HomeMy WebLinkAbout03 March Metropolitan Council 1 Environmental Services MCES SAC-A Form
390 Robert Street North Last Updated: 12/10/2014
St. .60 Minnesota 1 55101-1805 fa
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Sewer Availability Charge(SAC)
2015 ACTIVITY SUMMARY REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) March Year 2015
Attach Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
form SECTION 1 - Pull SAC Rate Permit Units Units Entered on Line Below)
m Single Family Dwelling
U Multi-Family(includes duplex,townhome,condo,assisted living)
Q
U)
Apartment(with individual laundry connections or no central laundry) f/��
,M.TIVIT(
J residential/Commercial Combination (residential and commercial mixed building) i�V
0
9 ° E- Commercial
ul I a Institutional/Governmental
8 Industrial
`o (those industries permitted with MCES only)
Sub-Total SAC Units Section 1:
Attach SECTION 2 -Discounted SAC Rate Building/Sewer Offsetting Credit Net SAC(Allowable Net Cr tits
Farm
Mces Must receive prior wilder approval from MCES Permit Units Units Entered en L Below)
C Apartment(without individual laundry connections)
O
x 80%(to receive 20%discount): _
= o
E a
C- Publicly-Assisted Housing(without garbage disposals or dishwashers)
S', cr
a W x 75%(to receive 25%discount): =
0
U
U 1 Publicly-Assisted Housing(without individual laundry connections,garbage disposals
U C or dishwashers) o 0
Q CO x 60%(to receive 40%discount): =
rn m
UOf Z
J Apartment/Condo Conversion(converting a discounted apartment to a condominium
< or non-discounted apartment) X 20%: _
Sub-Total SAC Units Section 2:
Net SAC Units from Section 1 +Section 2:
YNCL I
{N-A-1-AC1/4-0C-V—__/ 11 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
LC`� Net SAC Unit Credit Balance from Previous Reporting Period: - 5.00
Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
Sub-Total SAC Units: -5.00
Enter Current SAC Rate: x $2,485.00
Sub-Total SAC Amount Due:
:Cheek if report qualifies for 1%prompt payment discount, 1% Discount for Prompt Payment: -
MCES must receive payment within 30 days of the end of Sub-Total SAC Amount Due:
the reporting period.Postmark date is not acceptable. Adjustments (attach explanation): +
TOTAL AMOUNT DUE: -5.00
FOR MCES USE ONLY ("If Total Amount Due is a negative number,this is the net credit balance to carry forward on your next Activity
Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie A. Hultman 04.02.2015
(Name) (Date)
Check No.
Building Official 651.439.4439 x1105
Date (rifle) (Phone)
jhultman @cityofoakparkheights.com
Amount Paid$ (E-mail Address)