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DocuSign Envelope ID: D8AA32DD-94F0-4A26-ACCF-EFE01D862864 <br />13-84 N SECTION 13: Forms and Reference <br />UNIVERSITY Septic Systent Management Plan <br />for Above Grade Systems <br />OF MINNESOTA <br />Your Septic SysteRn <br />j� ❑ <br />--van" <br />u • M;nM! <br />..11. ..�` Wp"M pie.,. <br />Fro9Rr7r��Y�'.� Ivsyrt•t .,a <br />'i ti- k ctas-stNanallssoundf,ti <br />0&aGRaiontnn4a „ <br />InsP,46. lPN •- . .� <br />Tornail ._"•�31'.. <br />'i: .3: <br />tmm pvmptanlc. '.f'J,- - •..; ;��G '.'���,'Y i;`".;:i`":• ii •'�:��i�t•,r;.;t':;� ��.=:ti <br />' ... .... •:ti:`;:'t i. s.r. ...::+:�1:��+",::t+:... a'.•. .>�tS�'1uR5,.`11�:: i::�%'j.r <br />Septic System Specifies <br />System is subject to operating permit* <br />System Type:@1011 ©llI©IV*()V* <br />System uses W disinfection unit* <br />(Based on A4N Mules Chapter 7080.2200 — 2400) <br />Type of advanced treatment unit <br />*Additional Management Plait required <br />Dwelling Type <br />Well Construction <br />Number of bedrooms: S <br />Well depth (ft): <br />System capacity/ design flow (gpd): r7ti <br />Cased well Casing depth: <br />Anticipated average daily flow (gpd): 5 <br />Other (specify): <br />Continents <br />Distance from septic (ft): <br />Business? What type? <br />Is the well on the design drawing70Y 0 N <br />Septic Tank <br />One tank Tank volume: gallons <br />Pump Tank I2SO gallons <br />Does tank have two compartments?QY ON <br />4 Effluent Pump makelmodel: 11 � 1 j� g <br />Two tanks Tank volume: 1 Z �O gallons <br />Pump capacity 4 I GPM <br />Tank is constructed of Gc) S 1 G//, <br />TDH a i Feet of head <br />L❑ <br />l Effluent Screen type: <br />❑ Alarm location <br />Soil Treatment Area (STA) <br />Mound/At-Grade area (width x length): iL- ft x 5.2 ft <br />✓ <br />Cleanouts or inspection ports <br />Rock bed size (width x length); ft x �3 fi <br />Surface water diversions <br />Location of additional STA: <br />Additional STA not available <br />-2- <br />