Stormwater- Payment History

Facility Name: DALLAS COUNTY HOSPITAL

Permit Type: GP #2 Legal Status: Public     File No: 10690   Authorization No: 10690-10488

Expiration Date: 12/30/2007 (discontinued) Address: 610 10TH STREET - PERRY , IA 50220

County: BOONE Field Office: 5 SIC: Geospatial Information: 409159(X)/4631860(Y)

Payment History   Payment Date Activity Payment Account 11/28/2006 Received Fee (1-Year) 150.00 4099 12/30/2005 Received Fee (1-Year) 150.00 8320 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: