Title Page
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Conducted on
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Prepared by
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Location
Protect the septic system from damage
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Keep vehicle traffic and parking areas off the drain field
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No structure are build over the septic system
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No concrete or asphalt over the drain field
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Woody and deep-rooted trees are at least 100 feet away from the septic system
Maintenance
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The tank pumped every 3-5 years
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The tank pumped at least once a year (for garbage disposal unit in the kitchen sink)
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Water is being kept away from the drain field
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No excessive water to the lawn above the drain field
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Faucets and toilets are not leaking or dripping
Completion
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Recommendations
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Sign-off (Name and Signature)