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SEPTIC SYSTEMS HOME SEPTIC SYSTEM ARTICLES Septic Guide for Home Buyers or Owners Septic System Design Septic Inspection Testing Septic Maintenance Repair Septic Component & Product Suppliers Septic Videos InspectAPedia ® BOOKSTORE HOME BUYERS GUIDE to SEPTIC SYSTEMS SEPTIC SYSTEMS ONLINE BOOK SEPTIC SYSTEMS INSPECTION COURSE SEPTIC INSPECTION TYPES & LEVELS LEVEL-0 SEPTIC INSPECTIONS LEVEL-1 SEPTIC INSPECTIONS LEVEL-2 SEPTIC INSPECTIONS LEVEL-3 SEPTIC INSPECTIONS SEPTIC INSPECTION WORK SHEETS LEVEL 0 INSPECTION WORK SHEET L-0 ADDITIONAL WORK SHEET LEVEL 1 INSPECTION WORK SHEET SEPTIC TANK INSPECTION PROCEDURE SEPTIC FIELD INSPECTION INSPECTING SEPTIC D-BOX SEPTIC FIELD INSPECTION SEPTIC DYE TESTS SEPTIC FAILURE SIGNS SEPTIC SYSTEM SAFETY WARNINGS More Information InspectAPedia Blog - News Updates Air Conditioning & Heat Pumps Bookstore Electrical Environment Exteriors Heating Home Inspection Insulate Ventilate Interiors Mold Inspect/Test Roofing Plumbing Water Septic Structure Accuracy & Privacy Policies Contact Us |
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Citation of this article by reference to this website and brief quotation for the sole purpose of review are permitted. Use of this information in books or pamphlets for sale is reserved to the author. Further review comments and content suggestions are welcome. Also see The Septic Systems Home Page. © Copyright 2009 Daniel Friedman, All Rights Reserved. Information Accuracy & Bias Pledge is at below-left. Use the links at page left to navigate this document or to go to Other Website Topics. Green links show where you are in our document & website. SEPTIC INSPECTION WORK SHEETS - Septic System Inspection and Testing WorksheetsHere we provide a series of field worksheets useful during the conduct of septic system inspections for investigations of the condition of a septic system using level 0, 1, and 2 septic inspections. Worksheet for Septic Inspection Level 0 - Basic Information
INSPECTION DATE:_____________________________________________________________
INSPECTION ADDRESS:__________________________________________________________
INSPECTOR's NAME:____________________________________________________________
CLIENT's NAME:_______________________________________________________________
The system was NOT INSPECTED because: _______________________________________
UNSAFE CONDITIONS OBSERVED, PEOPLE NOTIFIED: ________________________________
_____________________________________________________________________________
BASIC SEPTIC SYSTEM INFORMATION
System Age: _______________________ Information Source: Seller/Realtor/Other
Recent Nr. Occupants: _____________ Year Round: Y/N Nr. Bedrooms:________
Currently Occupied: Y/N Vacant since:______________
Tank Last Pumped:__________________ Garbage Disposal: Y/N
Separate Drywell/Drain for Washer/Other:________________
Calculated or other Specific Flow or Load:___________________________________
TREATMENT TANK INFORMATION and CONDITION:
LOCATION: Not Identified. Reported/observed at:________________
Information Source: Seller/Realtor/Other
TYPE: Not Identified. Reported/observed at:________________
Concrete/Steel/Other:_____________ Information Source: Seller/Realtor/Other
Septic Tank / Aerobic Tank / Grease Trap
Cesspool / Overflow Cesspool / Privy
Is System Shared: Y/N Previous Inspection Records Attached: Y/N
Damage/Defects Observed:________________________________________________
CAPACITY: Not Visible. Reported/observed at:________________
Gallons: _________________________ Information Source: Seller/Realtor/Other
COVER: Not Visible. Reported/observed at:________________
Concrete/Steel/Other:_____________ Information Source: Seller/Realtor/Other
Damage/Defects Observed: child-hazard, missing, not secure, damaged, __
AGE OF COMPONENTS: Information Source: Seller/Realtor/Other
___________________________________________________________________________
___________________________________________________________________________
COMMENTS:____________________________________________________________
NOTICE: Low volume minimum-flush toilets/waste disposal system installed.
PUMPING EQUIPMENT:
PUMP-Mound Not Visible. Reported/observed at:________________
Operating Satisfactorily Y/N Information Source: Seller/Realtor/Other
PUMP-Ejector Not Visible. Reported/observed at:________________
Operating Satisfactorily Y/N Information Source: Seller/Realtor/Other
ABSORPTION SYSTEM:
LOCATION: Not Identified. Reported/observed at:________________
Information Source: Seller/Realtor/Other
Damage/Defects Observed:________________________________________________
TYPE: Not Identified. Reported/observed at:________________
Cesspool Capacity:___________ Information Source: Seller/Realtor/Other
Seepage Bed Trench System Elevated Mound/Sand
Other:_______________________________________
Indications of previous failure: Odors, Seepage, Lush Vegetation,
Gray Water discharge. to surface/stream/storm drain;
Parking, driveway, runoff, shrubs, trees over drainfield;
Construction/additions over drainfield;
COMMENTS:____________________________________________________________
SYSTEM OPERATION
VISUAL OBSERVATIONS:
COMMENTS:____________________________________________________________
CONCLUSIONS and RECOMMENDATIONS:
--SATISFACTORY-- good to fair condition
No visual evidence of system failure, functional drain flow was observed.
EXPLANATION: At the time of our inspection the sewage disposal system appeared
to be working normally and adequately. There was no evidence of stopped main
drains, no unusual septic odors.
[If a loading/dye test was NOT performed:] By your instruction, we did not
perform a system loading and dye test. Important additional information about
system condition is available from this and other levels of septic inspection.
[There was/was not evidence of recent excavation or repair - which suggests
that additional questions to owner or investigation are in order.]
[If a loading/dye test was performed:] Report details of dye test procedures
(see below), and results.
SEPTIC SYSTEM LOADING AND DYE TEST ON-SITE DETAILS:
WATER run at:______________________ for __________ minutes prior to introducing
tracer dye.
TRACER DYE placed at: ____________________________
WATER RUN at these fixtures:___________________________________________________
FOR ________________________ minutes at an ESTIMATED AVERAGE FLOW OF ______GPM
TOTAL TEST VOLUME OF WATER WAS ________________________ GALLONS
EVIDENCE OF BACKUP, DYE BREAKOUT, OR OTHER DEFECT WAS/WAS NOT ______OBSERVED
DETAILS
_______________________________________________________________________________
_______________________________________________________________________________
---UNSATISFACTORY-- poor condition or nonfunctional
Evidence of failure/improper operation was observed:
System backup (system backs up into house)
System breakout (discharge or ponding of effluent on ground surface)
System blockage (system backs up and leaks at tank or distribution. box)
(static liquid level in distribution box above outlet)
(liquid level in cesspool less than 6" below invert or
available volume less than 1/2 day flow)
Hydraulic overload (excess. water in absorption area, effluent @ surface)
(fields may be undersized, improperly located, damaged)
(fields may be improperly installed, unbalanced)
Maintenance failure (fields damaged by solids flowing from tank/tree roots)
Mechanical damage (driving over leach fields, damage piping/trenches)
Groundwater flowing onto/into/flooding absorption area
Mound systems: improper slope, insufficient soil layer, on flood plain,
less than 5' from property line,
less than 50' from stream; pump defects;
Other Defects:
(pumping multiple times during past year (e.g. less than 4))
(damaged tank, baffles, distribution box, other)
(Absorption system located in low/wet areas)
(Components within 50' of a surface stream, pond, river, or private well)
(Between 50 and 100' from a private well with no acceptable water analysis)
(Components within 100' of a tributary to a surface water supply)
(Too close to a public well (depends on state regulations.))
(Cesspool or privy within 50' of a protected wetland)
COMMENTS:____________________________________________________________
... Technical Reviewers & References
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03/26/2009 - 07/03/1995 - InspectAPedia.com/septic/septsheets.htm cc of septbook.txt 11/4/95 - © 2009 - 1988 Copyright Daniel Friedman All Rights Reserved - InspectAPedia® is a Registered U.S. Trademark