| Future Proof Property Inspections Inc.
Septic System Visual Inspection Information Form |
| Customer | |||||||||||
| Address | |||||||||||
| Inspection Number | Date/Time: | ||||||||||
| Tank Location | |||||||||||
| D-Box | o | Level | o | Outlets | |||||||
| Number of Lids | o 1 o 2 | Crossover Baffle Cover | o | ||||||||
| Tank Depth | Tank Width | ||||||||||
| Tank Length | Tank Volume | ||||||||||
| Top of Scum (A) | Scum Bottom (B) | ||||||||||
| Top of Liquid (C) | Bottom of Tank (D) | ||||||||||
| Scum Depth (B-A)
Scum Depth = FD |
Sludge Depth
Sludge Depth = SD |
||||||||||
| Inlet Checked OK | o | Outlet OK | o | Baffle pipe seals OK | o | ||||||
| D-Box Seals OK | o | Septic Field OK | o | Leaks Detected | o | ||||||
| Working Depth
Working Depth = WD |
WD/3 | ||||||||||
| FD + SD | Tank needs pumping
(FD+SD > WD/3 ) |
o | |||||||||
| Number of toilets | Number of bath tubs | ||||||||||
| Number of showers | Number of sinks | ||||||||||
| Other drainage systems | |||||||||||
| Comments | |||||||||||