&EPA
 United States
 Environmental
 Protection Agency
                        Region 9 Ground Water
                        Office (WTR-9)	
       EPA 909-F-04-003
       APRIL 2004
                        Onsite Wastewater Treatment System
                        Maintenance Checklist
 Keep this checklist in a folder where you retain your onsite wastewater treatment system records and receipts, to ensure
 treatment system performance, remind you of timely maintenance, and protect your property values and our environment.
                       Fill out this form in pencil as information may change.
         System Owner:  	
          Site Address:
             Land Use:

      Site water source:

SYSTEM DESCRIPTION

           Design flow:
       # Compartments:
         Access Risers?
   Additional treatment
         components?
	single family residence         	multi-family dwelling
	non-residential/food or lodging  	non-residential/other
	private well  	public water system
Tank material:
  other:	
             	concrete 	fiberglass   	polyethylene
           liters/gallons (circle one)
                 Total volume:	
                 Effluent filter?
	yes   	no     bttluent filter? 	yes
	no    	yes (circle all applicable features)
single-pass filter or mound      recirculating filter
aerobic treatment unit          disinfection unit
other:	
cubic feet
no
EFFLUENT DISPERSAL  (circle all applicable features)
             METHOD

  Electrical Components?
      Yes       No
Installer Name/Company:
     Installer Telephone:
       Installer Address:
  Maintenance Contract?
      Operating Permit?
Local Regulatory Agency:
     Telephone Number:
distribution box
pump (to gravity)
leachfield
seepage pit
Other:	
                 diversion valve
                 pump (pressure dose)
                 leaching bed
                 at-grade or wetland
siphon
telemetry unit
graveless trench(es)
irrigation/reuse system
                       100% replacement area?	yes  	no
                      Date constructed:

no
no

yes
yes

Expiration date?
Expiration date?

                Staff
  IF SYSTEM  FAILS, CALL:
                 Pumper:.
 Date of Inspection,  Pumped? yes or no _  Recommended follow-up/next Inspection date
















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 STORE WITH  THIS SHEET:

 0    A diagram showing  the
 location of your system and your
 replacement area in relation to all
 property structures, property lines
 and other important features
 (such as water supply wells and
 large trees.)

 0   Receipts, bids and contracts
 from all service providers

 0   Your operating permit,  if one
 is  required from  your  local
 regulator

 0  Numbers of organizations to
 contact in  an emergency
 1. drinking water well
 2. septic tank
 3. distribution box
 4. absorption field
 5. soil absorption (unsaturated zone)
 6. ground water (saturated zone)
 Graphic courtesy National Small Flows Clearinghouse
CARING  FOR YOUR SYSTEM
Warning signs:
- Slow-draining toilets, tubs or sinks
- Lush growth or "burnt" growth over dispersal area
- Sewage surfacing over the dispersal area or other parts of the
system, or sewage odors in the yard

To Avoid Trouble:

Do have your tank inspected by a professional (licensed) pumper
at  least once every 3 to 5 years, and have it pumped when the
combined solid and scum layer exceed half the volume of the first
compartment of the septic tank.

Do keep all your wastewater treatment system records.

Do practice water conservation. Understand your design flow and
try not  to exceed it.  For  example, avoid laundry during and
immediately after  large parties.

Do divert roof drains and  surface water from driveways and hillsides
away from the system. Keep sump pumps and house footing drains
away from the system as well.

Don't allow anyone to pave, build, drive or park over any part of the
system. The area over  the dispersal area and  the replacement
area should be left undisturbed with natural ground cover.

Don't use commercial septic tank additives.  Most of them are not
helpful and some  of them may endanger you or the environment.
Human waste contains the organisms needed by onsite wastewater
treatment systems to break down and treat waste.

Never use a toilet as a  trash  can.  Onsite wastewater treatment
systems are designed to treat waterborne sewage, not cigarette
butts, household chemicals and paints, nor any paper products other
than toilet paper.
For general assistance with onsite wastewater treatment systems, contact your local environmental health
agency, building department, or the National Small Flows Clearinghouse, at (800) 624-8301, or see their
website: www.nesc.wvu.edu/nsfc/. Information also available from ERA'S Safe Drinking Water Act Hotline at
(800) 426-4791, or see their website: www.epa.gov/owm/mtb/decent.

In California, for regulations, training and technical assistance, please see also the following organizations:
 CalEPA/State Water Resources Control Board
 California Environmental Health Association & CCDEH
 California Onsite Wastewater Association
 California Rural Water Association
 California Wastewater Training and Research Center, CSU-Chico
 Office of Water Programs, Sacramento State University
 Rural Community Assistance Corporation
                 DISCLAIMER: The statements in this document are intended
                 solely as guidance. This document is not intended, nor can it be
                 relied upon, to create any rights enforceable by any party in
                 litigation with the United States. EPA or the program Primacy
                 Agency may decide to follow the guidance provided in this
                 document, or to act at variance with the guidance based on its
                 analysis of the specific facts presented. This guidance may be
                 revised without public notice to reflect changes in EPA's approach
                 to implementing the authorities discussed in the document or to
                 clarify and update text.

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