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13-84 • SECTION 13: Forms and Reference <br />UNIVERSITY Septic System Management Plan <br />OF MINNESOTA for Above Grade Systems <br />Your Sentie Rvatom <br />Septic System Specifics <br />System Type:0ei011 0tII01V*0V* <br />Systemisaubjectmoperatfugpertnit* <br />❑ System uses W disinfection mit* <br />(Based on MNRules Chapter 70802200-2400) <br />Type of advanced treatmern mit <br />*Adduional Management PGm ttquired <br />DwelBng Type <br />Well Constmcdon <br />Numberofbedmoms: S <br />Well depth (it): <br />System capacity/ design flow (gpd): r),<0 _ <br />O Cased well Casing depth: <br />Anticipated average daily flow (gpd): 50.� <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft): <br />Business? _What type? <br />Is the well on the design dry mg7OY O N <br />Septic Tank <br />Ona tack Tank vodume: gallonv'V <br />Pump Tank ) d 0 gylons <br />Does tank have two companmeate?OS' ON <br />o Effluent Pump rnnke/made!; t)g y� <br />TWotanks Tankvolume: )'>,S0 gallons <br />Pumpcapacity 47 GPM <br />/,-0 et., <br />o Tank is constructed of Leµ c¢ v{ <br />TDA 1e Feet ofheed <br />Effluent Screentype: -- <br />o Alarm locathmj} oJSE <br />Soft Treatmeat Area (STA) <br />Mound/At-Grade area (width x length): � ft x clj� ft <br />LClearrouts <br />or f rspectim ports <br />Rock bed size (width x length): );7 ft x yj_ ft <br />Surface water diveruiona <br />Location of additional STA: — <br />Additional STA not available <br />-2- <br />