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UNIVERSITY Septic System Management Plan <br />OF MINNESOTA for Above Grade Systems <br />Your Septic System <br />❑ aeaaanM� <br />Fa+m pum�nn4 <br />luteal claanWl-_-"�' <br />Cross-secllon of mond <br />InWctlon Pipe._-____ <br />Tgsd---_--- .. <br />�. - .•Gne4:.. �r <br />7 <br />Septic System Specifics <br />System Type: @ I () II ()III ()IV* O 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 required <br />Type of advanced treatment unit <br />Dwelling Type <br />Well Construction <br />Number of bedrooms: 2 bedroom system <br />Well depth (ft): <br />System capacity/ design flow (gpd): 340 <br />❑ Cased well Casing depth: <br />Anticipated average daily flow (gpd): <br />❑ Other (specify): <br />Comments <br />Distance from septic (ft): <br />Is the well on the design drawing? OY O N <br />Business? : O Y Q N What type? <br />Soil Treatment Area (STA) <br />Septic Tank <br />❑ First tank Tank volume: <br />gallons <br />❑ Pump Tank gallons <br />Does tank have two compartments? OY ON <br />❑ Effluent Pump make/model: <br />❑ Second tank Tank volume: <br />gallons <br />Pump capacity GPM <br />❑ Tank is constructed of <br />TDH Feet of head <br />❑ Effluent screen: () Y O <br />N Alarm ()Y Q N <br />❑ Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): 45 ft x 52 ft <br />❑ Inspection orfs EJCleanouts <br />Rock bed size (width x length): 10 ft x 26 ft <br />Location of additional STA: NIA <br />❑ Surface water diversions <br />Type of distribution media: Rock <br />Additional STA not available <br />❑ <br />-2- <br />