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UNIVERSITY <br />OF MINNESOTA <br />Septic System Management Plan <br />for Above Grade Systems <br />Your Septic System <br />11 —� Manhole <br />i <br />Inspectien pipe <br />Fnun pump rank ' <br />--vmfaaw <br />Pipe <br />Crams Ktion of mound 0a1r4Mrion meda <br />InspeaiOn pipe' ri <br />Topsoil _ <br />vegetadcn_ _ ' <br />: Sand- <br />Srp. r ol�v - <br />- - r llBpxeEFasl7 _ eta Lgntngporidirr yr <br />Septic System Specifies <br />System Type:•� I ()11 ®III QIV* 0 V* <br />F-� 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: 5 <br />Well depth (ft): New construction <br />System capacity/ design flow (gpd): 750 <br />❑ Cased well Casing depth: <br />Anticipated average daily flow (gpd): 500 <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft): <br />Is the well on the design drawing? OY e N <br />Business?: a Y e N What type? <br />Soil Treatment Area (STA) <br />Septic Tank <br />❑ First tank. Tank volume: 2250 <br />gallons <br />❑ Pump Tank 1250 gallons <br />Does tank have two compartments? <br />(F)Y 0 N <br />❑ Effluent Pump make/model: <br />❑ Second tank Tank volume: <br />gallons <br />Pump capacity GPM <br />❑ Tank is constructed of Concrete <br />TDH Feet of head <br />❑ Effluent screen:a Y e N Alarm ()Y e N <br />❑ Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x Iength): 49 ft x ss ft <br />1:1 Inspection <br />E] Cleanouts <br />Rock bed size (width x length): 10 ft x 63 ft <br />ports <br />Location of additional STA: See drawing <br />� Surface water diversions <br />Type of distribution media: Rock <br />Additional STA not available <br />❑ <br />-2- <br />