HomeMy WebLinkAbout02 February Metropolitan Council j Environmental Services MCES SAC-A Form
390 Robert Street North Last Updated.12/09/2016
St.Paul,Minnesota 55101-1805
651.602.1378 ;651.602 1030 tax
Sewer Availability Charge(SAC) e;f i
2017 ACTIVITY SUMMARY REPORT t )
Customer Community Oak Park Heights
Reporting Period (month or quarter) FPhr„ary Year 2017
Form SECTION 1 -Full SAC Rate CreditSAC( Net Credits
.; Permit Units Units Etttered on Line Below)
co Single Family Dwelling
Q Multi-Family(includes duplex,townhome,condo,assisted living)
VI
Apartment(with individual laundry connections or no central laundry)
Residentiai/Commercial Combination(residential and commercial mixed building)
• € Commercial
Q Ea
Institutional/Governmental
8 i Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
FormAttach SECTION 2-Discounted SAC Rate(Must receive prior written Building/Sewer Oifsetting Credit Net SAC(Allowable Net Credits
ACES approval from&ICES) Perm*t Units Units Entered on Line Below)
Apartment(without individual laundry connections)
c• a+
(If discount applied in letter,enter SAC due in Section 1 on Apartment line.) x 80%(to receive 20%discount): =
c d a
E 5 Publicly-Assisted Housing(without garbage disposals or dishwashers)
• 17• 1
• o (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) X 75%(to receive 25%discount):
• Qa,.
y y Publicly-Assisted Housing(without individual laundry connections,garbage disposals
4J tu
Q V or dishwashers) x 60%(to receive 40%discount): _
to
ap 1 (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
u
• Apartment/Condo Conversion(converting a discounted apartment to a condominium
or non-discounted apartment) x 20%: -
(If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
Sub-Total SAC Units Section 2:
i► 117 - <�
Net SAC Units from Section 1 +Section 2:
MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
1ctoU-1 Net SAC Unit Credit Balance from Previous Reporting Period: -
Allowable Net Credits(Only from SAC Paidj to be taken Community-Wide: -
Sub-Total SAC Units:
Current SAC Rate Must Be Entered: x
Sub-Total SAC Amount Due:
Check if report qualifies few 1%prompt payment discount. 1%Discount for Prompt Payment: -
MCES must receive payment within 30 days of the end of Sub-Total SAC Amount Due:
the reporting period.Postmark date is not acceptable. Adjustments(attach explanation): +
TOTAL AMOUNT DUE: NO ACTIVITY
FOR MCES USE ONLY (•If Total Amount Due is a negative number,this is the net credit balance to carry torwara on your next
Activity Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 03.01.2017
Check No. (Name) (Date)
Building Official 651.439.4439 x 1105
Date (Title) (Phone)
Amount Paid$ jhultman@cityofoakparkheights.com
(E-mail Address)