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W <br />UNIVERSITY Septic System Management Plan <br />OF MINNESOTA for Above Grade Systems <br />Your Septic System <br />Septic System Specifics <br />I System Type: e I 0 1 0I11 OIV* O V* <br />System is subject to operating permit* <br />(Based on MN Rules Chapter 7080.2200 — 2400) <br />System uses UV disinfection unit* <br />*Additional Management Plan required <br />Type of advanced treatment unit <br />Dwelling Type <br />Well Construction <br />Number of bedrooms: 8 <br />Well depth (ft): New Construction <br />System capacity/ design flow (gpd): 1200 <br />❑ Cased well Casing depth: <br />Anticipated average daily flow (gpd): 1200 <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft): <br />Business? : O Y e N What type? <br />Is the well on the design drawing? Y N <br />Septic Tank <br />❑ First tank Tank volume: 2000 gallons <br />❑ Pump Tank 2000 gallons <br />Does tank have two compartments? OY @N <br />❑ Effluent Pump makelmodel: <br />❑ Second tank Tank volume: 2000 gallons <br />Pump capacity GPM <br />❑ Tank is constructed of Concrete <br />TDH Feet of head <br />❑ Effluent screen:O Y ON Alarm OY O N <br />❑ Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): b0 ft x 124 ft <br />El0 100 Inspection ports Gleanouts <br />Rock bed size (width x length): ft x ft ❑ <br />Location of additional STA: See drawing ❑ Surface water diversions <br />Type of distribution media: Rock ❑ <br />Additional STA not available <br />-2- <br />