Stormwater- Payment History

Facility Name: BEN KLOCKE - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 14373   Authorization No: 14373-14162

Expiration Date: 8/27/2008 (discontinued) Address: 33215 JADE AVENUE - TEMPLETON , IA 51463

County: CARROLL Field Office: 4 SIC: Geospatial Information: 340468(X)/4637560(Y)

Payment History   Payment Date Activity Payment Account 08/24/2007 Received Fee (1-Year) 150.00 9166 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: