Stormwater- Payment History

Facility Name: MAHASKA HEALTH PARTNERSHIP SURGERY/PATIENT WING ADDITION - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Public     File No: 18257   Authorization No: 18257-18031

Expiration Date: 6/1/2014 (discontinued) Address: 1229 C AVE. EAST - OSKALOOSA , IA 52577

County: MAHASKA Field Office: 5 SIC: Geospatial Information: 531235(X)/4572509(Y)

Payment History   Payment Date Activity Payment Account 05/16/2013 Received Fee (1-Year) 175.00 09304 03/17/2010 Received Fee (3-Year) 350.00 8840 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: