Stormwater- Payment History

Facility Name: MERCY MEDICAL CENTER W CAMPUS SAN SEWER IMPRV

Permit Type: GP #2 Legal Status: Private     File No: 8749   Authorization No: 8749-8555

Expiration Date: 2/16/2006 (discontinued) Address: 910 N. EISENHOWER AVENUE - MASON CITY , IA 50401

County: CERRO GORDO Field Office: 2 SIC: Geospatial Information: 478789(X)/4778531(Y)

Payment History   Payment Date Activity Payment Account 02/16/2005 Received Fee (1-Year) 150.00 6653 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: