Stormwater- Payment History

Facility Name: IOWA LUTHERAN HOSPITAL SITE IMPROVEMENTS

Permit Type: GP #2 Legal Status: Private     File No: 20304   Authorization No: 20304-20077

Expiration Date: 6/20/2012 (discontinued) Address: 700 E. UNIVERSITY AVE. - DES MOINES , IA 50316

County: POLK Field Office: 5 SIC: Geospatial Information: 449555(X)/4605988(Y)

Payment History   Payment Date Activity Payment Account 06/22/2011 Received Fee (1-Year) 175.00 23461 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: