HomeMy WebLinkAbout04 April 4 Metropolitan Council I Environmental ServicesMCES SAC-A Form
390 Robert Street North �� Last Updated 12/21/2017
St. Paul. Minnesota 55101-1805 �► A�
651.602.1378 1651.602 1030 fax 4
Sewer Availability Charge(SAC
2018 ACTIVITY SUMMARY REPORT
Customer Community Oak Park Heights
Reporting Period (month or quarter) April Year 2018
Attach Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
Foy SECTION 1 - Full SAC Rate Permit Units Units Entered on Line Below)
AWES
m Single Family Dwelling
< Multi-Family(includes duplex,townhome,condo,assisted living)
H
Apartment(with individual laundry connections or no central laundry)
0
o `c Residential/Commercial Combination(residential and commercial mixed building)
U_ € Commercial
et Zi_u
`"v 3 Institutional/Governmental
o v
° 3 Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
Attach SECTION 2 - Discounted SAC Rate(Must receive prior written Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
Form
MCES approval from MCES) Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections)
C
Yd
•5 (If discount applied in letter,enter SAC due in Section 1 on Apartment line.) x 80%(to receive 20%discount): =
co cr
c ar
iY Publicly-Assisted Housing(without garbage disposals or dishwashers)
d ra
0 >
(If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) X 75%(to receive 25%discount): =
+z
o c-
Q
U w Publicly-Assisted Housing (without individual laundry connections,garbage disposals
QU or dishwashers) x 60%(to receive 40%discount): =
rn g
ra • Of discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
U
N 4' Apartment/Condo Conversion(converting a discounted apartment to a condominium
J
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:
- Ica I'� Net SAC Units from Section 1 + Section 2:
rrr1! A2 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
Net SAC Unit Credit Balance from Previous Reporting Period: -
COP UCL Allowable Net Credits (Only from SAC Paid)to be taken Community-Wide: -
it ,ckflfZ'-tSub-Total SAC Units:
Current SAC Rate Must Be Entered: x
Check if report qualifes for 1%prompt payment discount. Sub-Total SAC Amount Due:
The payment and report must be received by MCES in 1%Discount for Prompt Payment: -
our offices no later than 30 days after the end of Sub-Total SAC Amount Due:
the reporting period.Postmark date is not acceptable. Adjustments(attach explanation): +
TOTAL AMOUNT DUE: 140 Ac+rv`f
FOR MCES USE ONLY (*If Total Amount Due is a negative number,this is the net credit balance to carry forward on yoyal! ext
Activity Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 05/09/2018
Check No. (Name) (Date)
Building Official 651.351.1661
Date (Title) (Phone)
jhultman@cityofoakparkheights.com
Amount Paid$ (E-mail Address)