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DIVERSITY Septic System Management Plan <br />for Above Grade SSysterns <br />OF MINNESOTA <br />Maintenance Log <br />Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4. <br />Activity <br />Date accomplished <br />Check frequently; <br />Leaks: check for plumbing leaks <br />Soil treatment area check for surfacing <br />Lint filter: check, clean if needed <br />Effluent screen: if owner -maintained <br />Check annually: <br />Water usage rate (monitor frequency ) <br />Caps: inspect, replace if needed <br />Water use appliances — review use <br />Other: <br />Notes: <br />Mitigation/corrective action plan: <br />"As the owner of this SSTS, I understand it is my responsibility to properly operate and maintain <br />the sewage treatment system on this property, utilizing the Management Plan. If requirements in <br />this Management Plan are not met, I will promptly notify the permitting authority and take <br />necessary corrective actions. If I have a new system, I agree to adequately protect the reserve <br />area for future use as a soil treatment system." <br />Property Owner Signature: bate <br />Management Plan prepared By: Brent D. Matter Certification # 2003 <br />Permitting Authority: City Of Orono <br />02010 Regents of the University of Minnesota. All rights reserved. The University of Minnesota is an equal opportunity educator and employer. <br />This material is available in alternative formats upon request. Contact the Water Resources Center, 612-624-+7282. The Onsite sewage <br />Treatment Program is delivered by the University of Minnesota Extension Service and the University of Minnesota Watcr Resources Center. <br />