Stormwater- Payment History

Facility Name: CRAWFORD COUNTY MEMORIAL HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 16452   Authorization No: 16452-16204

Expiration Date: 10/8/2011 (discontinued) Address: 2020 1ST AVE. SOUTH - DENISON , IA 51442

County: CRAWFORD Field Office: 4 SIC: Geospatial Information: 303188(X)/4655481(Y)

Payment History   Payment Date Activity Payment Account 09/10/2010 Received Fee (1-Year) 175.00 6705 09/16/2009 Received Fee (1-Year) 175.00 9124 10/08/2008 Received Fee (1-Year) 175.00 2485 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: