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Home
About
Services
For Realtors
Septic Inspection
Septic Pump Out
Pump & Alarm Call Service
Storm Water Control
Contact
Emergency Assistance
Resources for Realtors
Residential Septic System Inspection Report
Residential Septic System Inspection Report
Name
First
Email
Type of System
Distribution Box Excavation:
Operations Permit:
Site Address:
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Septic tank pumped down at time of inspection
Yes
No
Not Applicable
If applicable, is treatment system functioning properly
Yes
No
Not Applicable
Does the dispersal field show any signs of improper leaching
Yes
No
Not Applicable
Septic Tank in proper structural condition
Yes
No
Not Applicable
Location and depth:
Pump Tank in proper structural condition
Yes
No
Not Applicable
Location and depth:
All electrical connections in sound and working conditions
Yes
No
Not Applicable
All pumps, floats, relays, timers and filters functioning properly
Yes
No
Not Applicable
Area around system properly graded and surface water diverted
Yes
No
Not Applicable
All visible inlet and outlet fixtures in sound and proper condition
Yes
No
Not Applicable
D-box in sound structural condition
Yes
No
Not Applicable
Location and depth:
Distribution box lines, also known as headers, clear and able to accept water
Yes
No
Not Applicable
All lids fastened properly and without damage
Yes
No
Not Applicable
All septic components free of root intrusion from trees, shrubs, etc.
Yes
No
Not Applicable
Drainfield area and all components free of trees and vegetation within 10 feet
Yes
No
Not Applicable
All Drainfield Trenches viewed via camera and found clear without water above the pipe
Yes
No
Not Applicable
All Drainfield Lines Probed
Yes
No
Not Applicable
Pipe material from house to tank:
Type of material from tank to Distribution box and length:
Number of lines going from Distribution box:
Type of material from Distribution box:
Site Address:
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Deficiencies Found?
No Deficiencies Found
Deficiencies Found
Date of Inspection:
MM slash DD slash YYYY
File
Max. file size: 50 MB.
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