HomeMy WebLinkAbout10 October Metropolitan Council I Environmental Services MCES SAC-A Form
390 Robert Street North Last Updated: 11/27/18
St. Paul, Minnesota 55101-1805
651.602.1378 I 651.602.1030 fax
Sewer Availability Charge(SAC) 01
2019 ACTIVITY SUMMARY REPORT cOIS i
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) October Year 2019
Attach
Form SECTION 1 - Full SAC Rate Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
MCES Permit Units Units Entered on Line Below)
m Single Family Dwelling
Multi-Family(includes duplex,townhome,condo,assisted living)
rn
Apartment(with individual laundry connections or no central laundry)
0
o Residential/Commercial Combination(residential and commercial mixed building)
uc E
Commercial
f-
it)
Q E a
`"0 3 Institutional/Governmental
8 v Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
Attach
Form 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)
C
a+ 5
(If discount applied in letter,enter SAC due in Section 1 on Apartment line.) X 80%(to receive 20%discount): =
m tT
c
lz Publicly-Assisted Housing g(without garbage disposals or dishwashers)
▪ >
G 0 (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) X 75%(to receive 25%discount): =
a
o
w Publicly-Assisted Housing (without individual laundry connections,garbage disposals
v) kJ or dishwashers) x 60%(to receive 40%discount): =
m L (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
Q a+
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:
1114118- MO-Lict&- �ti r} Cw-1cLj Net SAC Units from Section 1 +Section 2:
MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
Net SAC Unit Credit Balance from Previous Reporting Period: -
Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
❑Check if report qualifies for 1%prompt payment discount. Sub-Total SAC Units
Current SAC Rate Must Be Entered: x
The payment and report must be received by MCES in Sub-Total SAC Amount Due:
our offices no later than 30 days after the end of 1%Discount for Prompt Payment: -
the reporting period.Postmark date is not acceptable. Sub-Total SAC Amount Due:
Adjustments to current months issued permits(attach explanation): +
TOTAL AMOUNT DUE: --/vtprc i/ , —
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 A Hultman 11/04/2019
Check No. (Name) (Date)
Building Official 651.398.4590
Date (Title) (Phone)
Amount Paid$ jhultman@cityofoakparkheights.com
(E-mail Address)