Reno County Design Plan Worksheet
Property Address:
Completed by Health Dept.
Street City
Base Field Size Absorption field elevation Comments Yes Enhanced Treatment System If yes, type Approved Aerobic Tank Manufacturer / Model Re-circulating Filter
Fees Paid
Yes
No
No
Reduction to Base Field Size 30% Constructed Wetlands
(Write manufacturer and model of system, such as - Acme Industries, Just Right Model N-500) Choose one of these three options . Choose one of these three options .
Low Pressure Pipe Distribution - Timed Distribution Low Pressure Pipe Distribution - Demand Distribution Single point discharge to lateral Pipe and Gravel Drip Distribution Chambers Yes Lift Station Lagoon M-40 M-45 M-50 No
25% 15% 0% 0%
Field size to be determined separately.
15%
Septic Tank Size & Number Minimum Design Standards • Inspections ports at the ends of each lateral. • Septic Tank manhole riser • Effluent Filter Total Adjustment %
(Under no circumstance shall the total absorption
field reduction be more than 50% of Base Field Size.)
Design Field Size
(Base field size) x (1 – total adjustment)
Accepted for permit: Comments
Denied for permit:
Completed by:
Homeowner / Contractor / Engineer (please circle)
Date:
Masters EH/DesignPlanWorksheetSept03D