HomeMy WebLinkAbout09 September 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 I 651.602.1030 fax
Sewer Availability Charge(SAC)
2017 ACTIVITY SUMMARY REPORT coo,"
Customer Community Oak Park Heights
Reporting Period (month or quarter) September Year 2017
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Form SECTION 1 - Full SAC Rate Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
tIACEs Permit Units Units Entered on Line Below)
m Single Family Dwelling
< Multi-Family(includes duplex,townhome,condo,assisted living)
Apartment(with individual laundry connections or no central laundry)
o
o c Residential/Commercial Combination(residential and commercial mixed building)
L.)
c v Commercial
a
Institutional/Governmental
° t Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
Attach
Fes, SECTION 2 - Discounted SAC Rate (Must receive prior written Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
MCES approval from MCES) Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections)
0 01
•`— (If discount applied in letter,enter SAC due in Section 1 on Apartment line.) X 80%(to receive 20%discount): =
m
c c Q
£ oC Publicly-Assisted Housing(without garbage disposals or dishwashers)
0 0 (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) x 75%(to receive 25%discount): =
a
`o a
a
U y Publicly-Assisted Housing (without individual laundry connections,garbage disposals
QU or dishwashers)
ti) g x 60%(to receive 40%discount): =
op (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
U 1°J,
H J 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 ' �� �(�'_A Net SAC Units from Section 1 +Section 2:
1 7 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
CC`d Net SAC Unit Credit Balance from Previous Reporting Period: -
Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
c--(LlC_Q—, Sub-Total SAC Units:
Current SAC Rate Must Be Entered: x
Sub-Total SAC Amount Due:
Check if report qualifies for 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 forward on your next
Activity Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 10-02-2017
Check No. (Name) (Date)
Building Official 651/439.4439 x1105
Date (Title)
(Phone)
jhultman@cityofoakparkheights.com
Amount Paid$
(E-mail Address)
1