HomeMy WebLinkAbout06 June Metropolitan Council Environmental Services MCES SAC-A Form
390 Robert Street North Last Updated:12/10/2014
St.Paul, Minnesota 55101-1805
21/16 651.602.1378 651.602.1030 fax y,
itty
Sewer Availability Charge(SAC)
2015 ACTIVITY SUMMARY REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) June Year 2015
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
6Q 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
C1 .c E Commercial
Eao
oInstitutional/Governmental
Industrial(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 Credits
Form
MCES Must receive prior written approval from MCES Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections) I I
O
:0 80%(to receive 20%discount): =
• o
aL I I
Publicly-Assisted Housing(without garbage disposals or dishwashers)
• y x 75%(to receive 25%discount): =
L
O I
o 2-0 111 Publicly-Assisted Housing(without individual laundry connections,garbage disposals I
Qor dishwashers) x 60%(to receive 40%discount): =
to L
-
;+ IJ Apartment/Condo Conversion(converting a discounted apartment to a condominium
Cl) or non-discounted apartment) X 20%: _
Sub-Total SAC Units Section 2:
0— )_I m e Net SAC Units from Section 1 +Section 2:
C C J L j . _ � MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
C 7 u �t Net SAC Unit Credit Balance from Previous Reporting Period: -
q- (RAJ-, Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
Sub-Total SAC Units:
Enter Current SAC Rate: x
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: N O 11 C7-1 V►T�'
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 07/01/2015
Check No. (Name) (Date)
Building Official 651.439.4439 x1105
Date (Title) (Phone)
jhultman @cityofoakparkheights.com
Amount Paid$ (E-mail Address)