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UNIVERSITY <br />OF MINNESOTA <br />Septic System Management Plan <br />for Below Grade Systems <br />Your Septic System <br />Septic System Specifics <br />System Type: O 10 II O II1 O IV* O V* <br />❑ System is subject to operating permit* <br />(Based on AM Rules Chapter 7080.2200 — 2400) <br />n 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: 4 <br />Well depth (ft): <br />System capacity/ design flow (gpd): 600 <br />❑ Cased well Casing depth: 100'+ <br />Average daily flow (gpd): <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft): 1 W'*' <br />Business? OY Q N What type? <br />Is the well on the design drawing? S Y O N <br />Septic Tank <br />❑ First tank Tank volume: 1000 gallons <br />❑ Pump tank (if one) 1000 gallons <br />Does tank have two compartments? O Y Q N <br />❑ Effluent pump make/model: could PE51 <br />❑ Second tank Tank volume: 1000 gallons <br />Pump capacity 20 GPM <br />❑ Tank is constructed of Precast <br />TDH 17 Feet of head <br />❑ Effluent screen:OY ( N Alarm ®Y SN <br />❑ Alarm O Y ® N Location inside home <br />Soil Treatment Area (STA) <br />Trenches: 256 total lineal feet <br />Number of trenches: 7 at 36•6 feet each <br />STA size (width x length): ft x ft <br />F-/] Gravity <br />distribution ❑ Pressure distribution <br />14?1Inspection❑ Cleanouts <br />pow <br />Location of additional STA: <br />FlAdditional STA not available <br />Type of distribution media: rock or ez-flow <br />Surface water diversions <br />-2- <br />