Stormwater- Payment History

Facility Name: PELLA REGIONAL HEALTH CENTER

Permit Type: GP #2 Legal Status: Private     File No: 12904   Authorization No: 12904-12697

Expiration Date: 12/19/2010 (discontinued) Address: 404 JEFFERSON ST. - PELLA , IA 50219

County: MARION Field Office: 5 SIC: Geospatial Information: 507139(X)/4584389(Y)

Payment History   Payment Date Activity Payment Account 11/25/2009 Received Fee (1-Year) 175.00 6595 12/26/2008 Received Fee (1-Year) 175.00 8012 02/01/2008 Received Fee (1-Year) 150.00 4910 12/19/2006 Received Fee (1-Year) 150.00 5927 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: