Stormwater- Payment History

Facility Name: ALEGENT HEALTH

Permit Type: GP #2 Legal Status: Private     File No: 4510   Authorization No: 4510-4348

Expiration Date: 9/18/2003 (discontinued) Address: 800 MERCY DRIVE - COUNCIL BLUFFS , IA 51502

County: POTTAWATTAMIE Field Office: 4 SIC: Geospatial Information: 262566(X)/4572344(Y)

Payment History   Payment Date Activity Payment Account 09/12/2002 Received Fee (1-Year) 150.00 3942 09/07/2001 Received Fee (1-Year) 150.00 4103 09/14/2000 Received Fee (1-Year) 150.00 6301 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: