Stormwater- Payment History

Facility Name: WRIGHT COUNTY MEDICAL CENTER - 2010 ADDITION & RENOVATION

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 18525   Authorization No: 18525-18298

Expiration Date: 6/1/2012 (discontinued) Address: 316 S. MAIN ST. - CLARION , IA 50501

County: WRIGHT Field Office: 2 SIC: Geospatial Information: 440205(X)/4730043(Y)

Payment History   Payment Date Activity Payment Account 06/03/2011 Received Fee (1-Year) 175.00 19820 05/17/2010 Received Fee (1-Year) 175.00 4238 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: