Stormwater- Payment History

Facility Name: NEW KLEIN CENTER - NURSING CARE FACILITY

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 20172   Authorization No: 20172-19958

Expiration Date: 5/23/2014 (discontinued) Address: 1221 S. GEAR AVE. - WEST BURLINGTON , IA 52655-1654

County: DES MOINES Field Office: 6 SIC: Geospatial Information: 653921(X)/4519057(Y)

Payment History   Payment Date Activity Payment Account 05/25/2011 Received Fee (3-Year) 350.00 18050 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: