Laserfiche WebLink
13-84 ■ SECTION 13: Forms and Reference <br />UNIVERSITY septic System Management Plan <br />OF MINNESOTA for Above Grade Systems <br />Your Septic System <br />Septic System Specifics <br />Well Construction <br />System is subject to operating permit* <br />System Type* 01QII 011101" 0 V* <br />System uses UV disinfection unit* <br />(Based on MN Rules Chapter 7080.2200 — 2400) <br />Type of advanced treatment unit <br />F Other (specify): <br />*Additional Management Plan required <br />Dwelling Type <br />Well Construction <br />Number of bedrooms: 5 <br />Well depth (ft): <br />System capacity/ design flow (gpd): n �C) <br />E Cased well Casing depth: <br />Anticipated average daily flow (gpd): S P, 5 _ <br />F Other (specify): <br />Comments <br />Distance from septic (ft): <br />Business? What type? <br />Ts the well on the design drawing?(p` y 0 N <br />Septic Tank <br />One tank Tank volume: gallons <br />ti/ Pump Tattle 1 a gallons <br />Does tank have two compartments?OY ON <br />Q Effluent Pump makelmodel: 3 1a <br />Two tanks Tank volume: _0,go gallons <br />Pump capacity 41) GPM <br />Q Tank is constructed of <br />TDH ! 4 Feet of head <br />Effluent Screen type: <br />Alarm location �S <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): \4 ?, ft x q s ftCleanouts <br />Rock bed size (width x length): � ft x kl ft <br />Location of additional STA: <br />or inspection ports <br />Surface water diversions <br />Additional STA not available <br />_2_ <br />