DWQ-2025-003250

STATE OF UTAH
INVOICE
SEND PAYMENT TO:
DEPT OF ENVIRONMENTAL QUALITY
195 N 1950 West 3rd Fl
WATER QUALITY
Salt Lake City UT 84114-4870
Invoice Number:
2570000444
Amount Due:
$1,250.00
AMOUNT ENCLOSED
Original Invoice Date:
04-07-2025
Due Date:
05-07-2025
BILL TO: CORINNE CITY ATTN: JL NICHOLS 2420 NORTH 400 WEST PO BOX 118 CORINNE UT 84307
Please write INVOICE NO. on front of check
or money order
MAKE CHECKS PAYABLE TO:
UTAH DIVISION OF WATER QUALITY
AR DEPT:BPRO 480:48070
RETURN THIS PORTION WITH YOUR PAYMENT Contact : Susan Woeppel 801-536-4354
RETAIN FOR YOUR RECORDS STATE OF UTAH
Invoice Number:
2570000444
Original Invoice Date:
04-07-2025
Due Date:
05-07-2025
Amount Due:
$1,250.00
Invoice Charges
Line Number Description Amount
1 Permit Modification - UPDES Permit UT0020931 Corinne Wastewater Lagoon
System - 10 Hrs @ $125/Hr
$1,250.00
Total Invoice Charges $1,250.00
Other Charges
Description
Other Fee
NSF Fee
Amount
Total Other Charges
Payments Applied $0.00
Total Amount Due $1,250.00
Instructions:
DUE DATE:05-07-2025 AMOUNT DUE:$1,250.00