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ATE P YA M: � <br /> Metropolitan Council . <br /> Environmental Services SEP 3 4 I9A� <br /> ; <br /> SAC PURCHASE FORM � � � ; <br /> The Metropolitan Council Environmental Services has determined that <br /> Company Name: �ty of Orono - Water Tr�tment Facility <br /> Facility Address: �5 Bl�--ine Avenue <br /> Orono, NIlV 55323 <br /> Community: City of Orono permit No.: 1� <br /> is re uired to obtain �� Service Availability Charge (SAC) units at the 19`�rate of <br /> $ 1�� per unit for an increase in the volume of wastewater discharged to the Metropoli- <br /> tan Disposal System.Payment of applicable SAC is a Permit Condition described in Section <br /> 205.00 of the Waste Dischazge Rules for the Metropolitan Disuosal System. <br /> Total amount due: $ 2'� <br /> Note: Payment of SAC does not relieve companies of charges assessed by communities for <br /> an increase in the volume of wastewater discharged through the local sanitary sewer. <br /> *******�********************************************************************** <br /> VERIF�CATION OF PURCHASE <br /> To be completed by Community offical <br /> I verify that C l � �J a � Q���,� Q , <br /> (company nam�) <br /> has purchased � SAC units on �� �� � / � I � � U <br /> (��) <br /> s��ea: r � b� � � � �C�I Q L� � s�h,�/� � �s <br /> (name) (title) <br /> representing: �, ( � \J v ( Q �L��. �� <br /> (communiry name) <br /> white original - to Company <br /> yellow copy - to Community (to be submitted to MCFS with monthly SAC r�port) <br /> pink copy - to Industrial Waste Section, MCFS (to be submitted by company) <br />