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�3-$L� ■ SECTION 13: Forms and Reference <br /> UNI�ER�IZ,� S'eptic S'ystem Management Plan <br /> for Above Grade Systems � <br /> OF MINNESOTA <br /> Your.Septic System <br /> 0 ❑ �s +� <br /> ��"' �aa= <br /> .-r: <br /> >�. <br /> :�� <br /> �+o�tUoi�oira+aorra oi�;itai ifAdi. <br /> �� �� � <br /> taw.�� .kpyp� . „p,,,�. -s -'t � s� - �. <br /> :"M"'�._ '..'� T �-^ �t :L, <br /> �k 1�-��r� CS �, p�5�., f ,,C� � s c�; c i.: 'ti <br /> .-i'm�njnar�i r ;� s:������r��C�llvl�t��r+f��t�2�+� r����iti��e��r.i ti� � . - <br /> ' ..l�LS���f`� tr J`La��� <br /> {5.��.�,���;�y Z���..4z�tsl,�tT�y Lt _?���13�f F ���; ^y.� . <br /> t•➢c v��J�:« t �< ��rji�� '��ZC��" �Ni f ? l�,�ii }. <br /> �Y�^r iki ��. � a'F�r 5 1���u'�P : �'}� W�. <br /> �` .s`<���`�,r,. ��. -:�!�t,���,� 'r�r�'�'��-S� �`'��'`� <br /> _ � <br /> Septic System Specitics <br /> Systezn Type:Q.I�II oIIt QIV*Q V* ❑ System is subject to opezating permit* <br /> � System uses W disinfection unit* <br /> {Based on MN Rules Chapter 70802200—2400} Type of advanced treatment unit <br /> *Additional Management Plan required <br /> Dweiling Type Well Construction <br /> Number of bedroom.s: 5 Well depth(fi): <br /> System capacity/design flow(gpd): �_ �Cased weIl Casing depth: <br /> Anticipated average daily flow(gpd): �?,� �Other(spec'sfy): <br /> Comments Distance from septic(ft): <br /> Business7 What type? Is ttxe well on the design clrawing?�Y Q N <br /> Septic Tank <br /> One tatxk Tank volurne: gallons y� Pump Tank a c� gallons <br /> Does tank have two compartments?QI'�N d Effluent Pump make/model: ��� <br /> Two tanks Tank volume: � U gallons Pump capacity�_GPM <br /> ❑ Tank is constructed of TDH_� Feet of head <br /> Effluent Screeu type: �! Alarm location �-�9+�S�i <br /> Soil Treatment Area(STA) <br /> Mound/At-Grade area(width x length): �o ft x.�_y_$ � Cleauouts or inspection ports <br /> Rock bed size(width x length): !v ft x �3ft Surface water diversions <br /> Location of additional STA:�D�.t9� 5�.•�4'�i Additional STA not available <br /> -2- <br />