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UNIVERSITY <br />OF MINNESOTA <br />F■ <br />Septic System Management Plan <br />for Above Grade Systems <br />Your Septic System <br />_M�i�ele <br />Pump Tenk__� � <br />Lateral cl"n n- <br />C..a ctlon of mound <br />Inspecson pipe- <br />iapsail_-- <br />-- <br />Yegrtetion- <br />Frnm pucrp -nnk. _ <br />ImgMbn pipe <br />S <br />Septic System Specifies <br />System Type: (�) I C) I1 ()IIl C)IV* C 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 rewired <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): Soo <br />a Other (specify): <br />Comments <br />Distance from septic (ft): <br />Is the well on the design drawing? C)Y (F) N <br />Business? : Y e What type? <br />Soil Treatment Area (STA) <br />Septic Tank <br />❑ Inspection Cleanouts <br />❑ First tank Tank volume: 2250 <br />gallons <br />❑ <br />Pump Tank 1250 gallons <br />Does tank have two compartments? <br />(.!)Y Q N <br />❑ <br />Effluent Pump make/model: <br />o Second tank Tank volume: <br />gallons <br />Pump capacity GPM <br />❑ Tank is constructed of Concrete <br />TDH Feet of head <br />❑ Effluent screen:0 Y e N Aiarm ()Y (.) N <br />❑ <br />Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): 44 ft x 87 ft <br />❑ Inspection 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 />