Clone of Wastewater Treatment System Inspection

Calculated # Gallons/Day

1 Bedroom: 150 gallons per day2 Bedroom: 280 gallons per day3 Bedroom: 390 gallons per day4 Bedroom: 470 gallons per day5 Bedroom: 550 gallons per day6 Bedroom: 630 gallons per dayOther
Note:

An unfinished basement is considered two additional bedrooms. Design flow increased by 80 gallons per day for each additional bedroom over 6.
Additional Notes:
Explain if applicable
Is the structure occupied?

YesNo
Number of current occupants
If unoccupied, length of vacancy
Weeks / Months
Number of prospective occupants

Is this a second opinion inspection?

YesNo
Date of previous inspection:
If previous inspection occured
Is there knowledge of any repairs or modifications being made to the system? If so, please explain.
Garbage Disposal

YesNo
Water Softener

YesNo
Date of Last Pumping
Month / Year
Pumping Frequency
If known
Maintenance Provider
If known
Repair Contractor
If known
Are there any problems reported from past services?

YesNo
If so, please describe:
Please attach any additional information.

Cancelof
Should be Empty: