Stormwater- Payment History

Facility Name: AUDUBON COUNTY MEMORIAL HOSPITAL

Permit Type: GP #2 Legal Status: Private     File No: 2991   Authorization No: 2991-2825

Expiration Date: 7/19/1998 (discontinued) Address: 515 PACIFIC AVENUE - AUDUBON , IA 50025

County: AUDUBON Field Office: 4 SIC: Geospatial Information: 338826(X)/4620033(Y)

Payment History   Payment Date Activity Payment Account 07/18/1996 Received Fee (Term Unknown) 250.00 9022 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: