Septic Systems

Back to Home

Basic Information Site Observations System Evaluation

Basic Information

Please provide basic detail of inspection

Type of Inspection *

Home Inspection

Realtor

Routine Maintenance

Date of Inspection *

Time

Weather

Inspector Name & Company *

Site Address *

Tax Map Number *

Type of System (DOH code if available) *

Site Observations

Please record site conditions and observations during the inspection.

Property in use: *

Yes

Full time

Vacation Rental

Vacant

Other

Unknown

General Site Conditions: *

Grass cover/vegetation condition

Cinder/rocks

Surface Ponding

System area

Other areas

Protective Barriers Present

Effective

Not effective

Surface runoff/gutters directed away from system: *

Yes

N/A

Malfunction at time of inspection: *

Yes

Surface discharge via plumbing

Grey water

Black water

Unknown

Surface discharge in area of tank

Surface discharge within tile field area

Surface discharge at edge of tile field

Surface discharge bleed-out away from system

Evidence of past failure / Note evidence

System Evaluation

Please evaluate the system condition and note any issues or recommendations.

Manhole covers

Accessible: *

Yes

Lid(s) need repair: *

Yes

Liquid operating level: *

At outlet invert

Above outlet invert

Below outlet invert

Scum layer thickness (in.): *

Sludge layer thickness (in.): *

Tank pumping recommended (sludge plus scum occupy 25% or more of tank volume): *

Yes

Tank pumped of all liquids and solids: *

Yes

N/A

Approx. volume pumped (gals): *

Water stream into tank from house: *

Yes

Trickle

Steady flow

N/A

Water stream into tank from drain field: *

Yes

Trickle

Steady flow

N/A

Inlet tee needs repair: *

Yes

N/D

Outlet tee needs repair: *

Yes

N/D

Tank composition: *

Approx. size of tank (gals): *

Service recommended: *

Yes

N/D

Comments: *

Inspector Signature: *

Disclaimer: The above information indicates the conditions of the septic system at the time of inspection. This is not a guarantee or warranty of future system performance.

Notes: *

Please wait...