HomeMy WebLinkAboutWastewater System InspectionJob #179538
Wastewater System Inspection
Onsite Wastewater Treatment System Inspection
Report
Ordered By
Mandy, home owner
Property Address
150 County Road, Gypsum, CO 81637 USA
Customer Phone #
(970) 291-7555
Date
2024-11-29
Time
8:00:00 AM
Billing Address
500 Sweetwater Road, Gypsum, CO 81637 USA
General Information
Age of wastewater treatment system
(Years)
10
Water Softener
No
Garbage Disposal
Yes
Whirlpool Bath
No
Cleaning Service
No
In Home Business
If yes, notate the type of business
No
Current Occupancy
2
Anticipated Occupancy
2
If Unoccupied, how long has it been
vacant
(Months)
0
Number of Bedrooms
2
Number of bedrooms added since
purchase
0
Has there ever been a backup in the
residence?
No
If there was a backup in residence, list all
known repairs & person/company that
made repairs to system
No
Has the system been inspected by others
recently?
No
If yes, who was the contractor that
performed inspection?
Na
What was the results of inspection?
Pass
Is there a service contract for system
components?
No
If there is a contract, what contractor is it
with?
Na
Has the treatment tank ever been
pumped?
Yes
If so, what is the date of last pumping?
2022-05-29
Additional Comments
-
The above information is true to the best of my
knowledge
Owners Signature
Date of Signature
2024-11-29