Stormwater- Payment History

Facility Name: MADISON COUNTY HEALTH CARE SYSTEM

Permit Type: GP #2 Legal Status: Private     File No: 19265   Authorization No: 19265-19043

Expiration Date: 11/15/2013 (discontinued) Address: 300 W. HUTCHINGS ST. - WINTERSET , IA 50273

County: MADISON Field Office: 5 SIC: Geospatial Information: 414785(X)/4575517(Y)

Payment History   Payment Date Activity Payment Account 11/03/2010 Received Fee (3-Year) 350.00 84887 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: