Stormwater- Payment History

Facility Name: GENESIS MEDICAL CENTER - PARKWAY PROJECT

Permit Type: GP #2 Legal Status: Private     File No: 5667   Authorization No: 5667-5504

Expiration Date: 1/15/2004 (discontinued) Address: 1227 E. RUSHOLME STREET - DAVENPORT , IA 52803

County: SCOTT Field Office: 6 SIC: Geospatial Information: 703725(X)/4601858(Y)

Payment History   Payment Date Activity Payment Account 11/21/2002 Received Fee (1-Year) 150.00 8683 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: