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Septic System Management Plan <br />for Above Grade Systems <br /> - 2 - <br />Your Septic System <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Septic System Specifics <br />System Type: I II III IV* V* <br />(Based on MN Rules Chapter 7080.2200 – 2400) <br />*Additional Management Plan required <br /> System is subject to operating permit* <br /> <br /> System uses UV disinfection unit* <br />Type of advanced treatment unit ______________ <br /> <br />Dwelling Type Well Construction <br />Number of bedrooms: ______________________ <br />System capacity/ design flow (gpd): __________ <br />Anticipated average daily flow (gpd): __________ <br />Comments________________________________ <br />Business? : Y N What type? _______________ <br />Well depth (ft): __________________________ <br /> Cased well Casing depth: ___________ <br /> Other (specify): ___________________ <br />Distance from septic (ft):____________________ <br />Is the well on the design drawing? Y N <br /> <br />Septic Tank <br /> First tank Tank volume: ________ gallons <br />Does tank have two compartments? Y N <br /> Second tank Tank volume: ________ gallons <br /> Tank is constructed of __________________ <br /> Effluent screen: Y N Alarm Y N <br /> Pump Tank _________ gallons <br /> Effluent Pump make/model:_______________ <br />Pump capacity ___________ GPM <br />TDH _________ Feet of head <br /> Alarm location _________________________ <br /> <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length):____ ft x ____ ft <br />Rock bed size (width x length): _____ ft x _____ ft <br />Location of additional STA: _______________________ <br />Type of distribution media: _______________________ <br /> Inspection ports  Cleanouts <br /> Surface water diversions <br /> Additional STA not available