Stormwater- Payment History

Facility Name: DALLAS COUNTY HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 16236   Authorization No: 16236-16267

Expiration Date: 8/20/2010 (discontinued) Address: 610 10TH ST. - PERRY , IA 50220

County: DALLAS Field Office: 5 SIC: Geospatial Information: 409335(X)/4631619(Y)

Payment History   Payment Date Activity Payment Account 09/21/2009 Received Fee (1-Year) 175.00 9988 10/21/2008 INSUFFICIENT FEE PAYMENT 25.00 3653 08/21/2008 Received Fee (1-Year) 150.00 6940 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: