930 Blue Gentian Rd - Additional SAC Fee For Waste Discharge Rules't Metropolitan Council
SAC PAYMENT FORM
The Metropolitan Council Environmental Services has determined that
Company Name: ReyHan PGF
Facility Address: 930 Blue Gentian Rd
Community: Eagan
the community listed above is required to obtain 1 metropolitan Sewer Availability Charge (SAC) unit
at the 2012 rate of $2,365 per unit for an increase in the wastewater demand to the Metropolitan Disposal
System. Payment of the applicable SAC is a Permit Condition described in Section 205.00 of the "Waste
Discharge Rules for the Metropolitan Disposal System." Payments shall be made with this form to the
community in which the above facility is located.
Note: Payment of SAC does not relieve permitted industries of additional charges that may be
assessed by communities for an increase in the wastewater demand through the local sanitary
sewer.
1 verify that
has paid 3 5 SAC units on
Signed
Total metropolitan amount due: $2,365.00 by 3/31/12
Representing: CAI of- Ec c
VERIFICATION OF PAYMENT
To be completed by community official
(communit ' ame)
(name of permitted industry)
3 2oi
(date)
wticw•.metrocounci1.org
Permit Number: 1423
Environmental Services
Title: 0- l Ce Y\1 t s � f'
(title)
s , SARAH JEAN BRANDEL
Notary Public- Minnesota
vwwwzy.45,wwwwommission Expires Jan
Distribution: The community of Eagan should retain a copy of this signed form. ReyHan PGF should retain
the original and send a copy to Metropolitan Council Environmental Services, Industrial Waste & Pollution
Prevention, 390 N Robert St, St Paul, MN 55101 -1805. Thank you.
revised 11/15/2010
390 North Robert Steet • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax 602 -1138 • TTY Y 291 -0904
.4n Equal Opportunity Employer
City of Eagan
Cash Receipt
Receipt Date 3/16/2012
Receipt Number 178028
REYHAN /CK #180000625
SAC FEES
9220.2275
930 BLUE GENTIAN RD
*Total Receipt Amount
121197 6:44:30
2,365.00
2,365.00