HomeMy WebLinkAbout03 March Metropolitan Council I Environmental Services MCES SAC-A Form
Robert Street North
St. 55
St.Paul,Minnesota 55101 1805
651.602.1378 I 651.602.1030 fax
Sewer Availability Charge(SAC)
2014 ACTIVITY SUMMARY REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) March Year 2014
Attach Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
Form SECTION 1 - Full SAC Rate
MCES Permit Units Units Entered on Line Below)
Single Family Dwelling
V Q Multi-Family(includes duplex,townhome,condo,assisted living)
Apartment(with individual laundry connections or no central laundry)
°Residential/Commercial Combination(residential and commercial mixed building)
o�
9 = €Commercial
V .E if
y Institutional/Governmental ai
o.(Industrial(those industries permitted with MCES only)
Sub-Total SAC Units Section 1:
Form
SECTION 2 - Discounted SAC Rate Building/Sewer Offsetting Credit Net SAC(Allows:"'-le
MCES Must receive prior written approval from MCES Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections)
O
�o x 80%(to receive 20%discount): =
c O
w
Q Publicly-Assisted Housing(without garbage disposals or dishwashers)
G x 75%(to receive 25%discount): =
L u
O V
9 ; Publicly-Assisted Housing(without individual laundry connections,garbage disposals I
C Q or dishwashers) x 60%(to receive 40%discount): =
N
JApartment/Condo Conversion(converting a discounted apartment to a condominium I
44 or non-discounted apartment) X 20%:
Sub-Total SAC Units Section 2:
Net SAC Units from Section 1 +Section 2:
MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
4 4 t -�-'
II — ma s
Net SAC Unit Credit Balance from Previous Reporting Period: - 38.00
r`NI. Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
Sub-Total SAC Units: -38.00
Enter Current SAC Rate: x $2,485.00
Sub-Total SAC Amount Due:
❑Check if report qualifies for 1%prompt payment discount. 1%Discount for Prompt Payment: -
MCES must receive payment within 30 days of the end of Sub-Total SAC Amount Due:
the reporting period.Postmark date is not acceptable. Adjustments(attach explanation): +
TOTAL AMOUNT DUE: -38.00
FOR MCES USE ONLY Of Total Amount Due is a negative number,this is the net credit balance to carry forward on your next Activity
Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie A Hultman 04.01.2014
Check No. (Name) (Date)
Building Official 651.439.4439 x 1105
Date (Title) (Phone)
jhultman @cityofoakparkheights.com
Amount Paid$ (E-mail Address)