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UNIVERSITY Septic System Management Plan <br />for Above Grade Systems <br />OF MINNESOTA <br />Your Septic System <br />Septic System Specifies <br />System Type: e I () II 0111 OIV* () V* <br />7 System is subject to operating permit* <br />(Based on MN Rules Chapter 7080.2200 — 2400) <br />F]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): unknown <br />System capacity/ design flow (gpd): 600 <br />❑ Cased well Casing depth: <br />Anticipated average daily flow (gpd): 400 <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft):185 <br />Is the well on the design drawing? QY (D N <br />Business? : O Y (�) N What type? <br />Septic Tank <br />❑ First tank Tank volume: 2250 gallons <br />❑ Pump Tank 1000 gallons <br />Does tank have two compartments? eY 0 N <br />❑ Effluent Pump makelmodel: <br />❑ Second tank Tank volume: gallons <br />Pump capacity GPM <br />❑ Tank is constructed of Concrete <br />TDH Feet of head <br />❑ Effluent screen:0 Y e N Alarm OY (F) N <br />❑ Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): 47 ft x 86 ft <br />❑ Inspection ports E] Cleanouts <br />Rock bed size (width x length): 10 ft x 50 ft <br />� Surface water diversions <br />Location of additional STA: N/A <br />Rock <br />Type of distribution media:El <br />Additional STA not available <br />-2- <br />