Stormwater- Payment History

Facility Name: CASS COUNTY MEMORIAL HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 19391   Authorization No: 19391-19167

Expiration Date: 3/1/2017(expired) Address: 1501 E. 10TH ST. - ATLANTIC , IA 50022

County: CASS Field Office: 4 SIC: Geospatial Information: 333736(X)/4585107(Y)

Payment History   Payment Date Activity Payment Account 02/13/2014 Received Fee (3-Year) 350.00 69877 01/11/2011 Received Fee (3-Year) 350.00 93517 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: