Stormwater- Payment History

Facility Name: JOHN'S QWIK STOP, GAS STATION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27994   Authorization No: 27994-27754

Expiration Date: 10/12/2021(expired) Address: 814 C AVE. - FORT MADISON , IA 52627

County: LEE Field Office: 6 SIC: Geospatial Information: 634773(X)/4497084(Y)

Payment History   Payment Date Activity Payment Account 09/09/2016 Received Fee (5-Year) 700.00 08602 11/05/2015 Received Fee (1-Year) 175.00 35684 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: