Stormwater- Payment History

Facility Name: DECATUR COUNTY HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 19914   Authorization No: 19914-19686

Expiration Date: 7/1/2014(expired) Address: 1405 NW CHURCH ST. - LEON , IA 50144

County: DECATUR Field Office: 5 SIC: Geospatial Information: 437272(X)/4511302(Y)

Payment History   Payment Date Activity Payment Account 04/15/2011 Received Fee (3-Year) 350.00 11068 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: