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3-84 • SECTION 13: Forms and Reference • ' <br /> LNIVERS ITY Septic System Management Plan <br /> for Above Grade Systems <br /> OF MINNESOTA <br /> Your Septic System <br /> • <br /> 5 <br /> - a i s"`Z �� billass� _ -`.*lam-Z''�s <br /> fiFyap�E % x <br /> t 5 it, <br /> n V`f 7i#N SP <br /> p r t, Vp. j <br /> ... r - ... ..... ._.. .. <br /> FMK <br /> n <br /> 1. <br /> l y� r - 'fit -ti tz t i',, <br /> t Er <br /> Septic System Specifics <br /> (you is subject to operating permit* <br /> System Type: • ou®IIIow*0 V* E] System uses UV disinfection unit* <br /> (Based on MN Rules Chapter 7080.2200-2400) Type of advanced treatment unit x .r; <br /> *Additional Management Plan required <br /> Dwelling Type Well Construction <br /> Number of bedrooms: 16 Well depth(ft): <br /> System capacity/design flow(gpd): gor, liZ1 Cased well Casing depth:17 <br /> Anticipated average daily flow(gpd): -s4-0 l l Other(specify): <br /> Comments Distance from septic(ft): 10. a"- <br /> Business? What type? Is the well on the design drawing?®Y o N <br /> 3-- tedp C eaW Septic Tank <br /> II'l One tank Tank volume: Lw° gallons x Pump Tank t 5050 gallons <br /> Does tank have two compartments?OY®N ❑ Effluent Pump make/model: 001-440 M-S( 6/41. <br /> Two tanks Tank volume: if1Po gallons Pump capacity 4Z-GPM <br /> ❑ Tank is constructed of_ 7` TDH Zp Feet of head <br /> Effluent Screen type: /ut1-O o Alarm location 170‹.7 <br /> Soil Treatment Area(STA) <br /> Mound/At-Grade area(width x length):77 ft x ¢$ft Cleanouts or inspection ports- (. <br /> -_. <br /> Rock bed size(width x length):75 ft x to ft Surface water diversions <br /> ` <br /> Location of additional STA: Additional$TA not available <br /> r <br /> -2- <br /> 09/11 <br />