payment History   Payment Date Activity Payment Account 07/31/2008 Received Fee (1-Year) 175.00 4104 07/31/2007 Received Fee (1-Year) 150.00 5587 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: