HomeMy WebLinkAbout11 November ;vletropclitan Coun:il I Environmental Services MCES SAC-A Form
- 390 Robert Street North Last Updated 12121/2017
St Paul, Minnesota 55101-1805
651.602.1378 651 602.1030 fax
Sewer Availability Charge(SAC) do4f, R.
2018 ACTIVITY SUMMARY REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) November Year 2018
Attach
Farm SECTION 1 - Full SAC Rate Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
AIMSPermit Units Units Entered on Line Below)
•
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)
- Commercial
QEv
d
`"v 3 Institutional/Governmental
O ai
° Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
Attach SECTION 2 - Discounted SAC Rate(Must prior written Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
Fore, receive
MCES approval from MCES) Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections)
C dl
(If discount applied in letter,enter SAC due in Section 1 on Apartment line.) x 80%(to receive 20%discount): =
ra a
c a
E Publicly-Assisted Housing(without garbage disposals or dishwashers)
TOr >
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
LJ N Publicly-Assisted Housing (without individual laundry connections,garbage disposals
U or dishwashers) x 60%(to receive 40%discount): =
m (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
°:
u
HJ Apartment/Condo Conversion(converting a discounted apartment to a condominium
or non-discounted apartment) x 20%o .: _
—
(If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
Sub-Total SAC Units Section 2:
•
7 C' Net SAC Units from Section 1 +Section 2:
Ci- CGto _0 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
�C. Net SAC Unit Credit Balance from Previous Reporting Period: -
(-6Lj .flu-' Allowable Net Credits (Only from SAC Paid)to be taken Community-Wide: -
Sub-Total SAC Units:
Current SAC Rate Must Be Entered: x
Check if report qualifies 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: /JQ PC.T I V ITJ
FOR MCES USE ONLY ('If Total Amount Due is a negative number,this is the net credit balance to carry forward on your ne
Activity Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 12/03/2018
Check No, (Name) (Date)
Building Official 651.351.1661
Date (Title) (Phone)
jhultman@cityofoakparkheights.com
Amount Paid$ (E-mail Address)