Stormwater- Payment History

Facility Name: SHENANDOAH MEDICAL CENTER, ADDITION AND RENOVATION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27598   Authorization No: 27598-27348

Expiration Date: 7/20/2018(expired) Address: 300 PERSHING AVE. - SHENANDOAH , IA 51601

County: PAGE Field Office: 4 SIC: Geospatial Information: 299866(X)/4514117(Y)

Payment History   Payment Date Activity Payment Account 06/28/2017 Received Fee (1-Year) 175.00 04911 06/13/2016 Received Fee (1-Year) 175.00 95309 07/30/2015 Received Fee (1-Year) 175.00 43263 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: