Stormwater- Payment History

Facility Name: KUM & GO (STORE #92)

Permit Type: GP #2 Legal Status: Private     File No: 11536   Authorization No: 11536-11315

Expiration Date: 10/1/2010 (discontinued) Address: 1025 E. 1ST ST. - ANKENY , IA 50021

County: POLK Field Office: 5 SIC: Geospatial Information: 451648(X)/4620122(Y)

Payment History   Payment Date Activity Payment Account 11/06/2009 INSUFFICIENT FEE PAYMENT 25.00 4974 10/26/2009 Received Fee (1-Year) 150.00 4012 05/19/2006 Received Fee (1-Year) 150.00 4700 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: