SSTS Forms and Worksheets by Type

OSTP Design Forms

U of M OSTP Design Forms Instructions (.pdf)

2011 Rules Version

• Site Evaluation Forms (.xls, 1.44 MB) - updated 9/16/11
• Basic Design Forms (.xls, 2.98 MB) - updated 9/16/11
• Basic & Advanced Design Forms (.xls, 3.95 MB) - updated 9/16/11

2008 Rules Version

• Site Evaluation Forms (.xls, 1.2 MB) - updated 3/28/2011
• Basic Design Forms (.xls, 2.8 MB) - updated 3/28/2011
• Advanced Design Forms (.xls, 3.54 MB ) - updated 4/1/2011

Pre-2008 Rule Change Design Forms

• Click here to view old design forms

Other Useful Design Tools

• Soil Observation Log (.pdf)
• Homeowner Survey (.pdf)
• Class V Injection Well Inventory (.pdf)
• MPCA SSTS Abandonment Reporting Form >> (.doc)
• Consortium of Institutes for Decentralized Wastewater Treatment (CIDWT) Analyzing High Strength Waste Forms >>
  • CIDWT Troubleshooting Guide
• Equations and Constants (.pdf)

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Inspection Forms

• Existing SSTS Inspection Form >> (.doc)
• New Construction SSTS Inspection Form (.pdf)
• Operating Permit Template >> (.doc)

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Installation Forms

• Consortium of Institutes for Decentralized Wastewater Treatment (CIDWT) Installation Checklists >>
• As Built (.pdf)
• MDH Certification of Buried Sewer Construction and Testing
• MPCA SSTS Abandonment Reporting Form >> (.doc)

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Maintenance Forms

Maintainers

• MPCA Septic Tank Maintenance Reporting Form >> (.doc)
• Septage Application Rates (.pdf)
• Septage Application for Nitrogen Worksheet (.pdf)
• Site Specific Record Form (.pdf)
• Daily Hauling Record(.pdf)
• Substandard Pumping Waiver (.pdf)
• Temperature/pH Correction Table (.xls)
• Tank Cleaning Receipt (.pdf)
• Pumper Customer Handout (.pdf)
• Septic Tank Pumping Frequency Guidelines (.pdf)

Service Providers

• Form 1-1: System Description (.doc)
• Form 1-2: System Evaluation (.doc)
• Form D-1: Residential Evaluation Summary (.doc)
• Form 4-1: Site Assessment (.doc)
• Form 5-1: Holding Tank (.doc)
• Form 5-2: Septic, Trash, and Processing Tanks (.doc)
• Form 6-1: Pump Tank (.doc)
• Form 6-2: Pump: Demand-dosed System (including siphons) (.doc)
• Form 6-3: Pump: Time-dosed System (.doc)
• Form 7-1: Media Filter (.doc)
• Form 7-2: Aerobic Treatment Unit (.doc)
• Form 7-3: Constructed Wetland (.doc)
• Form 7-4: Lagoon Maintenance (.doc)
• Form 7-5: Disinfection Unit - Chlorine (.doc)
• Form 7-6: Disinfection Unit - Ultraviolet Light (.doc)
• Form 7-7: Disinfection Unit - Ozone (.doc)
• Form 8-1: Gravity Distribution (including pump-to-gravity) (.doc)
• Form 8-2: Evapotranspiration Beds (.doc)
• Form 8-3: Low-Pressure Drainfield (.doc)
• Form 8-4a: Bottomless Sand Filters and Mounds (.doc)
• Form 8-4b: Bottomless Peat Filter (.doc)
• Form 8-5: Drip Distribution (.doc)
• Form 8-6: Spray Distribution (.doc)
• Form 8-7: Discharging System (.doc)

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Management Plans

Type I Systems:

Now in fillable and savable .pdf format! UPDATED 6/10/2010

• Below Grade Systems (Trenches and Beds) (.pdf)
• Above Grade Systems (Mounds and At-Grades) (.pdf)

Type II Systems:

• Holding Tank System (.pdf)

Type IV Product Specific Management Plans:

High Strength Waste

• Advanced Aeration Vacuum Bubble Technology for High Strength Waste (.pdf)
• AquaTest High Strength Waste Nibbler Fixed Film ATU (.pdf)
• Bio Microbics High Strength Waste Fixed Film ATU (.pdf)
• External Grease Interceptor (.pdf)

Domestic Strength Waste

• Advanced Aeration Inc. Vacuum Bubble Technology (.pdf)
• Bio Microbics Domestic Strength Fixed Film ATU (.pdf)
• Bord na Mona Puraflo Fixed Film Filter (.pdf)
• Clarus Fusion Suspended Growth ATU (.pdf)
• Consolidated Treatment Systems Multi Flo & Enviro Guard Fixed Film ATU (.pdf)
• Consolidated Treatment Systems Nayadic Suspended Growth ATU (.pdf)
• Delta Environmental Ecopod Fixed Film ATU (.pdf)
• Hoot Systems Suspended Growth ATU (.pdf)
• Hydro-Action Industries Extended Aeration Unit (.pdf)
• Norweco Chlorine Disinfection Unit (.pdf)
• Norweco Singulair AT 1500 Ultraviolet Light Disinfection Device (.pdf)
• Norweco Singulair 960 and TNT Model Fixed Film Aerobic Treatment Unit (.pdf)
• Orenco Systems Advantex AX 20 Fixed Film Filter (.pdf)
• Premier Tech Ecoflo Biofilter (.pdf)
• Recirculating Sand Filter (.pdf)
• Salcor Ultraviolet Light Disinfection Device (.pdf)
• Single Pass Sand Filter (.pdf)
• SludgeHammer Fixed Film Aerobic Treatment Unit (.pdf)
• MPCA Operating Permit Template >> (.doc)

SSTS Pre-2008 Rule Change Design Forms

• At-Grade (.xls)
• Dosing Chamber Sizing WITH a Timer (.xls)
• Dosing Chamber Sizing WITHOUT a Timer (.xls)
• Drip Distribution (.xls)
• Filters and Wetlands (.xls)
• Mound (.xls)
• Non-level Pressure Distribution (.xls)
• Percolation Test (.xls)
• Pressure Distribution (.xls)
• Pump Selection (.xls)
• Site Evaluation (.xls)
• Soil Boring Log (.pdf)
• Trench and Seepage Bed (.xls)
• Trench Design after Pretreatment (.xls)