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SKETCH of a typical aerobic treatment unit tank, aerator, chamber Aerobic Septic System Maintenance

ATU Maintenance Tasks
ATU Maintenance Schedule
How to use liquid bleach disinfectant in an ATU
Drainfield life extension using an ATU

Aerobic septic system maintenance and cleaning procedures: maintenance Guide for Fine bubble aeration septic systems.

This ATU system article series provides designs and products for aerobic septic treatment units (ATUs) for onsite waste disposal, also called fine bubble aeration systems. We address aerobic septic system design, features, inspection, repair, and maintenance. Product sources are also listed.

InspectAPedia tolerates no conflicts of interest. We have no relationship with advertisers, products, or services discussed at this website.

- Daniel Friedman, Publisher/Editor/Author - See WHO ARE WE?

Aerobic Septic System Maintenance Guidelines

SKETCH of a typical aerobic treatment unit tank, aerator, chamber

Article Contents

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Summary of Maintenance Requirements for Aerobic Septic Systems

How to Care for An ATU

You can reduce problems with your ATU and extend the system life by performing basic maintenance. Also see ATU Suppliers.

Homeowners can reduce the operating cost of any septic system by conserving water use.

An aerobic system retrofit may also extend the life of a drainfield - but be sure to read the caveats described in the next section on using an ATU to extend drainfield life.

  • Disinfection of septic effluent:

    use the proper disinfection tablets and use them on the schedule recommended by your system designer.

    Disinfectants are discussed just above. Typically the disinfection\ tablets are added to the system through a PVC pipe that extends above ground level and which has a removable cap. Depending on the design of your system, several tablets may be placed into a tube located inside this pipe.

    Don't put in more tablets than the instructions say, since doing so may cause them to break down prematurely and thus not to be dispensed at the proper rate - you'll actually end up wasting tablets and money. Check the condition of your aerobic septic system disinfection tablets monthly.

  • Proper Disinfection Tablets

    Use only the proper type of aerobic or aeration septic system disinfection tablets in order to avoid contaminating the environment (the system may discharge insufficiently treated septic effluent and thus pathogens into the soil and groundwater) and to avoid violation of federal law.

    See AEROBIC Septic System Disinfection with Calcium Hypochlorite

    and AEROBIC Septic System Disinfection with Chlorine Tablets for details.

    OR
  • Proper Disinfection using Household Bleach

    illustrated at CLEARSTREAM CLC100 / A8810 CHLORINATOR INSTRUCTIONS - using household bleach and a bleach dispenser in the ATU to disinfect septic effluent as it is discharged.

  • Aerobic Treatment Unit Pumps

    Inspect the aerobic aeration pump monthly when you're checking the disinfectant tablets. If the pump motor is making a strange noise (or worse, has stopped working) you need repair service promptly. If your aerobic system uses a timer for pump control, make sure that device is working and has power before attacking a pump that's "not working".

  • Protect from Insect Damage

    In some areas (such as parts of Texas) insects can damage the aerator system and void your warranty. Dulworth Septic Systems in Texas recommends putting ant poison around the aerator compartment.

  • Protect from Vehicle Damage

    Do not drive over the septic system nor any of its components - you may damage or destroy the system. Keep grass mowed to avoid blocking or jamming components or interfering with evaporation from the absorption system.

  • Aerobic Treatment Maintenance Contracts

    Use and maintain an aerobic treatment unit maintenance service if you are not able to reliably and properly care for your system. Studies (West Virginia) demonstrated that a high failure rate for aerobic treatment systems was due to lack of proper maintenance.

  • Watch out: Check the safety of the septic system access covers:

    to prevent someone, adult or child, from falling into the septic tank, the covers of all of the tank's access ports must be securely fixed such that they cannot be opened by children.

    At SEPTIC TANK ACCIDENT REPORTS we report decades of very serious events where septic system covers have not been secure.
  • http://www.ahc.sa.gov.au/site/page.cfm?u=815 Adelaide Hills Council, Australia

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Using an Aerobic System to Extend the Life of a Drainfield

An aerobic system might be retrofitted to a conventional septic system in an attempt to extend the life of a conventional drainfield. Also, adding aeration or oxygen to a septic system may boost aerobic bacterial action in the biomat, improving the drainfield function. But it's not quite that simple.

We would look closely at any proposals to make this "improvement" to a conventional septic system. One reader wrote that their installer wanted to simply install an aerator in the original one-compartment septic tank.

Our opinion was that unless a settlement chamber or tank outlet filter were installed the result of aeration and agitation in the primary single-chamber septic tank would be to push suspended solids out into the drain field where it would be clogged quite rapidly.

While there are a number of interesting pre-packaged advanced wastewater treatment systems on the market, a web search (in 2005 and again in 2006) does not turn up much on installation, operating, or repair costs.

The manufacturers argue that each site is unique so installation costs vary. OPINION: we suspect that as with any costly but necessary product, some vendors just don't want to give the bad news up front. When we collect more explicit septic system failure and maintenance cost data we will post it at this website.

See details at AEROBIC SEPTIC SYSTEM MAINTENANCE COSTS

See also SEWAGE TREATMENT PLANTS, RESIDENTIAL

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Aerobic Treatment Unit ATU Maintenance Schedule

Below we quote an adapted version of Clearstream Wastewater System Inc.s List of Aerobic Treatment Unit ATU Maintenance Requirements & Schedule, rearranged to list items in order of frequency.

Clearstream & Other Aerobic Septic System ATU Maintenance Schedule, Tasks, & Costs [1]

Maintenance Task Schedule
in order of frequency
Typical cost [2][3] Comments

Sand filter & other ATUs in Australia

Check blowers, contact media, pipework, valves, diffusers, effluent clarity, sludge return, removal of excess scum, pump operation, supply of chlorine tablets

Every 3 months  

or as recommended by the manufacturer's service manual [3]

Check surge control weir Every 6 months Varies by state.

Florida:$200./yr maintenance + $50./yr permit

Texas: $200 - $600./ year
Free from the manufacturer for the first two years of operation [2].
Clean aerator filters Every 6 months to 2 years  

In our OPINION, new ATU owners should first perform maintenance on the earliest recommended schedule.

Depending on observations made at that time and provided that system usage level does not change, you may be able to extend out the service interval to longer periods.

Break up clarifier scum Every 6 months to 2 years    
Clean aeration diffuser Annually    
Pump sludge from aeration tank Every 2 - 5 years $250.+./ per pumpout;

Some readers report pumpout required every 6-months.

Australia government recommends tank pumpout every 4 years or more often depending on the permit's specifications.

Pump sludge from trash trap Every 2 - 5 years $535. ? Reported by FL reader to clear clogs & system backup
Repair or replace aerator Every 2 - 10 years $350. - $750. + labor, depending on pump model & components  
Additional aerobic septic system steps & costs
Check, replenish, install disinfectant tablets or chemical (bleach) Monthly $200-$200. / year

See AEROBIC SEPTIC DISINFECTANTS - Calcium Hypochlorite

See CLEARSTREAM CLC100 / A8810 CHLORINATOR INSTRUCTIONS

Check, repair effluent disposal spray heads for above-ground disposal systems Every 4 months see AEROBIC SEPTIC SYSTEM MAINTENANCE COSTS See AEROBIC SEPTIC EFFLUENT SPRAY HEAD REPAIR
Aerobic septic alarm test Every 4 months 0 See AEROBIC SEPTIC ALARM SYSTEMS

Notes to the table above

  • Aerobic Septic Systems Installation, Operation, & Maintenance Manuals
  • [1] Clearstream ATU website, retrieved 3/21/2013, original source: http://www.clearstreamsystems.com/service.asp . The company includes this important ATU maintenance notice:
  • [2] For the first two years form the date of purchase, your local installer, from whom you purchased your Clearstream System, will inspect your system on a routine basis for operational problems.
  • Service on Clearstream electrical and mechanical components will be performed at no charge, if such components are found to be defective. After the termination of the guaranteed service period, your local installer will make available a service policy for a nominal fee.
  • [3] Costs for ATU maintenance tasks are gleaned from reader email and a survey of septic maintenance company websites performed through September 2015.
  • CLEARSTREAM AEROBIC SEPTIC SYSTEM OWNERS MANUAL [PDF] Models 500NS - 1500N Owners Manual, Parts List, Flow Diagram, Installation Instructions, Design Drawings, Specifications, Service Policy, Warranty, Clearstream Systems, retrieved 2018/03/13, original source: https://www.clearstreamsystems.com/wp-content/uploads/2017/10/N_Book.pdf
  • HOOT AEROBIC SEPTIC TROUBLESHOOTING
  • HOOT Septic Systems Homeowners Manual for the H-Series IPA & EPA NPDES Systems for Ohio [PDF], HOOT Systems LLC, 2885 Highway 14E, Lake Charles LA 70607 USA, Tel: 888-878-HOOT, Website: wwwhootsystems.com retrieved 2018/03/13, original source: http://www.odh.ohio.gov/~/media/ODH/ASSETS/files/eh/sts/p-hoot-npdesownman
  • Hoot Models H-500-NPDES, H750-NPDES, H1000-NPDES MANUYAL - or give Hoot a call at 888 878 HOOT or see their website www.hootsystems.com
  • NESC, AEROBIC TREATMENT UNITS: An Alternative Septic System [PDF]. Pipelines, Vol. 16 No. 3 2005, NESC, West Virginia University, retrieved 2018/03/13, original source: http://www.nesc.wvu.edu/pdf/WW/publications/pipline/PL_SU05.pdf
    Excerpt:

    Aerobic systems treat wastewater using natural processes that require oxygen. Bacteria that thrive in oxygen-rich environments break down and digest the wastewater inside the aerobic treatment unit as they are suspended in the liquid.
  • Oklahoma DEQ, AEROBIC SEWAGE TREATMENT SYSTEM MANUAL [PDF], Oklahoma Department of Environmental Quality, P.O. Box 1677 Oklahoma City, OK 73101-1677 USA Tel:(405) retrieved 2018/03/13, original source: http://www.deq.state.ok.us/eclsnew/Fact%20Sheets%20ECLS/System%20Fact%20Sheets/Aerobic.pdf

See specifics at AEROBIC SEPTIC SYSTEM MAINTENANCE COSTS

and at AEROBIC ATU SEPTIC FAILURE RATES, COSTS

Also see installation and maintenance and test instructions

at AEROBIC SEPTIC ALARM SYSTEMS

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Liquid Household Bleach Disinfection in Aerobic Septic Systems

Where & How do I add bleach to my Clearstream Aerobic Septic System?

Clearstream aerobic septic system tanks and covers (C) InspectApedia.com Hammond

My house has a Clearstream aerobic system. I was told to remove the inner piece from the round dark green part on top of the middle circle to add bleach.

Is this correct? If it is, how do I get the inner piece out, the entire dark green part moves when I try to unscrew the inner piece? Any advice would be greatly appreciated! Thank you. On 2020-05-16 by Mikeal Hammond

Reply by danjoefriedman (mod) Instructions for using liquid household bleach in the Clearstream Aerobic Septic Sytem CLC100 / A8810 Chlorinator

Mikeal

Bottom line: yes you use liquid houshold bleach in Clearstream ATU chlorinator tanks like the one we show above (the access port) and below as the CLC 100. Check the bleach level in the reservoir tank every two to four weeks, and check also after your septic system may have high usage such as before (and after) a wedding or party at your home.

Inside the ATU a liquid chlorinator disinfection device will add a metered amount of disinfectant to the outgoing effluent that is being discharged to a sprayer or other effluent disposal method.

Details:

While it is necessary to add disinfectant to some aerobic systems, just saying arbitraily "add bleach" is a bit thin and incomplete. Whether or not you use bleach depends on the type of disinfection system installed on the ATU. How much, how often?

Above I've annotated your photograph to show the chlorinator tank access port.

You will recognize that fitting (below my yellow arrow) in the illustration below where, from Clearstream's parts store) we show Clearstream's liquid bleach disinfection system described as the Clearstream ATU "Reservoir Liquid Chlorinator - Tank"

Above is the CLC 100 Clearstream tank reservoir for liquid chlorinator a8810, a8811, a8812.

Typically for a Clearstream ATU that has a disinfection system, depending on the equipment type you will use either special disinfection tablets OR household bleach (for liquid disinfections systems like the one on your ATU.

Bleach from the liquid chlorinator tank reservoir is dispersed by a chlorinator (located inside the treatment tank) such as the The CLC 100 Chlorinator from Clearstream shown below.

Clearstream Aerobic Septic ATU Liquid Chlorinator cited & discussed at InspectApedia.com

Take a look at the owner's manual for your Clearstream Aerobic system - you can download the pdf that we posted at

  • CLEARSTREAM AEROBIC SEPTIC SYSTEM OWNER'S MANUAL [PDF] (2014) Clearstream Wastewater Systems Inc., P. O. Box 7568. Beaumont, Texas 77726-7568 Phone: (409) 755-1500 Fax: (409) 755-6500 www.clearstreamsystems.com - Alternate source for this manual is at the Virginia Health Department at https://www.vdh.virginia.gov/content/uploads/sites/20/2021/08/Owner-Operation-Installation-Manual-Design-Dwgs-DA-Operation-Install-Maint-6-22-2021.pdf

    This manual Includes: the Clearstream ATU Owner's Manual. Parts List. Operating Manual Flow Diagram. Installation Instructions Design Drawings And Specifications Service Policy. Limited Warranty for these Clearstream ATU models: MODEL 500NS / NCS 500 G.P.D. MODEL 500N / NC 500 G.P.D. MODEL 600N / NC 600 G.P.D. MODEL 750N / NC 750 G.P.D. MODEL 800N 800 G.P.D. MODEL 1000N 1000 G.P.D. MODEL 1500N

You'll see that there is no discussion of adding bleach in that manual. The manual simply says:

When disinfection is required before final discharge appropriate disinfection options are available.

Clearstream's own disinfiection instructions are hard to find, but at this Clearstream FAQs page we see:

The CLC 100 Chlorinator from Clearstream is designed for residential and small commercial wastewater treatment systems.

The CLC100 is available with dosing units to meet the disinfection of most wastewater treatment systems. 

Components used in the construction of the Liquid Chlorinator are designed to last for the life of your wastewater system. For more information about the CLC 100 or to order, please visit our parts site.

For CLC100 Liquid Chlorinators, use liquid bleach. For Tablet Chlorinators, use only chlorine tablets specifically designed for wastewater use (>65% Calcium Hypochlorite). Do not use pool chlorine tablets.

Other Clearstream Aerobic Septic systems use an ultraviolet light or UV disinfection system described at

So we need to know the Clearstream model you've got installed, or of course you can call Clerarsteram directly. I give their telepone numbers just above.

The most detailed Clearstream septic system instructions I've found was provided as a docx file by the University of Minnesota; for legibility and ease of use I've saved it as the following free Clearstream ATU instructions PDF Download

Also see these CLEARSTREAM SEPTIC SYSTEM MANUALS posted at the company's website.

Watch out: As Clearstream warns when disinfectant tablets are being used: Use only EPA-registered chlorine tablets approved for wastewater disinfection. Do not use pool chlorine tablets. (So you certainly would also not use household bleach).

Comment by Stela

@Mikeal Hammond, We have a similar Clearstream system setup.

We need to remove the whole lid from the middle tank (in your case that would be the round dark green lid in the center), by rotating it out of its grooves.

Inside, there is a pipe where you can either add disinfection tablets, or you can just dump liquid bleach down the tank.

That's what we do, it's cheaper than the tablets and contains the same disinfectants.

Moderator comments: Watch out: warnings about using the wrong type of disinfectant: Tablets versus Liquid Bleach - use what the dispenser is designed to dispense!

Watch out: I would not add liquid bleach to a tablet dispenser nor would I use tablets in a liquid bleach dispenser on an aerobic septic treatment system. Using the wrong type of disinfectant in the dispenser may result in either equipment damage (a tablet clogging a liquid dispenser) or improper levels of effluent disinfection.

The reader, Stela, has offered some information on what their practice is for adding disinfectant to their system. Although their system may be the same as yours, I have the same concerns as I stated in my previous response:

"While it is necessary to add disinfectant to some aerobic systems, just saying arbitrarily "add bleach" is a bit thin and incomplete. How much, how often?"

I would encourage you to use the contact information from the owners manual and call them for specific and accurate information.

Watch out: Also, a technical point about which you might ask for Clearstream's opinion, is that dumping liquid disinfectant into a septic system causes a very different time-distribution of disinfectant through the system than using tablets.

Liquid disinfectant is dispersed immediately through the system at its highest concentration, and is consumed promptly as wastewater flows through the Clearstream treatment tanks.

Conversely, tablets, dissolving over time, meter out disinfectant at a lower concnentration, but more-continuously, thus providing proper disinfectant levels in the system over a longer period than would a liquid.

In short, using liquid disinfectant in place of the manufacturer's recommended tablets in any aerobic septic system may cause it to work differently, possibly with less-continuous metering of disinfectant, surges of higher-concentration of disinfectant, possible harm to sewage-breakdown-bacteria in the system from that high concentration, and periods of system use that may see too-little disinfectant.



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Reader Comments, Questions & Answers About The Article Above

Below you will find questions and answers previously posted on this page at its page bottom reader comment box.

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs

How to re-start an aerobic septic system that has been out of use

What has to be done to restart an aerobic septic system that has not been in use for five years or more? does it need to be professionally serviced ? Kenneth Nott

Reply: 6 basic steps to inspect & turn on an Aerobic Septic System that's been shut down

Kenneth in my opinion it would be smart to ask a local septic service company, one who knows aerobic systems, to inspect the one you describe, making sure that all of its components are operating properly and if necessary that the tank be pumped and cleaned.

  1. Inspect the level of settled sludge in the tank to determine if a tank pump-out is needed, or better, simply have the tank pumped and cleaned so that it can be inspected for damage.
  2. Inspect the electrical wiring of the aerator system for safety and proper operation
  3. Inspect the electrical controls for proper operation
  4. Inspect the aerator pump to see that it operates and that any filters, tubes, piping are in place, sound, and properly located
  5. Inspect the effluent treatment/disinfection system to locate its components and buy and apply the disinfectant required by your system
  6. Inspect the effluent disposal system if a spray system is used. Chances are spray heads will be overgrown or clogged or piping may have become disconnected

The risk is that you turn on the system but not all components work and that such conditions cause more costly damage to the system. Consider it a maintenance step

Do I need to add bacteria starter to my septic tank?

I'm considering a simple aeration device for the lift/pump chamber on a pressure system.

Would there be enough aerobic bacteria present in the septic tank effluent to seed the pump tank? It is set to dose on demand so there's residual effluent in the tank.

Do I need to add a bacteria starter product to my aerobic septic tank? On 2018-12-22 by Glenn Lockwood -

by (mod) - no

No, there's virtually no case in which you need to inoculate bacteria in a septic system.

However I wouldn't assume that an ad on aerator on a conventional septic system is a sound design approach if there's any chance that the agitated sewage is going to say small floating particulate debris into the absorption that's where they will be clogged and destroyed.

See CHEMICALS & TREATMENTS for SEPTICS - do we need to put treatments in the septic tank?

Maintenance contracts required by Texas for aerobic units is no longer true - at least not 100%.

Inspectapedia's information concerning maintenance contracts required by Texas for aerobic units is no longer true - at least not 100%.

The State Legislature dropped that requirement in 2008 FOR SINGLE-FAMILY RESIDENCES only. The requirement was picked up by many of the permitting agencies in the state, but not all.

The rule seems to be more prevalent with the permitting agencies in the southern part of the state and more sporadic in the northern part of the state.

Aerobic units serving commercial establishments and dwellings other than single family are required to have an on-going agreement for a state-licensed Maintenance Provider to provide inspections.

Anyone in the Edwards Aquifer area should check with the Texas Commission on Environmental Quality or the Edwards Aquifer Authority regarding the rules applying to that area. On 2018-02-20 by Judy B -

Reply by (mod)

Thank you Judy for that important update. I'll be sure to keep it with the article.

Trouble getting maintenance on Aerobic Treatment Unit ATU

I have lived in my house only one and a half years and I have had nothing but trouble maintance people out monthly costing alot of money I do not have. I think this this thing is stupid! - Michelle 4/16/2012

Reply:

Michele, I'm so sorry to read about your difficulty with an aerobic septic system.

In fact aerobic treatment units can function to a very high level of treatment of sewage, but indeed independent research about various types of septic system failures confirms that most often, when there are failures in advanced systems and designs, it's because of lack of or improper maintenance.

We could argue that the problem is you haven't found the right maintenance contractor, and certainly that's what needs your attention.

But it is fair to say that an innate problem with the design of some systems in just about any field (computers to zone valves) is that some designs, by their complexity, have trouble finding people who will install and maintain them properly - it could be lodged as a complaint against the designer as well.

Good design of any system includes making it easy to maintain it.

Can we use "splash free" bleach in our aerobic septic system chlorinator?

Splash free bleach: Cloralen discussed as used on aerobic septic systemsd at InspectApedia.com

Is it ok to use "splash free" bleach in our chlorinator of our aerobic system? On 2022-01-08 by Scott Doyle

by Inspectapedia Com Moderator (mod) - may not be OK depending on type of liquid bleach dispenser

@Scott Doyle,

Thanks for a helpful question.

The final "right" answer on whether or not it's ok to use splash-free bleach in your aerobic septic system should come from the manufacturer of your specific aerobic system.

Splash free bleach is in essence the same bleach product in a more-viscous form. If your system won't have trouble dispensing the bleach that might be ok.

But I'd not switch without an ok from the aerobic septic company's tech support. Sorry to not have a simpler answer but it's the distribution that's in question.

Our neighbor's aerobic septic sprinklers send effluent into our yards

Our neighbor turns his sprinklers off and as a result the water puddles underground and has been draining underground in our yard for several years.

It has caused us to loose fruit trees in our yard from the roots getting too much water. He says the sprinklers makes his yard too wet. There are 2 sprinklers within 10 feet of our property He does not believe it is because he turns the sprinklers off.

We did not know why our trees were dying until the inspector was there one day and he told me the roots were getting too much water. He repaired the sprinklers and turned them on.

Our property dried up but then the neighbor turned them off again and said he didn't believe that was the problem.

Five people live in that home and he only uses one sprinkler in his back yard. On 2018-04-21 by diane

Reply by danjoefriedman (mod)

Diane

It sounds to me as if your neighbour's aerobic sprinkler system is improperly designed or placed or operated. Have you tried taking your concerns to your local health department?

Detailed advice is at NEIGHBORING SEPTIC SYSTEM PROBLEMS 

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Citations & References

In addition to any citations in the article above, a full list is available on request.

  • [1] Septic Solutions, McKinney Texas, "Aerobic Septic System Installation & Maintenance in Collin County, Texas", Septic Solutions, 3380 East University Drive, McKinney, Texas 75069. Office: 214 733-8883, Website: http://www.septicsolutionstexas.com retrieved 2 September 2015
  • New York State Department of Health, APPENDIX 75-A WASTEWATER TREATMENT STANDARDS - INDIVIDUAL HOUSEHOLD SYSTEMS , [PDF] New York State Department of Health, 3 February 2010, retrieved 3/1/2010, original source: https://www.health.ny.gov/regulations/nycrr/title_10/part_75/appendix_75-a.htm
  • AEROBIC Septic System Disinfection with Calcium Hypochlorite - Use of calcium hypochlorite tablets for aerobic septic systems
  • [2] Clearstream Wastewater Systems, Inc. , 4899 US Hwy 69 South, Lumberton, Texas 77657, Tel: 800-586-3656, Website: http://www.clearstreamsystems.com. Quoting the company's warranty retrieved 3/21/2013:
    |
    The Clearstream System has a two-year limited warranty against defects in material and workmanship from the date of purchase. The system and/or its components will be repaired or replaced with new or rebuilt equals to the original equipment, if all installation, operation and maintenance instructions of the manufacturer have been adhered to.
  • [3] "Maintenance of aerobic wastewater systems", Wastewater Management, Public Health SA System, 1st Floor, Citi Centre Building, 11 Hindmarsh Sq., Adelaide SA 5000, PO BOx 6, Adelaide SA 5000, Email: public.health@health.sa.gov.au, Web: www.health.sa.gov.au/pehs/environ- health-index.htm [copy on file as Aerobic_Septic_Maintenance-Australia.pdf]
  • "International Private Sewage Disposal Code," 1995, BOCA-708-799-2300, ICBO-310-699-0541, SBCCI 205-591-1853, available from those code associations.
  • "Manual of Policy, Procedures, and Guidelines for Onsite Sewage Systems," Ontario Reg. 374/81, Part VII of the Environmental Protection Act (Canada), ISBN 0-7743-7303-2, Ministry of the Environment,135 St. Clair Ave. West, Toronto Ontario M4V 1P5 Canada $24. CDN.
  • Manual of Septic Tank Practice, US Public Health Service's 1959.
  • In addition to citations & references found in this article, see the research citations given at the end of the related articles found at our suggested

    CONTINUE READING or RECOMMENDED ARTICLES.


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