Septic System Camera Inspection Summary
Geolocation
Findings:
Septic Tank:
Transport line from house to septic tank material:
Please Select
4" Concrete Tile
4" Clay Tile
4" ABS
3" ABS
4" ADS
4" PVC
Other (explain in comments)
1
Please Select
Transport line from house to septic tank appears to be in good condition and functioning as intended.
Transport pipe from house to septic tank appears to have settled due to lack of compaction of soils around pipe but does NOT appear to be causing any problems.
Transport pipe from house to septic tank appears to have settled due to lack of compaction of soils around pipe and needs to be repaired as it DOES appear to be causing problems.
Other (explain in comments)
Inlet baffle material:
Please Select
Concrete
Rubber
PVC
Other (explain in comments)
2
Please Select
Inlet baffle appears to be in good condition and functioning as intended.
Concrete inlet baffle needs replaced due to degradation caused by gasses from sewage.
Concrete inlet baffle has fallen off due to degradation caused by gasses from sewage and needs replaced.
Other (explain in comments)
Center wall baffle material:
Please Select
Concrete
Rubber
PVC
Other (explain in comments)
3
Please Select
Inlet baffle appears to be in good condition and functioning as intended.
Concrete inlet baffle needs replaced due to degradation caused by gasses from sewage.
Concrete inlet baffle has fallen off due to degradation caused by gasses from sewage and needs replaced.
Other (explain in comments)
Outlet baffle material:
Please Select
Concrete
Rubber
PVC
Other (explain in comments)
4
Please Select
Inlet baffle appears to be in good condition and functioning as intended.
Concrete inlet baffle needs replaced due to degradation caused by gasses from sewage.
Concrete inlet baffle has fallen off due to degradation caused by gasses from sewage and needs replaced.
Other (explain in comments)
Transport line from septic tank to D-Box or drain field material:
Please Select
4" Concrete Tile
4" Clay Tile
4" ABS
3" ABS
4" ADS
4" PVC
Other (explain in comments)
5
Please Select
Transport line from house to septic tank appears to be in good condition and functioning as intended.
Transport pipe from house to septic tank appears to have settled due to lack of compaction of soils around pipe but does NOT appear to be causing any problems.
Transport pipe from house to septic tank appears to have settled due to lack of compaction of soils around pipe and needs to be repaired as it DOES appear to be causing problems.
Other (explain in comments)
Does septic tank need pumped?
Please Select
Yes. Pumping of septic tank is required as determined by taking cumulative sludge levels.
No. Pumping of septic tank is not required as determined by taking cumulative sludge levels.
Are risers required on septic tank?
Please Select
Yes. Per county regulations, installation of risers to surface on septic tank are required as determined by measuring tank depth below surface.
No. Per county regulations, risers on septic tank will not be required.
Tank depth below surface (inches):
Septic tank - Overall comments
Take photo of septic tank:
Type of Drain Field:
Drain field is..
Gravity. Equal distribution
Gravity. Serial distribution
Gravity. Step-Down distribution
Other (explain in comments)
Distribution Box (D-Box):
D-Box material:
Material..
Concrete
Poly (PVC)
Other (explain in comments)
D-Box structural integrity:
Condition..
D-Box appears to be in good condition and functioning as intended.
D-Box appears to be in mediocre condition and will likely need to be replaced in the next 3-5 years.
D-Box needs replaced due to degradation caused by gasses from effluent.
Other (explain in comments)
Number of outlet pipes leaving D-Box for drain field:
# of outlet pipes..
2
3
Other (explain in comments)
D-Box - Overall Comments
Take photo of D-Box:
Drain Field:
Drain field materials:
Please Select
Materials used to construct drain field: Pipe & Gravel
Materials used to construct drain field:Gravel-Less Chambers
Other (explain in comments)
Drain field condition:
Please Select
Drain field is clean and clear and appears to be functioning as intended.
One or more drain field legs has minimal amount of root intrusion/sludge build-up and is functioning as intended.
One or more drain field legs has medium amount of root intrusion/sludge build-up and requires standard Hydro-Jetting to clear drain field legs.
One or more drain field legs has severe root intrusion/sludge build-up and will require Vactor-Jetting to clear drain field legs.
Other (explain in comments)
Drain field - Overall comments:
Take photo of Drain Field:
Submit
Clear Form
Print Form
Should be Empty: