Stormwater- Payment History

Facility Name: JEFFERSON COUNTY HEALTH CENTER - MEDICAL OFFICE ADDITION

Permit Type: GP #2 Legal Status: Public     File No: 22525   Authorization No: 22525-22286

Expiration Date: 9/24/2013 (discontinued) Address: 2000 S. MAIN ST. - FAIRFIELD , IA 52556

County: JEFFERSON Field Office: 6 SIC: Geospatial Information: 587628(X)/4537174(Y)

Payment History   Payment Date Activity Payment Account 09/13/2012 Received Fee (1-Year) 175.00 77086 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: